topic
- Evaluating troponin elevation in patients with chronic kidney disease and suspected acute coronary syndrome
The authors examine challenges in diagnosing acute coronary syndrome in patients with chronic kidney disease and provide a diagnostic algorithm to risk-stratify these patients.
- Unilateral green pleural effusion in a 22-year-old woman
Chills, night sweats, palpitations, and a 5-lb weight loss, preceded by 6 months of progressive dyspnea, fatigue, and reduced exercise tolerance. What is the diagnosis?
- Late complications after allogeneic hematopoietic cell transplant: What primary care physicians can do
Cardiovascular, metabolic, endocrine, rheumatologic, orthopedic, infectious, neurologic, and cognitive complications are examined, as well as secondary malignancies, psychiatric disorders, and impairments in quality of life and sexual health.
- Unexplained pathology is not always autoimmune
Our success in understanding well-defined autoimmune diseases may make us too willing to attribute yet-unexplained conditions to autoimmunity simply because they share symptoms.
- Asymptomatic oral plaques and erosion
A 45-year-old man presented with a 4-week history of plaques and erosion on the left buccal mucosa and lower lip.
- Acute left-sided colonic diverticulitis: A surgeon’s perspective on the ACP guidelines
The updated guidelines push for less-aggressive management of uncomplicated diverticulitis in select patients.
- How do I diagnose and treat my patient’s amiodarone-induced thyrotoxicosis?
Differentiating type 1 from type 2 amiodarone-induced thyrotoxicosis requires serologic testing, color Doppler ultrasonography, and radioisotope studies, and influences the choice of treatment.
- A new paradigm for adult ADHD: A focused strategy to monitor treatment
In adults with attention deficit hyperactivity disorder, shifting the focus of treatment from reducing symptoms to increasing task completions can allow the physician and patient to quickly determine effectiveness of pharmacotherapy.
- Atypical hyperplasia of the breast: Clinical cases and management strategies
The authors describe common clinical case scenarios for atypical hyperplasia of the breast and review management strategies for each scenario.
- Surgical de-escalation: Are we ready for ‘observation’ of benign high-risk breast lesions found on core needle biopsy?
Surgical de-escalation is part of a larger movement of de-escalation of multidisciplinary breast cancer treatment. The challenge is to balance oncologic outcomes with surgical morbidity and quality of life.