topic
- Paternalism in practice: How we create obstacles for sexual, reproductive, and menopausal healthcare despite our best intentions
In theory, we all understand the concept of shared decision-making. But in practice, clinical recommendations are often still dictated rather than discussed.
- Reproductive issues and multiple sclerosis: 20 questions
The authors offer answers to frequently asked questions about the management of MS during pregnancy planning, pregnancy, and the postpartum period.
- Central sensitization, chronic pain, and other symptoms: Better understanding, better management
Clinicians have a pivotal role by providing patient education, which can affect perception, management, functional status, and quality of life.
- Viruses change; we can, too
As we learn more about the mpox (formerly monkeypox) virus, Sossai et al in this issue of the Journal discuss how our understanding of its link to variola has led to therapeutic and prophylactic vaccination options.
- Smallpox and monkeypox: Looking back and looking ahead
Two vaccines have been developed for mpox prevention, but clarity is needed on when and how to use them.
- Mass under the lip
The mass had grown slowly over several weeks while the patient was in rehabilitation after a stroke.
- What is the rationale for the laboratory workup for suspected pheochromocytomas and paragangliomas?
The decision to test is best guided by clinical suspicion. Test results should be interpreted with careful consideration of how the samples were collected.
- Fundic gland polyps: Should my patient stop taking PPIs?
Of the 2 types of these polyps, the sporadic type is linked to proton pump inhibitor use, whereas the syndromic type occurs on a background of familial adenomatous polyposis—a key distinction.
- The cost of ‘free’: Advising patients about sponsored genetic testing
A breakdown of benefits and drawbacks of sponsored genetic testing that clinicians can use to help patients make informed decisions.
- Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
Most cases are in older men with diverticular disease, Crohn disease, cancer, or iatrogenic injury. Suspect it especially in these patients with UTI symptoms refractory to conventional treatments.