topic
- Hypothermia and severe first-degree heart block
A 96-year-old woman with hypertension, diabetes, and dementia was found unresponsive and was transferred to the hospital.
- Dysmorphic red blood cell formation
A 23-year-old woman presented with hematuria and dysmorphic red blood cells in the urinary sediment.
- Quality in urine microscopy: The eyes of the beholder
The renal patient is best served when the nephrologist familiar with the case performs the urine microscopy
- High users of healthcare: Strategies to improve care, reduce costs
A minority of patients called “high users” consume a lot of healthcare, especially in the emergency department. But therein lies an opportunity.
- What is the hepatitis B vaccination regimen in chronic kidney disease?
For those with advanced chronic kidney disease, the authors recommend a higher dose, more doses, or both.
- Do cardiac risk stratification indexes accurately estimate perioperative risk in noncardiac surgery patients?
Neither of the 2 indexes most often used is completely accurate, and neither is better than the other.
- A 50-year-old woman with new-onset seizure
After prodromal symptoms, she lost consciousness for about 1 minute, with jerking.
- Idiopathic hypercalciuria: Can we prevent stones and protect bones?
Patients should increase their fluid intake, follow a diet low in salt and animal protein, and take a thiazide diuretic.
- Preventing cardiovascular disease in older adults: One size does not fit all
The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fi t and the other is frail.
- A New Year’s transition and looking forward
Time to take stock of advances in—and obstacles to—the delivery of quality healthcare.