Cleveland Clinic Journal of Medicine
- What fluids should I order for my patient with acute pancreatitis?
Recent data show that moderate fluid resuscitation is associated with fewer adverse events and that lactated Ringer’s may be superior to normal saline.
- Recurrent syncope in a 62-year-old man
The patient experienced 2 episodes of syncope over 4 weeks, had a history of recurrent carpal tunnel syndrome, and had ankle edema for the previous 18 months.
- Helicobacter pylori: A concise review of the latest treatments against an old foe
H pylori eradication regimens are tailored based on the presence of effective empiric therapy (local cure rates ≥ 90% for a given regimen) or antimicrobial susceptibility testing.
- Digoxin is still useful, but is still causing toxicity
The authors review the presentation of digoxin toxicity, its mechanisms and predisposing factors, and its medical management.
Diabetic retinopathy: Screening, prevention, and treatmentEffective screening processes, timely referrals, and strategic diabetes management are essential to prevent and mitigate the consequences of diabetic retinopathy.
- SGLT-2 inhibitors: Diabetes and CKD and CHF (and gout?), oh my!
What mechanisms might account for the diverse beneficial effects of the SGLT-2 inhibitors observed across various diseases?
- Varicose veins
A 60-year-old man presented with a 20-year history of slowly worsening prominent veins in both lower limbs.
- Do patients with sepsis benefit from intravenous albumin?
Patients with sepsis who do not need vasopressors do not benefit from intravenous albumin compared with intravenous crystalloid therapy alone.