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Why I, as a rheumatologist, am happy to make the diagnosis of obstructive sleep apnea
Why I, as a rheumatologist, am happy to make the diagnosis of obstructive sleep apnea
In this issue of the Journal, Aboussouan and his multidisciplinary coauthors1 review available treatment options for patie...
Oral lichen planus
Oral lichen planus
A 36-year-old male presented with lesions over the lips and the left buccal mucosa for the past 6 months. The lesions were...
Stiff hands in a man with type 1 diabetes
Stiff hands in a man with type 1 diabetes
A 23-year-old man with type 1 diabetes presented with stiffness in both hands that had progressively worsened over the pre...
Should my patients take their blood pressure medications in the evening to enhance cardiovascular benefit?
Should my patients take their blood pressure medications in the evening to enhance cardiovascular benefit?
No. Although the cardiovascular benefits of controlled blood pressure (BP) are clear,1 current evidence is insufficient to...
Hey, Doc: Could the 2023-2024 cold and flu season finally be the calm after the storm?
Hey, Doc: Could the 2023-2024 cold and flu season finally be the calm after the storm?
The 2023–2024 cold and flu season is the first in history in which we’re armed with vaccines against the 3 currently most ...
Contemporary surgical and procedural management of benign prostatic hyperplasia
Contemporary surgical and procedural management of benign prostatic hyperplasia
ABSTRACTInterventions for benign prostatic hyperplasia have evolved from transurethral resection of the prostate and simpl...
The drop of a pin: Accidental ingestion of a sharp foreign body
The drop of a pin: Accidental ingestion of a sharp foreign body
A 36-year-old female presented to the emergency department following foreign body ingestion. Thirty minutes before arrival...
Treatments for obstructive sleep apnea: CPAP and beyond
Treatments for obstructive sleep apnea: CPAP and beyond
Continuous positive airway pressure (CPAP) remains the gold standard treatment for obstructive sleep apnea, but it is not ...
Anchors away
Anchors away
Before you read this, please read the article by Prakash et al,1 part of our Symptoms to Diagnosis series.The Journal has ...
A reticular eruption on the thighs
A reticular eruption on the thighs
A 17-year-old girl presented to our dermatology clinic with a 2-month history of an asymptomatic reticular rash on both th...
Is the MTHFR gene mutation associated with thrombosis?
Is the MTHFR gene mutation associated with thrombosis?
Polymorphisms of the methylene tetrahydrofolate reductase (MTHFR) gene are common among the general population, and data f...
What is the role for terlipressin in hepatorenal syndrome?
What is the role for terlipressin in hepatorenal syndrome?
With careful patient selection, terlipressin, a synthetic analogue of vasopressin, is an effective therapy for hepatorenal...
Elevated aminotransferases in a 62-year-old woman
Elevated aminotransferases in a 62-year-old woman
A 62-year-old woman made an appointment to see her primary care physician after returning from a trip to Malaysia. She had...
The new GFR equations: How will eliminating the race coefficient affect Black patients?
The new GFR equations: How will eliminating the race coefficient affect Black patients?
Laboratories have been using new (2021) equations to estimate the glomerular filtration rate (GFR). Notably, the new equat...
COVID-19: A management update
COVID-19: A management update
ABSTRACTThe management of COVID-19 has evolved through the course of the pandemic to now include options for outpatients, ...
Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
ABSTRACTFor patients with decompensated cirrhosis, health maintenance is critical to improve survival rates and prevent ad...
A useful gap
A useful gap
We look initially at laboratory test results with specific intent, checking for major items of concern, alterations in org...
A new paradigm for adult ADHD
A new paradigm for adult ADHD
To the Editor: In the July issue, Drs. Manos and Short1 presented a new model through which to treat and determine efficac...
In Reply: A new paradigm for adult ADHD
In Reply: A new paradigm for adult ADHD
The two reactions to our paper on adult ADHD were insightful. Both speak to two important issues that we highlighted in ou...
vOka vaccine-associated disseminated varicella zoster
vOka vaccine-associated disseminated varicella zoster
A 34-year-old man presented to the emergency department with a 3-day history of rash, fever, diarrhea, and vomiting. He wa...
Should midodrine be used as an intravenous vasopressor-sparing agent in septic shock?
Should midodrine be used as an intravenous vasopressor-sparing agent in septic shock?
A 55-year-old male presents to the emergency department with dysuria, fevers, and chills. His temperature is 38.3°C (101.8...
Masked tinea
Masked tinea
A 91-year-old woman was admitted to the hospital with a 1-month history of anorexia. On admission, there were no significa...
Should you use compression duplex ultrasonography to detect deep vein thrombosis to evaluate unexplained fevers?
Should you use compression duplex ultrasonography to detect deep vein thrombosis to evaluate unexplained fevers?
An 84-year-old female was admitted for pyelonephritis complicated by septic shock and Klebsiella pneumoniae bacteremia. Sh...
Should I start an SGLT-2 inhibitor in my patient with heart failure and chronic kidney disease?
Should I start an SGLT-2 inhibitor in my patient with heart failure and chronic kidney disease?
A 57-year-old male is admitted to the cardiology inpatient service for acute decompensated heart failure. He has a history...
Evaluating a low anion gap: A practical approach
Evaluating a low anion gap: A practical approach
In teaching and in practice, when we talk about the anion gap, we usually focus on recognizing and evaluating an elevated ...
Inpatient glycemic management in noncritically ill patients: Updated guidelines
Inpatient glycemic management in noncritically ill patients: Updated guidelines
ABSTRACTHyperglycemia is common in hospitalized patients and is traditionally managed with scheduled and correctional dose...
Portopulmonary hypertension: A focused review for the internist
Portopulmonary hypertension: A focused review for the internist
ABSTRACTPortopulmonary hypertension, ie, pulmonary arterial hypertension in a patient with portal hypertension, affects tr...
What is the most appropriate management of patients with acute decompensated heart failure who develop in-hospital hypotension?
What is the most appropriate management of patients with acute decompensated heart failure who develop in-hospital hypotension?
Because the majority of patients with acute decompensated heart failure remain at high risk for in-hospital hypotension ow...
Born again: The many lives of metformin
Born again: The many lives of metformin
Repurposing of medications—getting US Food and Drug Administration (FDA) approval to use an old drug for a new indication—...
Petaloid dermatosis affecting the scalp and genitalia
Petaloid dermatosis affecting the scalp and genitalia
A 41-year-old-male presented with a 1-month history of pruritic lesions on his scalp, neck, and penis. He had attempted a ...
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