CME
Reviews
Gallstones: Watch and wait, or intervene?
Consider laparoscopic cholecystectomy for symptomatic cholelithiasis, expectant management for asymptomatic cases.
Reviews
The female athlete triad: It takes a team
An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.
Symptoms to Diagnosis
A 71-year-old woman with shock and a high INR
She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.
Reviews
Acute cardiorenal syndrome: Mechanisms and clinical implications
Volume overload is central to its pathogenesis, and accurate assessment of volume status is critical.
Reviews
Which test for CAD should be used in patients with left bundle branch block?
CT angiography is the first-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.
Reviews
Alzheimer dementia: Starting, stopping drug therapy
It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.
IM Board Review
A 67-year-old woman with bilateral hand numbness
Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.
Reviews
Primary care management of chronic pelvic pain in women
While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.
Reviews
Transient neurologic syndromes: A diagnostic approach
Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.
Medical Grand Rounds
Kidney transplant: New opportunities and challenges
Kidney transplant improves survival and long-term outcomes in patients with renal failure.
