CME
Reviews
Coronary artery calcium scoring: Its practicality and clinical utility in primary care
It outperforms other risk-stratification tools. Drawbacks include the possibility of unnecessary testing and incidental findings.
Symptoms to Diagnosis
Shortness of breath, fever, cough, and more in an elderly woman
The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defibrillator and amiodarone.
Reviews
Liver enzymes: No trivial elevations, even if asymptomatic
All persistent elevations of liver enzymes need a methodic evaluation and an appropriate working diagnosis.
Medical Grand Rounds
Diagnosing and treating bipolar disorder in primary care
Many patients have undiagnosed bipolar depression, ie, depression with shifts to periods of mania.
Reviews
Diabetes and pregnancy: Risks and opportunities
Internists can reduce the risks by optimizing glycemic control before conception and providing effective counseling.
Reviews
Navigating travel with diabetes
Help patients plan ahead to manage diabetes while traveling and prepare for emergencies that may arise.
Reviews
‘Dry drowning’ and other myths
Drowning is a common and often preventable cause of death, especially in children. But dry drowning is a myth.
Reviews
Optimizing calcium and vitamin D intake through diet and supplements
Set modest calcium targets, maximize dietary intake, and make up the deficit with calcium citrate.
Reviews
Cardiac rehabilitation: A class 1 recommendation
Despite proven benefits, referral and participation rates remain low. Efforts to boost usage are underway.
Reviews
Thoracic aortic aneurysm: How to counsel, when to refer
Be alert for clues on chest imaging, and consider screening first-degree relatives of patients known to have aortic disease.