Latest articles for CME
A practical approach for identifying an underlying cause is to first screen for common ones.
Options include locally applied estrogens, DHEA, and estrogen receptor agonists/antagonists.
What further testing does this 34-year-old patient need? Can he play sports? Does his newborn son need evaluation?
The procedure has evolved to become a safe and effective treatment for atrial fibrillation.
Under the new definition (≥ 130/80 mm Hg), 46% of US adults have hypertension.
It outperforms other risk-stratification tools. Drawbacks include the possibility of unnecessary testing and incidental findings.
Symptoms to Diagnosis
The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defibrillator and amiodarone.
All persistent elevations of liver enzymes need a methodic evaluation and an appropriate working diagnosis.
Medical Grand Rounds
Many patients have undiagnosed bipolar depression, ie, depression with shifts to periods of mania.
Internists can reduce the risks by optimizing glycemic control before conception and providing effective counseling.