Addressing Disparities in Health Care
Sickling can lead to nephropathy priapism, papillary necrosis, and renal medullary carcinoma.
Treatment of severe renal artery stenosis must be individualized.
Added to drug therapy, it can modestly improve blood pressure control, but has no significant effect on outcomes.
Cardiovascular Board Review
A 45-year-old woman presents with progressive shortness of breath and a continuous murmur over the entire precordium.
IM Board Review
The patient, who had a history of polymyalgia rheumatica treated with corticosteroids, presented with chills and fever.
If the pretest probability of deep vein thrombosis is low, a normal D-dimer level is enough to rule it out.
For some patients with aortic stenosis, the choice of management is simple; for other it is less so.
Current Drug Therapy
This new oral anticoagulant has advantages over warfarin (Coumadin), but it is more expensive, which may pose a barrier to its wider use.
Aortic dissection can be rapidly fatal, and it can mimic more common conditions. Suspicion is essential.