More articles from Review
Alpha-1 antitrypsin deficiency: An underrecognized, treatable cause of COPDKnown cases of this common genetic disease are just the tip of the iceberg.
- Premature ventricular contractions: Reassure or refer?
Many patients need only reassurance and do not need to see a cardiologist.
- Total pancreatectomy and islet cell autotransplantation: Definitive treatment for chronic pancreatitis
Most patients report less pain after this procedure, and many avoid overt diabetes.
- Opioids for persistent pain in older adults
Legitimate need must be balanced against the risks, especially in older patients.
- Navigating pneumococcal vaccination in adults
With two nonequivalent vaccines and different schedules for different groups, vaccination can be confusing.
- Dietary and medical management of recurrent nephrolithiasis
Some interventions, such as increasing fl uid intake, apply to all patients, while some apply to those with specifi c types of stones.
- A guide to managing acute liver failure
Transfer to intensive care, start specific treatment depending on the cause, and consider transplant.
- Reproductive health and the environment: Counseling patients about risks
Endocrine-disrupting chemicals are ubiquitous and affect multiple pathways. The precautionary principle should apply.
- Evaluation of nail lines: Color and shape hold clues
Inspection of the fingernails and toenails should be part of a complete physical examination.
- Extracorporeal membrane oxygenation in adults: A practical guide for internists
Principles, patient selection, monitoring, and complications of this form of life support.
