More articles from Review
- Recognizing, managing medical consequences of eating disorders in primary care
Intentional malnutrition and purging can lead to a wide range of medical problems. And refeeding has pitfalls.
- New hypertension guidelines: One size fits most?
The new report is more evidence-based and focused, outlining a strategy that is simpler and, in some instances, less aggressive.
- Prevention and treatment of influenza in the primary care office
Fewer than half of eligible US residents get vaccinated. Here is a review of the barriers and the new options.
- Clinical update in sexually transmitted diseases –2014
With recent changes to the health care landscape, expect to encounter more patients with STDs.
- Managing risks of TNF inhibitors: An update for the internist
Tumor necrosis factor inhibitors pose infrequent but serious risks, including infection and malignancy.
Anticoagulation and antiplatelet therapy in acute coronary syndromesAntiplatelet and anticoagulant drugs prevent ischemic events but can cause bleeding. Here is how to optimize the benefit.
- Obesity in the elderly: More complicated than you think
The number of obese older adults is on the rise, although we lack a proper definition of obesity in this age group. The ambiguity is primarily related to sarcopenia, the progressive loss of muscle and gain in fat that come with aging. Whether to treat and how to treat obesity in the elderly is controversial because of a paucity of established guidelines, but also because of the obesity paradox—ie, the apparently protective effect of obesity in this age group.
- Albuminuria: When urine predicts kidney and cardiovascular disease
Albuminuria is common. Traditionally considered a precursor to diabetic nephropathy, it has now been directly linked to adverse cardiovascular outcomes and death, independent of other risk factors. In this review, we compare the measures of albuminuria, examine the evidence linking it to renal failure, cardiovascular disease, and death, and provide recommendations for its testing and management.
- Third universal definition of myocardial infarction: Update, caveats, differential diagnoses
Troponin levels are elevated in nearly everyone having a myocardial infarction—but also in many who are not. Hence, clinical judgment is needed.
- Antiplatelet therapy to prevent recurrent stroke: Three good options
Aspirin, dipyridamole, and clopidogrel are important parts of therapy to prevent recurrent stroke of atherosclerotic origin.
