More articles from Review
- Heart failure in frail, older patients: We can do ‘MORE’
A comprehensive approach is necessary in managing heart failure in frail older adults. Physicians need to draw from the fields of internal medicine, geriatrics, and cardiology.
Essential tremor: Choosing the right management plan for your patientSuccessful management entails excluding secondary causes, carefully selecting drug therapy, and, in severe resistant or atypical cases, referring to a specialist.
- Glucocorticoid-induced diabetes and adrenal suppression: How to detect and manage them
Choosing specific drugs to counter hyperglycemia, tests for adrenal suppression and systemic glucocorticoid absorption, and how and why to taper these drugs.
- Cervical cancer screening: Less testing, smarter testing
The latest guidelines call for less frequent but smarter screening that integrates human papillomavirus testing with the Papanicolaou test.
- Nocturia in the elderly: A wake-up call
Nocturia is common, but elderly patients infrequently volunteer this complaint, and even when they do, some clinicians may dismiss it.
- Aortic dissection: Prompt diagnosis and emergency treatment are critical
Aortic dissection can be rapidly fatal, and it can mimic more common conditions. Suspicion is essential.
- Update in intensive care medicine: Studies that challenged our practice in the last 5 years
Several once-established therapies have failed the test of time, as the result of evidence from clinical trials.
- Jet lag and shift work sleep disorders: How to help reset the internal clock
Some relief is possible for the grogginess and disorientation that often ensue from travelling long distances or working the night shift.
- Hepatic encephalopathy: Suspect it early in patients with cirrhosis
Prompt identification and treatment are essential, since the prognosis worsens rapidly once overt encephalopathy develops.
