More articles from Review
- Getting the iron out: Preventing and treating heart failure in transfusion-dependent thalassemia
Chronic accumulation of iron due to regular blood transfusions leads to heart failure and death at a very young age, but chelation can avert this fatal outcome.
- Diagnostic strategies for suspected pulmonary arterial hypertension: A primer for the internist
If not recognized early, pulmonary arterial hypertension can have devastating consequences. Recent advances have led to improved diagnostic strategies.
The two faces of the ‘good’ cholesterolOrdinarily anti-inflammatory and protective, HDL sometimes becomes pro inflammatory. Thus, the functional properties—not simply the level—may need to be considered and optimized.
- What is adequate hypertension control? Having your dinner and dessert too
Controlling the blood pressure per se should be our primary concern (“dinner”), while choosing agents that may have added benefit in specific situations is secondary (“dessert”).
- Update on adolescent immunization: Pertussis, meningococcus, HPV, and the future
Preteens and teenagers will be getting more shots. The extra visits will give us another opportunity to talk to these young people about high-risk behavior.
- Managing knee osteoarthritis before and after arthroplasty
Primary care physicians play a key role in the diagnosis and nonoperative management of knee osteoarthritis, including monitoring for problems in patients who have undergone knee replacement surgery.
- Electroconvulsive therapy: What the internist needs to know
Despite its bad reputation, electroconvulsive therapy is safe and effective for treating a number of psychiatric disorders. For some patients, it is the only therapy that works.
- New insights into ischemic heart disease in women
Ischemic heart disease appears to be substantially different in women and men, and it is time to devise sex-specific strategies for detecting and assessing it.
- The protean neurologic manifestations of varicella-zoster virus infection
Varicella-zoster virus reactivation can produce a number of neurologic complications, including herpes zoster (shingles), postherpetic neuralgia, vasculopathy, myelitis, neurologic disease without rash, and necrotizing retinitis.
- The painful shoulder: When to inject and when to refer
Many physicians find shoulder pain difficult to sort out and treat. However, most cases can be diagnosed in a 5-minute history and physical examination and treated with a combination of physical therapy, injections, and time.
