More articles from Review
- How to use statins in patients with chronic liver disease
Statin-induced liver disease is uncommon, and there is little evidence to suggest that it is more likely in patients with chronic liver disease.
Endovascular therapy or conventional vascular surgery? A complex choiceAortic aneurysms, carotid stenosis, peripheral vascular disease, and stenosis of visceral vessels can now be treated percutaneously, but less invasive isn’t always better.
- Who should be taking aspirin to prevent coronary events?
How to use the estimated coronary risk in deciding whether to prescribe long-term aspirin therapy, with an algorithm and three brief examples.
- Age-related macular degeneration: Evaluation and treatment
Any patient age 50 or older with vision loss or distorted vision deserves an immediate referral to an ophthalmologist. Hypertension control and smoking cessation are important.
- BK polyomavirus: A newly recognized threat to transplanted kidneys
An increasing serum creatinine concentration in a kidney transplant recipient should prompt a referral for reevaluation by the transplant center. Among the many possible causes: reactivation of latent BK polyomavirus infection.
- Alcohol and health: A drink a day won’t keep the doctor away
Do not advise patients to start drinking alcohol for its alleged cardiovascular benefits.
- The Russian health care system today: Can American-Russian CME programs help?
The health of the Russian people has deteriorated dramatically since the fall of communism. Can an American-Russian collaboration in continuing medical education improve the health of Russian citizens?
- When patients on warfarin need surgery
How to manage anticoagulation in the perioperative period is controversial; we offer our approach.
- Investigation and management of ischemic colitis
Ischemia of the colon probably happens more often than we think, as the signs may be subtle and highly variable.
- Talking to patients about St. John’s wort
St. John’s wort, an unregulated herbal supplement widely used as a self-treatment for depression, can cause side effects and drug interactions.
