More articles from Review
- Challenges and choices in drug therapy for chronic pain
Chronic pain is different from acute pain, and its treatment is more challenging.
- Relieving migraine pain: Sorting through the options
Even with effective treatments, including new drugs in convenient dosage forms, the key is still a good working patient-physician relationship.
- New guidelines: What to do about an unexpected positive tuberculin skin test
With tuberculosis declining in prevalence, the focus is shifting to testing only persons at increased risk.
- Polycystic ovary syndrome: Pathogenesis and treatment over the short and long term
PCOS can lead to serious sequelae such as endometrial or ovarian cancer, diabetes mellitus, and coronary artery disease.
- Thyrotoxicosis and the cardiovascular system: Subtle but serious effects
One should suspect thyrotoxicosis in patients with palpitations, tachycardia, exercise intolerance, or dyspnea on exertion.
- Update on the diagnosis and treatment of human papillomavirus infection
Genotyping can distinguish viral subtypes that pose a high risk for cancer, but current therapies do not reliably eradicate the virus, and warts and neoplasia often recur after treatment.
- Gallbladder disease: An update on diagnosis and treatment
Current diagnostic techniques and treatments offer results equal to or better than those of earlier methods, are less invasive, and allow patients to recover faster.
- A truly deadly quartet: obesity, hypertension, hypertriglyceridemia, and hyperinsulinemia
The best available treatment is to control one’s weight, exercise regularly, stop smoking, and eat a healthy diet.
- Emphysema in nonsmokers: Alpha 1-antitrypsin deficiency and other causes
The 10% of patients with emphysema who never smoked deserve a workup for its less common causes, including genetic risk modifiers and occupational exposures.
- Bariatric surgery for morbid obesity: Why, who, when, how, where, and then what?
Bariatric surgery can take weight off and keep it off, but it is not for everyone. Chances are, you will see more patients who want it or have had it.

