Latest Articles
- Should all patients have a resting 12-lead ECG before elective noncardiac surgery?
If the risk is low, an ECG could unnecessarily delay surgery, drive up costs, trigger further testing, and increase anxiety.
- When patients on target-specific oral anticoagulants need surgery
Until evidence-based guidelines are developed, clinicians will have to apply their knowledge of pharmacology.
- Why is metformin contraindicated in chronic kidney disease? (May 2014)
A reader comments on why metformin is contraindicated in chronic kidney disease, which was mentioned by Sakhuja et al (Cleve Clin J Med 2014; 81:289–299).
- Managing snoring: When to consider surgery
If conservative measures fail, a variety of surgical procedures are designed to keep the airway open during sleep.
- Terry nails in a patient with chronic alcoholic liver disease
His fingernails had a distal thin brown-pink transverse band, a white nail bed, and no lunula.
- Can we reduce the risk of readmission for a patient with an exacerbation of COPD?
The risk can be reduced by using a checklist before discharge and by implementing outpatient programs that continue patient education and provide rapid access to medical support if needed.
- Hand, foot, and mouth disease: Identifying and managing an acute viral syndrome
This is typically a benign childhood infection—except when it isn’t so benign or when it occurs in an adult.
- Erythema and atrophy on the tongue
Oral abnormalities can result from nutritional deficiencies and a host of other conditions.
- Advances in autosomal dominant polycystic kidney disease—2014 and beyond
An overview of its pathogenesis, diagnosis, management, complications, and future possible treatment.

