Latest Articles
- Beyond statistics: What is really important in medicine?
Clinicians should apply clinical reasoning when interpreting trial results, and researchers should find better ways of measuring “soft” outcomes, such as quality of life.
- Chronic disease management and managed care: specialists have an important role
In its current incarnation, managed care has a major flaw: it fails to address the health care needs of people with chronic disease.
- Chronic diarrhea in a 57-year-old woman with diabetes
A woman with a 20-yeer history of diabetes presents with episodic diarrhea. What is the diagnosis and treatment?
- The dilemma of evaluating and treating cancer of unknown primary site
In 5% to 10% of cancer cases, the initial presentation reflects metastases and not the primary lesion. How aggressively should one search for the tumor site?
- Gastric and intestinal dysmotility syndromes
Disorders of motility of the stomach and small intestine are quite common, and patients often present with a variety of nonspecific symptoms.
- Evaluation and medical management of female urinary incontinence
Urinary incontinence should not be accepted as inevitable. Primary care clinicians should take an active role in treatment.
- Clinical implications of the interaction between hypothyroidism and the cardiovascular system
Hypothyroidism frequently causes cardiovascular manifestations that can complicate treatment of both the hypothyroidism and any underlying cardiovascular disease.
- Managing latex allergy in patients and health care workers
Latex products we use every day may cause serious problems for patients and coworkers. Health care providers must develop a plan for protecting allergic patients and staff from latex exposure.

