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Does a Goiter Always Require Surgery?
Commentary on a study on benign goiters, published March 2008 in the British Journal of Surgery.
Expert Viewpoint, May 2008
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What Patients Really Want
A radio call-in show invites patients to advise new doctors -- and reveals some very simple truths.
Article, May 2008
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Pain in the Cognitively Impaired Elderly: Guidance for Clinicians
What do you do when your patients can't tell you they are in pain? Can you rely on self-report of pain in patients with dementia? Learn how to ask about pain, behaviors to watch for, and other tips.
Journal Article, May 2008
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What is the value of recommended cervical cancer screening?
In this videoblog, Dr. Maurie Markman discusses an important study demonstrating the utility of recommended cervical cancer screening, not only for identifying early lesions but also for discovering cases of advanced disease
Journal Article, May 2008
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A Tale of Two Neisseria: Video Blog with Paul Auwaerter, MD, MBA
It was the best of times, it was the worst of times. In the face of antimicrobial treatment resistance, what are the recommended changes in prescribing related to N. gonorrhoeae and N. meningitidis?
Expert Viewpoint, May 2008
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Can Patients With Liver Cirrhosis Take Warfarin?
Can patients with liver cirrhosis who already have a prolonged INR receive warfarin therapy if needed for other indications? If so, how do we assess anticoagulant activity?
Expert Viewpoint, May 2008
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Jorge Plutzky, MD, Introduces "Plutzky on Cardiology" -- A New Video Editorial Series
Dr. Jorge Plutzky introduces a new video editorial column focusing on issues pertaining to dyslipidemias and dysfunctions of the cardiovascular and endocrine systems.
Journal Article, May 2008
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Nurses Journal Scan, April 2008
This month's topics include conscientious objection by nurses, migraine prevention, comparing sports drinks with water, fatigue in HIV patients, and coaching patients with type 2 diabetes.
Journal Article Commentary, May 2008
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Launch of Renvela for Patients With Chronic Kidney Disease in the United States: An Expert Interview With Jose Arruda, MD
Medscape Nephrology interviews Jose Arruda, MD, Chief of Nephrology at the University of Illinois College of Medicine, on the US launch of Renvela for chronic kidney disease.
Expert Viewpoint, May 2008
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CME/CE
Back Pain in a 39-Year-Old Man from Guatemala
A 39-year-old Guatemalan man presents to the ED with severe and debilitating back pain. He has been previously evaluated for his back pain twice in the past few weeks. The pain is throbbing and diffuse throughout the lower back, with radiation to his left buttock and upper back, and it has been progressively worsening. Mild tenderness to palpation is noted in the midline lower back. A lumbar radiograph and a magnetic resonance imaging scan of the spine are obtained. What is the diagnosis?
Clinical Case, May 2008
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CE
End-of-Life Care: Improving Communication Skills to Enhance Palliative Care
Learn the differences between hospice and palliative care, and how to communicate with patients and families to learn their end-of-life wishes.
Article, May 2008
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CME
Transmission of Human Papillomavirus in Heterosexual Couples
HPV promotes cancer, but its transmission remains incompletely understood. The current study examines patterns of transmission among heterosexual couples and isolates factors associated with increased rates of transmission.
Journal Article, May 2008
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How Can We Prevent Functional Deterioration in the Hospitalized Elderly?
I work in a long-term care setting and we often find that after a resident is hospitalized, they suffer setbacks in mobility and functional status. Can anything be done to prevent this?
Expert Viewpoint, May 2008
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Filling the Gaps in Current Guidelines for the Management of Hypertension
ACC.08: Treating very old patients with hypertension, initiating therapy with fixed-dose combinations, and regressing LV hypertrophy -- all good targets for antihypertensive therapy. Or are they?
Conference Coverage, May 2008
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Do Immigrants Help or Hurt US Healthcare?
Patients are not the only critical piece of the equation. A Web site that examines hot business topics in medicine offers an unusual perspective on this and other issues.
Article, May 2008
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What Should I Do When I Suspect That a Patient Is Suicidal?
I work in a primary care setting. What is the best course of action if I suspect that a patient is suicidal?
Expert Viewpoint, May 2008
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What Is the Diagnosis of This ECG?
What clinical diagnosis can be made from this ECG tracing?
Clinical Case, May 2008
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Why the NIH Trial to Assess Chelation Therapy (TACT) Should Be Abandoned
The $30 million, NIH Phase 3 Trial to Assess Chelation Therapy (TACT) exposes subjects to a risky method that is known to be ineffective. The TACT should be abandoned and its origins investigated.
Article, May 2008
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CME
Hypertension and Its Clinical Impact: A Report From the 2008 ACC
ACC '08: Dr. Jackson Wright reviews morbidity and mortality trials in hypertension and atherosclerosis; emerging data in diabetes therapy; and further insights into the risks with COX-2 inhibitors.
Conference Coverage, May 2008
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CME
The Hemodynamics of Hypertension -- The Importance of Pathophysiology and Pharmacology
In this CME video lecture, Drs. Izzo and Giles explain the forces affecting hemodynamic patterns in hypertension and discuss potential therapeutic interventions to optimize flow.
Slide/Lecture Presentation, May 2008
