Opinion
Sudden hearing loss
Opinion
What is causing my patients’ macrocytosis?
How to find the source of an incidental finding of macrocytosis, especially in patients without anemia.
News
Abdominal pain with high transaminases
Are abnormalities in alkaline phosphatase always present during the passage of gallstones?
News
Beware the COPD exacerbation
If a COPD patient has all the classic symptoms of an exacerbation, are there still other diagnoses to consider?
Opinion
Myth of the Month: MONA for acute treatment of chest pain?
Should morphine, oxygen, and nitroglycerin be part of the initial therapeutic approach in patients with suspected myocardial ischemia?
Opinion
Fever and bilateral ankle pain
When a patient presents with acute-onset fever and bilateral ankle pain and swelling, which diagnosis should come to mind?
Opinion
Unexplained leukocytosis in a hospitalized patient
What’s the most likely diagnosis in otherwise unexplained leukocytosis in a hospitalized patient?
Opinion
Nocturia and sleep apnea
Frequent nocturia may require a search beyond the usual diagnostic suspects.
Opinion
Double the dose of antihypertensive meds?
Should we double the dose of antihypertensive medications or add an additional medication instead?
News
Antibiotic prophylaxis for artificial joints
Is there compelling evidence to justify giving antibiotic prophylaxis for dental procedures to patients with prosthetic joints?
Article
Myth of the Month: CT scan before lumbar puncture in suspected meningitis?
There have been a number of studies looking at whether there is utility in obtaining a CT scan prior to lumbar puncture in patients with suspected...
Article
Myth of the Month: Does nitroglycerin response predict coronary artery disease?
A 55-year-old man presents to the emergency department with substernal chest pain. The pain has occurred off and on over the past 2 hours...
Article
Myth of the Month: Vaccinations in patients with Guillain-Barré syndrome
Is there good evidence for patients with a history of Guillain-Barré syndrome to avoid influenza vaccines or vaccinations in general?