To control symptoms of rheumatoid arthritis, new guidelines are encouraging internists to act sooner and more definitively combatting the course of the disease. Also, disease-modifying anti-rheumatic drugs are playing a bigger role in controlling symptoms.
Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.
Critical questions will arise about defining and measuring value in the patient encounter when the Medicare Access and CHIP Reauthorization Act goes into action.
Despite convincing results for many health care interventions, translating evidence from research into clinical practice is often challenging. What works in a research environment may not function in practice.
Confusion exists about how and when patients can access their personal health records under the Health Information Portability and Accountability Act.
This update covers a class I recall of blood glucose test strips which might cause clinicians to overlook hypoglycemia.
A 75-year-old woman is evaluated in the hospital 4 hours after onset of chest pain with findings of an ST-elevation myocardial infarction. She was taken emergently to the catheterization laboratory and underwent emergency percutaneous coronary intervention for a totally occluded vessel. Her post-intervention ventriculogram demonstrated a left ventricular ejection fraction of 30%. One hour after the procedure, she developed an acute arrhythmia. Medications are aspirin, metoprolol, atorvastatin, and clopidogrel. Following a physical exam, cardiac exam and electrocardiogram, what is the most appropriate management?