A 57-year-old woman is evaluated for a 4-month history of progressive exertional dyspnea and occasional chest pain and palpitations. She has limited cutaneous systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux disease. Following a physical exam and lab tests, what is the most appropriate diagnostic test?
9 Aug 2022
This issue details management of back pain, a forum on monkeypox, and pearls about diagnosing delirium.
1 Nov 2022
Most of the recommendations are conditional, meaning that although they apply to many patients, some patients will do better with other treatments due to comorbid conditions or values and preferences, the guideline authors wrote.
11 Dec 2018
The new guideline updates 2004 recommendations from the Infectious Diseases Society of America (IDSA) with evidence from recent research, particularly on the safety of outpatient parenteral therapy.
20 Nov 2018
A 35-year-old man undergoes follow-up evaluation for a positive HIV screening test obtained 3 days ago. He is ready to start treatment. HIV testing 1 year ago was negative. He takes no medications. The physical examination is normal. Following immunoassays, what is the most appropriate treatment?
12 Jul 2022
The guideline from the American Academy of Otolaryngology-Head and Neck Surgery Foundation defines useful actions for clinicians, identifies quality improvement opportunities, and offers recommendations for clinical practice.
14 Jan 2020
An updated guideline retains the original's classification of adult congenital heart disease patients based on structural complexity of the disease but takes into account patients' functional status and other factors, including the presence of cardiovascular and noncardiovascular problems.
21 Aug 2018
The American College of Chest Physicians' panel found four clinical features sufficiently predictive to help rule in or out pertussis in adults: paroxysmal cough, post-tussive vomiting, inspiratory whoop, and absence of fever.
23 Oct 2018
“Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era” is available online.
23 Jan 2018
The American College of Chest Physicians provided 60 recommendation statements in the areas of stroke risk, bleeding risk, antithrombotic therapy, and management of bleeding on oral anticoagulation, among other topics.
28 Aug 2018