A 57-year-old man is evaluated during a routine visit. History is significant for hypertension. Following a physical exam and lab studies, what is the most appropriate treatment?
14 May 2019
Asking “How do you take your medicine?” instead of “Do you take your medicine?” is one way to learn more about a patient's ideas, philosophy, and understanding.
1 Sep 2022
Orthostatic hypotension should not be viewed as a reason to avoid or de-escalate hypertension treatments, according to the authors of a new systematic review of hypertension treatment trials.
15 Sep 2020
A smartphone app did not provide any additional reduction in blood pressure, and patients with hypertension would recommend a standard device as much as they would the app-connected device, a study concluded.
23 Aug 2022
Physicians can adopt these interviewing techniques to help patients accomplish goals like smoking cessation.
1 Oct 2022
A 68-year-old man is evaluated for a 6-month history of intermittent claudication. His symptoms have been slowly progressive but are not life limiting. Medical history is significant for hypertension, hyperlipidemia, and carotid artery stenosis treated with left carotid endarterectomy. He is a former smoker but quit 10 years ago. Following a physical exam and lab studies, what is the most appropriate treatment to reduce this patient's cardiovascular risk?
23 Aug 2022
A 32-year-old woman is evaluated for hidradenitis suppurativa. She has had tender, foul-smelling, draining nodules in the axillary folds for 4 years. Doxycycline and topical clindamycin have not achieved satisfactory improvement. Following a physical exam and lifestyle support, what is the most appropriate additional treatment?
1 Oct 2022
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
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
19 Jul 2022
A Chinese study of a healthy community population found adrenal tumors in 1.6% of men and 1.2% of women. Prevalence increased with age from 0.2% in adults ages 18 to 25 years to 3.2% in adults older than age 65 years.
13 Sep 2022