Category: Conditions

MKSAP: 49-year-old-man with right arm weakness

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 49-year-old-man is evaluated 1 day after having an episode of right arm weakness without pain that lasted 5 minutes. He is now asymptomatic…

Who should advocate for older patients in the hospital?

It’s often said that pediatricians and veterinarians have the hardest jobs in medicine because their patients can’t tell them where it hurts. But the same is often true for the health care professionals treating older patients who can&#8217…

10 questions men must ask about their urinary symptoms

Lower urinary tract symptoms in men are amongst the most common reasons for a urological visit. In this post, I explore ten questions that every man must ask when seeking urological help for these symptoms. 1. Are my symptoms related to my prostate? Th…

When patient and surgeon meet in Cancun for surgery

Donna Ferguson awoke in the resort city of Cancun before sunrise on a sweltering Saturday in July. She wasn’t headed to the beach. Instead, she walked down a short hallway from her Sheraton hotel and into Galenia Hospital. A little later that morning, …

Can the cardiac risk of red meat be measured? And is it useful?

Prevention of heart disease has centered on smoking cessation, controlling blood pressure, achieving an appropriate weight, regular exercise, control of blood sugar, and control of your cholesterol.  Despite addressing and controlling these items, indi…

Breastfeeding is best, but why do some countries struggle?

Breastfeeding provides ideal food for the healthy growth and development of infants; it is also an integral part of the reproductive process with important implications for the health of mothers. Breastfeeding has numerous health benefits for both the …

MKSAP: 25-year-old woman with chest pain after a motor vehicle accident

A 25-year-old woman is evaluated in the emergency department for chest pain after a belted motor vehicle accident. She is pregnant at approximately 23 weeks’ gestation. She reports no additional symptoms and is otherwise well. Her only medication…

The lingering effects of a mass shooting

Veronica Kelley was working at an office building across the street from the Inland Regional Center in San Bernardino, Calif., in December 2015 when a county employee and his wife entered with semiautomatic rifles and opened fire, killing 14 and woundi…

Arm yourself with new dementia information

Everyone knows someone today who’s dealing with dementia. And as a geriatrician — that means a lot of questions come my way. Questions about parents who recently had cognitive testing, about the role of assisted living, about prevention — you nam…

The questions surgeons need to ask their seniors before surgery

The decision seemed straightforward. Bob McHenry’s heart was failing, and doctors recommended two high-risk surgeries to restore blood flow. Without the procedures, McHenry, 82, would die. The surgeon at a Boston teaching hospital ticked off the possib…