Autonomic complaints are frequently encountered in clinical practice. They can be due to primary autonomic disorders or secondary to other…
Transitional Care Interventions for Heart Failure: What Are the Mechanisms?
Two decades ago, heart failure clinics were proposed widely as an effective means of improving care.1 Despite dozens of trials…
Team-Based Primary Care for the Multimorbid Patient: Matching Complexity With Complexity
Complex, multimorbid patients are individuals within whom multiple chronic diagnoses (usually, more than two)1 intersect additional complications—diminished function, cognitive impairment,…
Aspirin to Prevent Sudden Cardiac Death in Athletes with High Coronary Artery Calcium Scores
While proficient cardiac resuscitation has improved survival following cardiac arrest during road races in Japan, this accomplishment does not address…
Behind the Curve: Late-Onset Axial Spondyloarthritis
The patient’s diagnosis was more commonly associated with people in their teens and twenties. Yet, a 56-year-old woman met the…
Corticosteroids in the Management of Severe Coccidioidomycosis
There is limited data suggesting that recovery from severe pulmonary infection with Coccidioides may be hastened by the addition of…
Spinal Emergencies in Primary Care Practice
Atraumatic spinal emergencies often present a diagnostic and management dilemma for health care practitioners. Spinal epidural abscess, cauda equina syndrome,…
Inferior Vena Cava Filters in Patients with Recurrent Pulmonary Embolism
There are sparse data to support the recommendation for inferior vena cava (IVC) filters in patients with recurrent pulmonary embolism…
Without Warning: Scleroderma Renal Crisis
The patient’s disease had yet to be diagnosed when a complication emerged in dramatic fashion. A 44-year-old man of Indian…
Follow the Beads: Fibromuscular Dysplasia
Imaging provided a definitive diagnosis for a 58-year-old woman who presented to the emergency department with abdominal pain. The previous…