What's New

The Palliative Care rotation guide has been updated with the addition of recent research, reviews, and guidelines.

A 61-year-old woman hospitalized in Michigan for treatment of newly diagnosed acute myeloid leukemia had a fever on hospital day 10. She had no localizing symptoms.

Spontaneous cerebrospinal fluid leakage causes orthostatic headache, and mental dullness, diplopia, and coma may occur. Most cases are due to a tear in the spinal CSF membranes. MRI shows enhancement of the dura, and special imaging, such as digital-subtraction myelography (shown in videos), may be required to show the leakage site.

Ms. Appleton is a 66-year-old Black woman who has come to you for primary care for the last 5 years, during which time her creatinine level has remained stable at 1.0. Previously, the electronic medical record (EMR) indicated that her estimated glomerular filtration rate (eGFR) was 67mL/min. However, your institution recently removed the different GFR estimates for Black and non-Black patients, and now the EMR states that her creatinine of 1.0...

The prevalence of obesity in the United States has increased during the last decade. Complications associated with obesity include type 2 diabetes and heart disease. Although challenging, lifestyle modification through dietary change and exercise remains the cornerstone of treatment. The use of medication for weight loss has been hampered by...