Cleveland Clinic journal of medicine
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The preoperative evaluation often includes more tests than are necessary. This article reviews the usefulness of and indications for nine commonly ordered preoperative tests.
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Between 25% and 60% of older patients in the hospital undergoing care for an acute illness risk some loss of independent physical function. This loss may lead to prolonged hospital stay, nursing-home placement, or death. ⋯ An interdisciplinary approach may prevent functional decline. The aim is to modify the physical environment, prevent iatrogenic illness, detect and treat functional impairments, promote mobility, assess and treat nutritional problems, and address the patient's personal needs and values.
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Raynaud's phenomenon, an episodic vascular disorder induced by cold temperatures or stress and characterized by white, blue, and red discoloration of the fingers and toes, may affect up to 20% of the general population. ⋯ For prognostic and therapeutic reasons, it is important to determine if Raynaud's phenomenon is associated with an underlying condition and if the patient may develop a connective tissue disease.
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Biography Historical Article
Wegener's granulomatosis: the man behind the eponym.