Clinical Features

Shift Work Disorder: When and How to Shift Workers’ Gears

Approximately 5% to 10% of shift workers, including many health care professionals, have shift work disorder, a circadian sleep-wake cycle disorder defined by poor quality sleep.

Atypical Celiac Disease: Diagnosing Nonintestinal Cases in Primary Care

Atypical celiac disease may present as dermatitis herpetiformis, anemia, elevated transaminases, short stature, and osteopenia/osteoporosis.

The Pros and Cons of Medical Cannabis: Current Evidence

The widespread use of cannabis and the public perception that it is harmless make screening and patient counseling a priority.

Triple-Negative Invasive Ductal Carcinoma in a 34-Year-Old Woman

Triple-negative breast cancer comprises 10% to 15% of breast cancers, mostly in women who are premenopausal, Black, and BRCA1 positive.

Spinal Muscular Atrophy: Early Diagnosis for Proactive Management

Early diagnosis and treatment of SMA can limit disease progression in children and adults, extending life expectancy and improving QOL.

Alcohol Withdrawal: Individualized Care and Pharmacologic Treatment

More than 50% of patients with alcohol use disorder develop alcohol withdrawal symptoms within hours of discontinuing or decreasing alcohol use.

A Case of Sudden-Onset Dysphagia During Lunch, Unresolved by PPIs

A patient presenting with sudden-onset dysphagia and vomiting initially is diagnosed with GERD but does not respond to PPIs. What is your diagnosis?

Shingles: Raising Awareness and Promoting Vaccination

Despite the availability of a highly effective shingles vaccine and almost universal risk among those born before 1980, Americans are not getting vaccinated.

Breast Implant-Associated Anaplastic Large Cell Lymphoma: An Update

The occurrence rate of BIA-ALCL following breast augmentation with textured implants is variable, with the reported lifetime risk ranging from 1 in 355 to 1 in 86,029 patients.

Erectile Dysfunction: Harbinger of Early Cardiovascular Disease

Comanagement of cardiovascular disease risk factors through exercise and weight loss can improve erectile function.