Medical Knowledge

Reticulate Purpuric Macules of the Feet After Endovascular Aortic Repair

A man in his 70s with a history of hypertension, dyslipidemia, chronic obstructive pulmonary disease, and aortoiliac occlusive disease was admitted with a symptomatic impending rupture of a thoracic aortic aneurysm, followed by reticulate erythematous to violaceous macules that appeared…

Management of Crohn Disease in Adults

This JAMA Clinical Guidelines Synopsis summarizes the American College of Gastroenterologyís 2025 recommendations on management of Crohn disease in adults.

A Ketogenic Diet for Treatment-Resistant Depression – A Randomized Clinical Trial

Importance  Preclinical evidence and case reports suggest potential therapeutic benefits of ketogenic diets (KDs) in the treatment of depression, but evidence from well-controlled randomized clinical trials (RCTs) is lacking. Objective  To assess the efficacy of a KD compared with a…

Rapid Methadone Titration for Opioid Withdrawal Management

This Teachable Moment describes how traditional titration protocols for patients with fentanyl use disorder may be inadequate for patients with frequent, high-dose, or high-potency opioid use.

Management of Orthostatic Hypotension – A Review

Importance  Orthostatic hypotension is a common but underrecognized condition that increases with age and is associated with a lower quality of life, falls, and increased mortality. The frequent coexistence of supine hypertension and postprandial hypotension with orthostatic hypotension makes it…