Medical Knowledge

Molecular Testing and Targeted Therapies in Hepatobiliary Cancers – A Review

Importance  Hepatobiliary cancers are heterogeneous and molecularly complex. Recent advances in next-generation sequencing (NGS) have enhanced the understanding of their molecular landscape and enabled deployment of biomarker-based gene- and immune-targeted therapies. This review examines the role of molecular testing and targeted…

Minimizing the Effects of Surgical Care on Climate Change

This JAMA Insights discusses recommendations for reducing the effects of surgical care on carbon emissions, including pre-, intra-, and postoperative changes to routine practices.

Enlargement of Shoulder Muscles in an Older Man

A 70-year-old man with a history of hypertension and chronic migraine presented with 10 months of progressive generalized muscle weakness and stiffness. Physical examination revealed generalized muscle wasting except for hypertrophy of bilateral shoulder muscles, and a deltoid muscle biopsy…

Intraventricular Silicone Oil After Retinal Detachment Repair

This case report discusses a diagnosis of intraventricular silicone oil discovered 2 years after silicone oil tamponade was performed for retinal detachment repair for proliferative diabetic retinopathy in a woman aged 54 years.

Peripheral Nerve Blocks for Hip Fractures

This JAMA Insights explores the use of different types of peripheral nerve blocks as an opioid-sparing pain strategy in the treatment of adults with hip fractures.

Autosomal Dominant Polycystic Kidney Disease – A Review

Importance  Autosomal dominant polycystic kidney disease (ADPKD) is characterized by progressive development of kidney cysts and is the most common inherited kidney disorder worldwide. ADPKD accounts for 5% to 10% of kidney failure in the US and Europe, and its prevalence…