How should we diagnose and manage photosensitivity?

How should we diagnose and manage photosensitivity?

How should we manage incidentalomas?

The patient-centered medical home model advocates that diagnostic testing be performed based on shared decision making between the patient and physician.1 This goal can be challenging when findings are uncertain or incidental to the original reason for ordering the test. For this reason, it would be useful for physicians to have guidelines to help address the ethical, practical, and legal impli...

How should we manage oral leukoplakia?

The aim of this article is to review the management of oral leukoplakia. The topics of interest are clinical diagnosis, methods of management and their outcome, factors associated with malignant transformation, prognosis, and clinical follow-up. Global prevalence is estimated to range from 0.5 to 3.4%. The point prevalence is estimated to be 2.6% (95% CI 1.72-2.74) with a reported rate of malig...

How can we diagnose and manage twin-twin transfusion syndrome?

Severe mid-trimester twin-twin transfusion syndrome (TTS) complicates about 15% of monochorionic twin pregnancies. If left untreated, the mortality is 80-100%. The pathophysiological prerequisite for the onset of TTS is unequal blood flow via arteriovenous placental anastomoses from the so-called donor to the recipient twin. This can result in hypovolemia, hypotension and oligo- or anuria in th...

Should we be rethinking how we assess and manage ADHD?

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common clinical problems assessed and treated by child and adolescent psychiatrists, yet many important questions remain unanswered. In this month’s issue of the Journal, two articles address two puzzling issues. First, what can research tell us about how we should be conceptualizing and defining ADHD? Second, although it is wel...