After taking a few doses, the boy became extremely lethargic. He was seen at the clinic and was found to be hypotensive and was admitted to a nearby hospital. What was the problem?

At a recent retreat I led for doctors on the brink of total burnout, all hands went up when I asked if anyone had lost a colleague to suicide. All but one hand was raised to confirm having considered their own suicide. Many in the room had signed up for this weekend hoping to learn how to avoid becoming the colleague behind someone else's raised hand.

At the ASH meeting, one could get a pretty good sense of where the beta blocker hypertension debate is headed.

The “plus” means beta blockade plus a little something more – like alpha blockade, or generation of nitric oxide. From ASH 2013, a glance toward the future. .

C-reactive protein, tumor necrosis factor-alpha, and interleukin-6 are associated with the development of atherosclerotic disease. If CPAP reduces CV disease, does it also reduce these precursors?

New technology can rapidly diagnose TB and other important infectious bacteria, as well as determine the presence of antibiotic-resistant bacterial strains.

This man's right chest shows partial absence of the pectoralis major muscle—part of Poland syndrome, which consists of which anomalies?

The number of people who require 2 or more antihypertensives to reach target blood pressure are on the increase. So, simply stated, what goes best with what? The 2013 ASH meeting offered some good suggestions under the heading of “Within Class Differences.”

The top men's health concerns include heart disease, cancer, accidents, and chronic lower respiratory diseases. This compact slide show provides visual presentations of other clinical problems that pose a threat to men and that might be seen in primary care practice.

At ASH 2013 in San Francisco, a troubling central nervous system complication of untreated hypertension was discussed—dementia. To infer that CNS damage is a correlate of vascular dementia is only partially correct. For primary care physicians, the rest of the story is a must-read.

Patients with resistant hypertension and hypertensive patients prone to hyperkalemia are on the rise. They are not easy to care for, but certain “tricks of the trade” can help. Details here.

ASH 2013 has uncovered 2 glaring gaps in the management of people with sleep disorders (OSA as well as others) and appropriate care after a stroke. Both cohorts frequent primary care practice.

Test your clinical skills in this week’s 5-question quiz.

For a patient with atrial fibrillation whose risk of ischemic stroke is low, is antiplatelet therapy the right choice? A revised risk calculation formula, based on the original CHADS2 criteria, restratifies low-risk patients to further help identify those who may not require oral anticoagulation.

Researchers have devoted themselves to devising ways of blocking the production or accumulation of beta-amyloid. Now scientists are studying other protein targets, including tau.

How aldosterone antagonism achieves this reduction is uncertain, but the study highlights this class as an important treatment option to consider in patients with HF and AF.

The goals at the 2013 scientific meeting of the American Society of Hypertension, which began on Wednesday, May 15 in San Francisco, are to increase understanding and, perhaps, find a cure.

This solitary, very pruritic, annular lesion suggests dermatophytosis. KOH preparation verified the presence of Tinea faciei. This infection is usually associated with contact with a new kitten or puppy.