Electrolyte Disorders

PHILADELPHIA — Hepatologists and gastroenterologists must be internal medicine physicians, not just specialists, to determine the root cause of complaints in patients with suspected hepatic encephalopathy, according to an expert.

Despite guidelines recommending chlorthalidone over hydrochlorothiazide for hypertension, the drugs have similar effectiveness and chlorthalidone was associated with a significantly worse safety profile, according to research published in JAMA Internal Medicine.