Table of Contents
Medical Grand Rounds
- Idiopathic thrombocytopenic purpura: Guidance amid uncertainty
A panel of experts has issued clinical guidelines for treating thrombocytopenic purpura, but points out that we lack solid evidence from randomized trials.
Internal Medicine Board Review
- Severe back and abdominal pain in a 44-year-old woman
What is the likely cause of this patient’s symptoms? A self-quiz on a clinical case.
Current Drug Therapy
- Antileukotrienes and asthma: Alternative or adjunct to inhaled steroids?
A new class of oral drugs decrease airway inflammation and constriction. An illustration shows how the new antileukotriene drugs block the process of airway inflammation.
Review
- Epilepsy update: New medical and surgical treatment options
We have more treatment options for epilepsy than ever before, but to use them properly, physicians must classify the seizure type accurately.
Interpreting Key Trials
- Results of the Atlas Study
A large clinical trial shows that high doses of an ACE inhibitor are superior to the low doses that many physicians prescribe.
Review
- Daytime sleepiness: When is it normal? When to refer?
Daytime sleepiness has potentially serious consequences and should be investigated like any other symptom. With an algorithm for office evaluation.
Clinical Decision-Making
- The difficulties of differentiating vasculitis from its mimics
The signs and symptoms of vasculitis are not specific, and the tests for it can be misleading.
