Table of Contents
Medical Grand Rounds
- Antimicrobial resistance: An ecological approach to a growing threat
Instead of confidently awaiting the next generation of antibiotics to conquer antibiotic resistance, physicians must take a humbler view. With an illustration explaining how bacteria acquire resistance.
Internal Medicine Board Review
- Asymptomatic hypercalcemia in a 51-year-old woman
What is the likely cause of this patient’s hypercalcemia? A self quiz on a clinical case.
Review
- Group a Streptococcal Necrotizing Fasciitis
Appropriate management of this life-threatening infection requires rapid recognition, immediate antibiotic therapy, and expeditious surgical debridement or excision.
- Diagnosing and treating depression in primary care patients: Looking beyond physical complaints
Depression is common, but often overlooked because patients with depression often present with somatic complaints rather than psychological ones.
- The connection between chronic fatigue syndrome and neurally mediated hypotension
Some research indicates that some patients with chronic fatigue syndrome have abnormal vasovagal or vasodepressor responses to upright posture. But subsequent studies have not corroborated these results.
Interpreting Key Trials
- The EPILOG Trial
The platelet glycoprotein Ilb/IIIa inhibitor abciximab, together with heparin in a low, weight-adjusted dose, markedly reduced the risk of acute ischemic complications during angioplasty, without increasing the risk of hemorrhage.
The Clinical Picture
- Radiographic findings in Paget’s disease of bone
Often Paget’s disease of bone is asymptomatic and is detected during radiograph or laboratory testing for another complaint.
Editorial
- Cancer information and the Internet: Benefits and risks
The Internet has potential to educate the public about health care, Kit also can harm through misleading and deceptive information.
