Table of Contents
From the Editor
1-Minute Consult
What do you recommend for a patient with a Pap smear indicating atypical cells?The finding of atypical squamous cells of undetermined significance (ASCUS) should prompt a test for human papillomavirus.
- What tests are necessary to diagnose Alzheimer disease?
For most patients with dementia, a clinical diagnosis is adequate.
Medical Grand Rounds
- Heparin-induced thrombocytopenia: How to manage it, how to avoid it
What to do when heparin paradoxically causes the very problem it is given to prevent.
Review
- Treating acute exacerbations of chronic bronchitis in the face of antibiotic resistance
With bacterial resistance on the rise, selecting the right antibiotic is crucial.
- Vaginitis: Finding the cause prevents treatment failure
To diagnose and manage vaginitis, there is no substitute for performing a physical and microscopic examination.
Im Board Review
- A 42-year-old woman with polyarthritis
What is the cause of this patient’s symptoms? A self-test on a clinical case.
Review
- Diabetic gastropathy: A practical approach to a vexing problem
A stepwise approach can improve symptoms and quality of life while providing adequate nutrition.
- Osteoarthritis: No cure, but many options for symptom relief
For most patients, management options consist of nonpharmacologic and pharmacologic therapy Disease-modifying drugs may be on the horizon.
- Long-term medical complications of heart transplantation: Information for the primary care physician
Caring for heart-transplant recipients is a team effort, and primary care physicians play a key role.
Editorial
- If it ain’t broke, what are we trying to fix? Reprocessing devices labeled“for single use only”
A new FDA rule will enrich the manufacturers of medical devices and saddle us with another layer of bureaucracy. All to fix a nonexistent problem.
