Table of Contents
From the Editor
- Collect the evidence; I’ll look at it in a minute
We have good evidence and guidelines. Why aren’t we using them more?
The Clinical Picture
- A 52-year-old man with sudden onset of a facial rash
Questions and answers on the visible signs of diseases.
Medical Grand Rounds
- So you’re being sued: Do’s and don’ts for the defendant
You may be dangerously uninformed about a process you might well have to face: malpractice litigation.
Current Drug Therapy
- The newer antimuscarinic drugs: Bladder control with less dry mouth
Tolterodine (Detrol) and extended-release oxybutynin (Ditropan XL) are replacing immediate-release oxybutynin, being better tolerated.
Review
- Acute ischemic stroke: Is there a role for hypothermia?
Preliminary trials suggest that therapeutic hypothermia is beneficial in acute stroke; larger trials are under way.
Cardiovascular Board Review
- A 74-year-old woman with hemodynamic complications of acute MI
A high suspicion is key to early diagnosis and prompt management of mechanical complications of acute MI. Advances in echocardiography have made it the key test.
Review
- Poor hypertension control: Let’s stop blaming the patients
Only 27% of people with hypertension are at goal blood pressure levels, according to government figures. Is it the fault of the patients—or their physicians?
- Elder abuse and neglect: What physicians can and should do
If you suspect that an abusive situation exists, what should you do?
Treating hyperglycemia in type 2 diabetes: New goals and strategiesA practical perspective on how to use the new oral drugs and insulins, alone and in combination.
1-Minute Consult
Should exercise electrocardiography be a routine part of the periodic health physical?No, but it is warranted in patients with multiple risk factors if coronary artery disease is suspected.
