Table of Contents
From the Editor
Editorial
- Pre-event smallpox vaccination: Unresolved issues
We are on the verge of the first phase of nationwide smallpox vaccination, but many questions remain unanswered.
- Vertebral compression fractures: What time destroys, methylmethacrylate may mend
The sequelae of osteoporosis present numerous clinical challenges; several new surgical options show promise.
1-Minute Consult
- What are the key issues women face when ending hormone replacement therapy?
A logical approach is to review why the patient is on HRT and to consider alternatives.
- What is the appropriate treatment for Dupuytren contracture?
The diseased tissue is either watched with benign neglect or surgically excised.
- How do you manage a healthy, asymptomatic, 24-year-old with a positive RPR on a premarital blood test?
A positive rapid plasma reagin must be confirmed or refuted, but if the history, physical, and laboratory studies are negative, there is a great chance it was falsely positive.
Clinical Picture
- Worsening shortness of breath
ECGs from a 58-year-old man with type 2 diabetes who presents to the emergency room with dyspnea.
Review
- Fungal nail infection: Assessing the new treatment options
Newer antifungal agents are more effective and better tolerated than older agents.
- Challenges and choices in drug therapy for chronic pain
Chronic pain is different from acute pain, and its treatment is more challenging.
Medical Grand Rounds
- Improving care of chronic heart failure: Advances from drugs to devices
The right combination of drugs and surgical treatment can improve systolic function and prevent, attenuate, or reverse heart failure.
Review
- Vertebral compression fractures: Manage aggressively to prevent sequelae
Advances in preventing and managing acute vertebral compression fractures can reduce their devastating impact, even in the face of an aging population.