Table of Contents
From the Editor
- Intervention as prevention
True primary prevention of disease or its complications seems an attainable goal in many situations.
Im Board Review
- Fever, chills, and chest radiographic infiltrates in a middle-aged woman
A woman with a history of asthma, hypothyroidism, nephrolithiasis, and bowel problems has worsening shortness of breath. She also has an interesting hobby.
Review
- Disseminated intravascular coagulation: Treat the cause, not the lab values
Therapy directed at laboratory manifestations of DIC often will not change the course of the illness. It is important to recognize and treat the underlying cause, eg, trauma, cancer, infection, or obstetric catastrophe.
- When is facial paralysis Bell palsy? Current diagnosis and treatment
Bell palsy is largely a diagnosis of exclusion, but certain features distinguish it from facial paralysis due to other conditions.
- Recognizing and intervening in intimate partner violence
Intimate partner violence is as at least common as many conditions for which we routinely screen. Yet it remains underdiagnosed and undertreated.
Patient Information
Medical Grand Rounds
- Adrenal function in critically ill patients: How to test? When to treat?
There is evidence that even partial adrenal insufficiency is associated with increased mortality. But exactly how should adrenal insufficiency be defined and diagnosed, and who should receive treatment?
Review
Preventing ischemic stroke: Choosing the best strategyDo statins prevent stroke? Which antithrombotic drugs are best? What is the best way to treat carotid stenosis?
- Diabetic retinopathy: Treating systemic conditions aggressively can save sight
To control diabetic retinopathy, we need not only to detect it promptly, but also to manage common systemic comorbid conditions such as hypertension, hyperlipidemia, anemia, obstructive sleep apnea, and smoking—all of which tend to accelerate its course and increase its severity.
