Table of Contents
From the Editor
- The oracle of cough
About 18 months ago my wife began coughing. After a month or so, I naively wondered about the possibility of pertussis.
The Clinical Picture
- A 35-year-old man with recurrent hoarseness
He has undergone laser photoresection of a tracheal mass three times in the past 2 years. What is the diagnosis?
Review
- Primary percutaneous coronary intervention for acute MI: Improving access and outcomes
Patients have a better chance of surviving an acute ST-segment elevation myocardial infarction if they undergo percutaneous coronary intervention (PCI) rather than fibrinolytic therapy. Studies have addressed ways to improve PCI and to make it more accessible.
Imaging in Practice
- New Series
Each article begins with an actual case and focuses on how imaging should be used to establish or exclude a particular diagnosis, with emphasis on the care of the patient.
- Imaging in acute brain infarction
A 77-year-old woman is brought by ambulance to the emergency department with suspected acute stroke. Which imaging test is recommended, and why?
Review
- Gait disorders: Search for multiple causes
Gait disorders in elderly patients often lead to falls, disability, and functional decline. More often than not, they represent more than one coexisting condition.
- Pertussis: Old foe, persistent problem
Vaccination for pertussis may soon be done in teens and adults to prevent infection of vulnerable infants.
- Physician’s guide to the new 2005 dietary guidelines: How best to counsel patients
Health care providers can become agents of change and give patients practical suggestions for taking in fewer calories, being more physically active, and making wiser food choices.
Patient Information
Review
- Recognizing and managing acute diverticulitis for the internist
Acute diverticulitis can present in a number of ways and is often confused with colonic spasm or irritable bowel syndrome. Missing the diagnosis can have serious consequences.