Table of Contents
From the Editor
- Who would have thought?
Fifteen years ago, universal screening for human immunodeficiency virus would have been met with cries of discrimination and therapeutic nihilism, but not in 2007. Who would have thought?
Review
- Advances in treating insomnia
Hypnotic drugs should not be the sole treatment for insomnia: the regimen should include sleep hygiene and behavioral therapies.
1-Minute Consult
- At what age should we discontinue colon cancer screening in the elderly?
In general, you should stop when you do not expect the patient to live 7 to 10 more years. However, the full answer is more complicated.
Medical Grand Rounds
Recognizing and managing fibromuscular dysplasiaMany physicians consider fibromuscular dysplasia to be rare, but it is not that uncommon: it is simply often overlooked or misdiagnosed.
Im Board Review
- An 18-year-oldwith effort-related arm swelling
A high school senior with a baseball scholarship presents with the acute onset of swelling in his nondominant arm. What is the most likely diagnosis and the most appropriate initial diagnostic test?
Medical Problems in Pregnancy
- Managing varicella zoster infection in pregnancy
Varicella zoster virus infection can be serious for pregnant women and their babies, although it is rare. Fortunately, it is preventable by vaccination.
Infectious Disease Alert
- HIV screening for all: The new standard of care
The US Centers for Disease Control and Prevention now recommends testing all patients age 13 to 64 years in all health care settings, using an “opt-out” rather than an “opt-in” approach. We urge physicians and health care systems to embrace these recommendations.
