Table of Contents
From the Editor
- Bone quality: A soft concept, hard to ignore
How can we better predict who, given a low T score, will have a fractured hip or spine and who will not?
Review
- Bone density vs bone quality: What’s a clinician to do?
Denser bone is not necessarily stronger. The concept of bone strength has moved beyond density alone and now includes a number of characteristics collectively referred to as bone quality.
Infectious Disease Update
- The resurgence of swine-origin influenza A (H1N1)
The health care system is mobilizing, while the world watches to see if this infection will become a pandemic or will just fade away, like the swine flu outbreak of 1976.
Im Board Review
- A 72-year-old man with a purpuric rash
He has multiple medical problems and a new rash that appeared 2 weeks ago. Now he presents to the emergency department confused and diaphoretic. What is the cause of his symptoms?
Review
Diffuse hair loss: Its triggers and managementTriggers include a wide variety of physical or emotional stresses, nutritional deficiencies, and endocrine imbalances. Finding the cause enables appropriate treatment.
- Is telemetry overused? Is it as helpful as thought?
Cardiac telemetry is widely used in hospitals, but it is expensive and labor-intensive. Therefore, it should be used only in those most likely to benefit.
The Clinical Picture
- Soft tissue atrophy after corticosteroid injection
Although it is rare, patients still need to be told about this potential adverse effect.
Departments
- Acute myocardial infarction (March 2009)
Readers comment on articles on the diagnosis of acute myocardial infarction (March 2009) and the shingles vaccine (January 2009).
- Shingles vaccine (January 2009)
Readers comment on articles on the diagnosis of acute myocardial infarction (March 2009) and the shingles vaccine (January 2009).
Commentary
The Symptom Intensity Scale score can be used to identify and quantify fibromyalgia syndrome from information supplied by a simple questionnaire.