Table of Contents
From the Editor
- The blade, the flea, and the colon
Ischemic colitis often gives the internist and surgeon a chance to commiserate on the power of informed watchful waiting.
1-Minute Consult
- What is the role of probiotics in the treatment of acute Clostridium difficile-associated diarrhea?
Overall, the evidence does not support using probiotics to treat Clostridium difficile-associated diarrhea. More studies are needed to determine if they are helpful and, if so, which ones and at what dosages.
Review
- Back pain made simple: An approach based on principles and evidence
Low back pain is a common and costly medical condition with only a weak correlation between symptoms and pathologic changes. The authors offer a simple, evidence-based approach.
The Clinical Picture
- Black esophagus
A 60-year-old man with gastrointestinal bleeding due to alcoholic cirrhosis has necrosis of the distal esophagus.
Review
- Clinical approach to colonic ischemia
Ischemic colitis is one of the diagnoses that should be considered when patients present with abdominal pain, diarrhea, and intestinal bleeding.
The Clinical Picture
- Painful eye with a facial rash
Six days ago, the patient had an intense headache; 4 days ago, painful herpetiform lesions appeared on his face. What is the diagnosis?
Im Board Review
- A 48-year-old man with uncontrolled diabetes
His type 2 diabetes has been well controlled for 6 years. Now, his blood sugar levels have been rising for the past week, and he has large amounts of glucose and ketones in the urine. What has happened?
Review
- Alternative modes of mechanical ventilation: A review for the hospitalist
Newer ventilators can be set to modes other than the pressure-control and volume-control modes of older machines. We review how they work and contrast their theoretical benefits and actual evidence of benefit.
Departments
- Radiologic workup of a palpable breast mass (March 2009)
A reader comments about an article on the radiologic workup of a palpable breast mass (March 2009).