Table of Contents
From the Editor
- The pretravel visit: A ‘teaching moment’
Often, a pretravel visit is also a good time to introduce concepts of preventive health to patients who might not otherwise be accessible or amenable.
The Clinical Picture
- Giant nodules on the hands
A 78-year-old man with hyperuricemia treated with allopurinol presents with asymptomatic nodules on both hands. What is the most likely diagnosis?
1-Minute Consult
- When should serum amylase and lipase levels be repeated in a patient with acute pancreatitis?
In general, repeating these measurements has no value once the diagnosis of acute pancreatitis is made.
The Clinical Picture
- Bony bridge of a bifid rib
A 21-year-old man presents with 3 days of cough and hemoptysis. A chest x-ray reveals a congenital anomaly.
Review
- Breaking the cycle of medication overuse headache
Some migraine patients fall into a trap by overusing their headache medications. Fortunately, we can break the cycle.
Risks of travel, benefits of a specialist consultBefore going abroad to risky areas, most people ought to visit their primary care physicians, and many should be referred to a specialist in travel medicine.
- Vaccine update 2010: Keeping up with the changes
Changes and additions to the vaccination schedule for children, adolescents, and adults.
The Clinical Picture
- The Courvoisier sign
A 60-year-old woman has had jaundice, dark-colored urine, and light-colored stools for the past several days. On examination, her gallbladder is palpable.
Review
- New tools for detecting occult monoclonal gammopathy, a cause of secondary osteoporosis
Osteoporosis can be the presenting sign of a monoclonal gammopathy, which in some people may precede a diagnosis of multiple myeloma.
