Table of Contents
From the Editor
- LVH and hypertension: Is treating the pressure not enough?
I am not sure the weight of current evidence supports routinely screening hypertensive patients for left ventricular hypertrophy using echocardiography, but the concept warrants consideration and study.
The Clinical Picture
- Recurrent spontaneous pneumothorax
The patient, a 26-year-old woman, also has many nodular lesions on her face, a hypopigmented lesion on her thigh, and a fleshy plaque on her back. What is the diagnosis?
- An erythematous plaque on the arm
A 68-year-old farmer presents with an asymptomatic lesion that appeared spontaneously 5 months ago and has grown progressively. What is the diagnosis?
Im Board Review
- Difficulty swallowing solid foods; food ‘getting stuck in the chest’
A 61-year-old woman has had alarming symptoms for the last 4 weeks. Which test will you order now?
1-Minute Consult
- Should patients with mild asthma use inhaled steroids?
Yes—but only if we consider the severity of the asthma, the goals of therapy, and the benefits and risks.
Review
- Incidence, outcomes, and management of bleeding in non-ST-elevation acute coronary syndromes
Powerful antithrombotic and antiplatelet drugs and percutaneous interventions pose risks of bleeding. Fortunately, the risk can be managed.
Left ventricular hypertrophy: An overlooked cardiovascular risk factorAntihypertensive treatment that causes left ventricular hypertrophy to regress also decreases rates of cardiovascular morbidity and death, independently of how much the blood pressure is lowered.
- Update on the management of hirsutism
Hirsutism causes considerable anxiety in women. Although it is itself benign, it is often the sign of an underlying and possibly serious endocrine condition.
