Table of Contents
From the Editor
- Escaping the heat in the EMR pool
The electronic medical record (EMR) is a tool, and it performs at the skill level of the person using it.
The Clinical Picture
- The eyes: A window into the past
The patient, 33 years old and living in Southern California, has “spots” on the retina. What is the most likely diagnosis?
- Pyogenic liver abscess
Klebsiella pneumoniae has emerged as the most common organism seen in pyogenic liver abscess.
Current Drug Therapy
- Coenzyme Q10: A therapy for hypertension and statin-induced myalgia?
These supplements appear to be safe, but larger trials are needed to determine if they are truly effective.
Review
- Menstrual manipulation: Options for suppressing the cycle
If they wish, women can have more control over when and if they menstruate, even though myths and misperceptions abound among clinicians.
- Pharmacoresistant epilepsy: From pathogenesis to current and emerging therapies
Almost one-third of people with epilepsy continue to have seizures despite appropriate treatment. We recommend early referral to an epilepsy center.
Bariatric surgery for type 2 diabetes: Weighing the impact for obese patientsBariatric surgery results in remission of diabetes in most patients. Why should this be?
Commentary
We should reassess the possible unintended consequences of the rush to adopt electronic medical records.
Skepticism and vigilance are warranted, but so is optimism.