Table of Contents
From the Editor
- The pain of cholesterol-lowering therapy
It seems that everyone “knows” that statins cause muscle pain, including many patients with hypercholesterolemia.
Medical Grand Rounds
- Immune thrombocytopenia: No longer ‘idiopathic’
Once regarded as idiopathic, immune thrombocytopenia is now understood to involve both accelerated platelet destruction and impaired platelet production.
The Clinical Picture
- Scar reactivation and dry cough
A 52-year-old woman has swelling and redness of seven old scars and a dry cough. What diagnostic test should be performed?
- Subphrenic abscess from a perforated duodenal ulcer
A 55-year-old man presents after 3 weeks of sharp epigastric pain radiating to the right upper quadrant, fever, and generalized weakness.
Medical Grand Rounds
- How to manage type 2 diabetes in medical and surgical patients in the hospital
Many patients admitted to the hospital have diabetes mellitus—diagnosed or undiagnosed—and others develop hyperglycemia from the stress of hospitalization.
Im Board Review
- Progressive muscle weakness: More there than meets the eye
A 56-year-old woman presents with proximal weakness in all four limbs. What are the possible causes?
Review
- Statin myopathy: A common dilemma not reflected in clinical trials
When a patient taking a statin complains of muscle aches, is he or she experiencing statin-induced myopathy or some other problem? Should the statin be discontinued?
ST-segment depression and T-wave inversion: Classification, differential diagnosis, and caveatsKnowing the characteristic patterns is critical for a timely diagnosis of life-threatening disorders.
Departments
- Iron therapy and infection (March 2011)
Readers comment on iron therapy and infection (March 2011), and managing bloodstream infections (January 2011).
