Table of Contents
From the Editor
- Home testing: The metamorphosis of attitudes about HIV infection
Most of us have not spent the past 25 years on the front line against the AIDS epidemic, but we all have been touched by it.
The Clinical Picture
- V1: The most important lead in inferior STEMI
A 63-year-old woman with diabetes and hypertension developed chest tightness. Her electrocardiogram showed ST-segment elevation in leads II, III, aVF, V1, and V2.
- A 60-year-old man with abdominal bruising
A man with liver cancer developed abdominal ecchymoses resembling the Cullen sign and flank ecchymoses resembling the Grey Turner sign.
Im Board Review
- Chronic lymphocytic leukemia and apparent hyperkalemia
The day after chemotherapy, the patient’s plasma potassium level was 7.7 mmol/L and the next day it rose to 10.9, but he had no signs or symptoms of hyperkalemia. What was the cause?
Review
- Hypertension in the elderly: Some practical considerations
Treatment is challenging because of comorbidities and age-related changes. Some common scenarios are presented.
- Cognitive impairment in ICU survivors: Assessment and therapy
Cognitive impairment occurs in up to one-third of patients after a stay in the intensive care unit. Prevention is the prevailing strategy, since data on treatment are scarce.
- Home testing for HIV: Hopefully, a step forward
An over-the-counter at-home test has been approved. Will it lower the number of infected people unaware of their infection?
Male hypogonadism: More than just a low testosteroneConfronted with a low serum testosterone level, physicians should not jump to the diagnosis of hypogonadism. Confirmation and thorough evaluation are warranted.
Addressing Disparities in Health Care
- Hypertensive chronic kidney disease in African Americans: Strategies for improving care
Factors responsible for its rapid progression in African Americans are detectable by screening and modifiable with prompt therapy.
