Table of Contents
From the Editor
- Why not a shot of prevention?
Last year the flu season was surprisingly mild, but this should not lull us into a lackadaisical approach to offering vaccination to all of our patients.
1-Minute Consult
- Should N-acetylcysteine be used routinely to prevent contrast-induced acute kidney injury?
Its routine use is not supported at this time, but there is evidence to suggest giving it to patients with baseline renal dysfunction.
The Clinical Picture
- A rash after streptococcal infection
The patient, a 39-year-old woman, had been taking amoxicillin for streptococcal pharyngitis. What caused the rash?
- Nail pigmentation and fatigue
A number of conditions can cause discoloration of the nails. What is the diagnosis?
Review
- Tattooing: Medical uses and problems
Tattooing is used in medical alerts, breast reconstruction, radiation oncology, endoscopy, forensic medicine, and other areas.
- Emergency contraception: Separating fact from fiction
Patients can now buy emergency contraceptives over the counter, but physicians should still take every opportunity to discuss effective contraceptive options.
- Androgen deficiency in older men: Indications, advantages, and pitfalls of testosterone replacement therapy
This, the second of two articles on hypogonadism in men, focuses on the appropriate use of testosterone therapy.
Rapid Communication
- 2012-2013 Influenza update: Hitting a rapidly moving target
From the deadly 2009 H1N1 pandemic to the recent outbreak of swine flu H3N2v at county fairs, we are constantly challenged by influenza viruses.
Personalizing Patient Care
- Detecting and managing hereditary colorectal cancer syndromes in your practice
These patients need to be identified so that they and their families can receive genetic counseling and testing and risk-reducing treatment.