Table of Contents
From the Editor
- Talking to patients: Barriers to overcome
Not all patients think like doctors, but we need to be able to think like patients.
Review
- Posttraumatic stress disorder, depression, and suicide in veterans
In military veterans, depression, posttraumatic stress disorder, and suicidal thoughts are common and closely linked.
The Clinical Picture
- A 48-year-old woman with an ecchymotic rash
Her test results satisfied the criteria for a lupus anticoagulant. What is the most likely diagnosis?
- Chest pain followed by sudden collapse
A 51-year-old man, resuscitated from ventricular fibrillation, has ST elevation in leads V1 and V2. What is the likely cause?
Medical Grand Rounds
Deep brain stimulation: What can patients expect from it?Its indications (particularly movement disorders), risks, and benefits, and what is involved before, during, and after implantation.
Review
- Finding the cause of acute kidney injury: Which index of fractional excretion is better?
In patients on diuretics, fractional excretion of urea should be used in preference to fractional excretion of sodium.
Addressing Disparities in Health Care
- Overcoming health care disparities via better cross-cultural communication and health literacy
Health care disparities have multiple causes. Poor communication is a cause that can be modified.
Medical Grand Rounds
- New and future therapies for lupus nephritis
Clinical trials show that less-toxic drugs, such as mycophenolate mofetil, are as effective as older, more-toxic ones.
Im Board Review
- A 37-year-old man with a chronic cough
When asked, he revealed that he had been diagnosed with human immunodeficiency virus infection but had not been taking his medication.
