Table of Contents
From the Editor
- The ‘T’ in ITP remains
The “I” has changed its meaning and the “P” is not necessary to make the diagnosis, but the disease formerly known as idiopathic thrombocytopenic purpura (ITP) remains important to diagnose.
The Clinical Picture
- A woman with a swollen uvula
A woman on patient-controlled analgesia with morphine suddenly develops shortness of breath because of uvular swelling obstructing the airway. What is the diagnosis?
- Flashing lights, floaters, and reduced vision
A 62-year-old woman has numerous lobulated, yellowish, choroidal lesions in the left eye, and two similar but smaller lesions in the right eye. What is the cause?
Point and Counterpoint
- The apples and oranges of cost-effectiveness: A rejoinder
A recent CCJM commentary used straw men to indict cost-effectiveness research.
Im Board Review
- Fever, dyspnea, and hepatitis in an Iraq veteran
About 8 weeks after returning home, he presents with a cough, myalgia, headaches, fever, chills, drenching night sweats, and dyspnea on exertion. What is the most likely diagnosis?
Review
- The role of aldosterone receptor antagonists in the management of heart failure: An update
Spironolactone (Aldactone) and eplerenone (Inspra) are now part of standard therapy. Still, they must be used cautiously, as they can cause hyperkalemia.
- Immune thrombocytopenia in adults: An update
Management has changed in the last decade, with new drugs and with increased awareness of treatment side effects.
Using the ankle-brachial index to diagnose peripheral artery disease and assess cardiovascular riskThe authors seek to convince you to measure the ankle-brachial index in any patient you suspect may have peripheral artery disease, whether or not they have symptoms.
