Table of Contents

We should not worship the idol of guidelines alone, but neither should we ignore them and make decisions based only on anecdote and experience.

While boarding a bus, a 50-pack-year smoker with chronic obstructive pulmonary disease heard popping sounds, which were followed by chest and neck pain. What do his radiographs show?

Physical findings and laboratory studies are normal. What is the cause of this patient’s pain?

Clues to systemic disease include prolonged and painful attacks that can cause ulceration or gangrene. Other clues are older age at onset, male sex, and asymmetric involvement.

Treatment approaches differ depending on the patient’s clinical presentation and on the preferences of the patient and the physician. Often, more than one approach is possible.

Patients with advanced heart failure far outnumber hearts available for transplantation. Mechanical devices are filling the gap.

Short QT syndrome is a recently recognized cause of cardiac rhythm disorders, including sudden cardiac death. Though rare, it is worth thinking about.

Because HPV is sexually transmitted, HPV vaccination has met with public controversy. A review of the data and the challenges.

A sentence was omitted from the abstract of McGill JJ, Shoskes DA, Sabanegh ES Jr. Androgen deficiency in older men: indications, advantages, and pitfalls of testosterone replacement therapy. Cleve Clin J Med 2012; 79:797–806.