Table of Contents
From the Editor
- An uncommon syndrome makes us reflect on our approach to diagnosis
Antisynthetase syndrome reminds us to stay grounded in the fundamentals of clinical care: careful listening, purposeful examination, and directed use of tests.
1-Minute Consult
- Is anticoagulation appropriate for all patients with portal vein thrombosis?
No. The decision is complex and depends on whether the thrombosis is acute or chronic and on other factors.
Editorial
- Another perspective: Reducing the overtreatment of pneumonia
Needed are better and faster ways to diagnose pneumonia and find the cause.
The Clinical Picture
- Peripheral opacity on plain chest radiography
Sometimes, careful observation can detect unusual signs of a common and serious condition.
- More than skin-deep
The patient had oral ulcers, a truncal rash, and blistering lesions on his hands, all of which had been getting worse for 9 months.
Current Drug Therapy
- A practical approach to prescribing antidepressants
Although antidepressant drugs do not differ much in their efficacy, a particular drug may be a better choice in a given patient.
Review
The jugular venous pressure revisitedFew physical findings are as useful but as undervalued as the estimation of the jugular venous pressure.
- Hepatocellular carcinoma: Options for diagnosing and managing a deadly disease
Because early diagnosis improves the chances of survival, it is important to identify patients who would benefit from surveillance.
- Antisynthetase syndrome: Not just an inflammatory myopathy
With its variety of clinical presentations, it should be in the differential diagnosis for patients with unexplained interstitial lung disease.
Commentary
We are hospitalizing more patients with “pneumonia,” but it has not improved outcomes.