Table of Contents
From the Editor
- Appreciating the appetite for reflective practice
Twenty-five years later, I still think about eating disorders when I evaluate young women who have severe fibromyalgia.
Medical Grand Rounds
Acute and critical limb ischemia: When time is limbJust as in acute myocardial infarction, where “time is muscle,” in many cases of vascular disease in the leg, “time is limb.”
- Managing acute coronary syndromes: Decades of progress
In managing acute coronary syndromes, physicians can draw on a large body of evidence from clinical trials.
The Clinical Picture
- An intravenous drug user with persistent dyspnea and lung infiltrates
He was treated empirically with antibiotics, which did not help. Now he is back in the emergency department.
Interpreting Key Trials
- The METEOR trial: No rush to repair a torn meniscus
Many patients who have osteoarthritis of the knee and a torn meniscus can defer surgery and undergo physical therapy instead.
Review
- Don’t forget non-Alzheimer dementias
An accurate diagnosis is important, as the causes of dementia can differ in their course and treatment.
- Recognizing, managing medical consequences of eating disorders in primary care
Intentional malnutrition and purging can lead to a wide range of medical problems. And refeeding has pitfalls.
