Table of Contents
From the Editor
The Clinical Picture
- Lady Windermere syndrome: Mycobacterium of sophistication
The typical patient is a thin, well-mannered elderly woman who voluntarily suppresses her cough out of politeness.
- Upper-limb deep vein thrombosis in Paget-Schroetter syndrome
A weight lifter with no medical history presented with pain and swelling in his left arm.
1-Minute Consult
- What can we offer patients with mild cognitive impairment?
Physicians can promote healthy nutrition, physical activity, socialization, and mental activity, but no drug is approved for it.
- Are breast and pelvic exams necessary when prescribing hormonal contraception?
Only a medical history and blood pressure measurement are needed before prescribing estrogen contraceptives.
- Do healthy patients need routine laboratory testing before elective noncardiac surgery?
Testing often increases costs and anxiety, with little benefit.
Editorial
- Why do clinicians continue to order ‘routine preoperative tests’ despite the evidence?
The authors propose several reasons and possible solutions.
- Sacubitril-valsartan and the evolution of heart failure care
It was hard to believe that any new additional therapy would make a significant difference.
Im Board Review
- A 56-year-old with diarrhea and weakness
The patient has unintentionally lost 137 lb over the past year. What is the cause?
Addressing Disparities in Healthcare
- Genitourinary manifestations of sickle cell disease
Sickling can lead to nephropathy, priapism, papillary necrosis, and renal medullary carcinoma.
Review
- GERD: Diagnosing and treating the burn
If symptoms do not respond to a proton pump inhibitor or are atypical, testing may be needed.
Interpreting Key Trials
- A new class of drugs for systolic heart failure: The PARADIGM-HF study
Valsartan-sacubitril is the first new drug in over a decade to decrease death rates in patients with systolic heart failure.
Departments
- Starting insulin therapy (August 2015)
Readers comment on resuming anticoagulation after hemorrhage (April 2015) and on starting insulin therapy in patients with type 2 diabetes (August 2015).
- In Reply: Starting insulin therapy (August 2015)
Readers comment on resuming anticoagulation after hemorrhage (April 2015) and on starting insulin therapy in patients with type 2 diabetes (August 2015).
- Resuming anticoagulation after hemorrhage (April 2015)
Readers comment on resuming anticoagulation after hemorrhage (April 2015) and on starting insulin therapy in patients with type 2 diabetes (August 2015).
- In Reply: Resuming anticoagulation after hemorrhage (April 2015)
Readers comment on resuming anticoagulation after hemorrhage (April 2015) and on starting insulin therapy in patients with type 2 diabetes (August 2015).