Table of Contents
From the Editor
- It’s not the noise, it’s what you do with it
Auscultation for a carotid bruit is an unreliable test, but the real action takes place between the stethoscope’s earpieces.
The Clinical Picture
- Brown tumor of the pelvis
Hyperparathyroidism increases the number and activity of osteoclasts, causing lytic lesions.
- An alerting sign: Enlarged cardiac silhouette
Suspect pericardial effusion in patients with symptoms of impaired cardiac function and new symmetric cardiomegaly.
1-Minute Consult
- Does allergic conjunctivitis always require prescription eyedrops?
We reserve prescription drops for patients with persistent, bothersome symptoms despite using over-the-counter drops.
Im Board Review
- A young man with an unusual cause of palpitations
His heart rate is 260, with wide QRS complexes. Is his tachycardia ventricular or supraventricular?
Review
- Catheter-based transarterial therapies for hepatocellular cancer
A discussion of these procedures, their complications, and postprocedural care.
- Insulin pumps: Beyond basal-bolus
Pumps allow for more accurate dosing than multiple daily injections, resulting in less drastic blood sugar extremes.
- The new oral anticoagulants: Reasonable alternatives to warfarin
The clinically relevant characteristics of the new agents and guidance on their use.
- Asymptomatic carotid artery disease: A personalized approach to management
Should the patient undergo surgery or just medical care? The decision can be based on age, sex, and life expectancy.
Commentary
Although pumps are sophisticated and precise, they still interface with a human user.