Table of Contents
From the Editor
- Diagnostic certainty and the eosinophil
Eosinophilic esophagitis can mimic gastroesophageal reflux disease, especially early in its course.
The Clinical Picture
- Syncope from a twiddled ICD
A patient playing (“twiddling”) with his or her implanted cardioverter-defibrillator can dislodge the lead.
Medical Grand Rounds
- The ‘skinny’ on eosinophilic esophagitis
Often starting in childhood, this disease progresses until the esophagus is visibly narrowed on radiography.
1-Minute Consult
- Should patients stop taking aspirin for primary prevention?
In view of the evidence, routine use of aspirin for primary prevention is not recommended, even in patients with diabetes.
Review
- Genetics and hepatitis C: It’s good to be ‘CC’
In hepatitis C, people born with the IL28B CC genotype can count themselves luckier than those born with CT or TT.
- Cystic lung disease: Systematic, stepwise diagnosis
One can arrive at the likely diagnosis in most cases on the basis of the clinical and radiographic features.
Current Drug Therapy
- Denosumab: A novel antiresorptive drug for osteoporosis
What denosumab is, how it works, how well it works, and practical prescribing tips.
Commentary
There is no way to increase access, improve quality, and decrease costs all at the same time.