Table of Contents
From the Editor
- Remembering that old dogs can still do tricks
Chlorthalidone has proven efficacy and, compared with hydrochlorothiazide, favorable pharmacokinetic properties.
The Clinical Picture
- Parvovirus mimicking acute HIV infection
A 25-year-old Jamaican man presented with a rash on his face, back, and hands.
- Respiratory artifact: A second vital sign on the electrocardiogram
Respiratory artifact is a marker of increased work of breathing and of significant cardiopulmonary compromise.
1-Minute Consult
- Does stenting of severe renal artery stenosis improve outcomes compared with medical therapy alone?
Added to drug therapy, it can modestly improve blood pressure control, but has no significant effect on outcomes.
Editorial
- Stenting may benefit select patients with severe renal artery stenosis
Treatment of severe renal artery stenosis must be individualized.
Medical Grand Rounds
- Geriatrics update 2015: Vaccination, frailty, chronic disease guidelines, and cognition
Chronic disease-management guidelines are starting to recognize vulnerable elderly patients.
Review
- Universal precautions to reduce stimulant misuse in treating adult ADHD
At each visit, assess the four ‘A’s: ADHD symptoms, Activities of daily living, Adverse events, and Aberrant behavior.
- Starting insulin in patients with type 2 diabetes: An individualized approach
Take into account the patient’s age, life expectancy, concurrent illnesses, risk of hypoglycemia, and other factors.
- E-cigarettes: Safe to recommend to patients?
E-cigarettes have never been subjected to testing of safety or efficacy as nicotine replacement therapy.
- Diuretics for hypertension: Hydrochlorothiazide or chlorthalidone?
Chlorthalidone may be more potent, but it also may cause more metabolic adverse effects such as hypokalemia.
- Comprehensive wound malodor management: Win the RACE
RACE stands for Removal of necrotic tissue, Antibacterials, odor Concealers, and Education and support. Quality of life is the prize.
Departments
- Eruptive xanthoma (April 2015)
Readers comment on eruptive xanthoma (April 2015), risk of falls in older adults (May 2015), and sentinel lymph node biopsy after excision of melanoma (May 2015).
- In Reply: Eruptive xanthoma (April 2015)
Readers comment on eruptive xanthoma (April 2015), risk of falls in older adults (May 2015), and sentinel lymph node biopsy after excision of melanoma (May 2015).
- Risk of falls (May 2015)
Readers comment on eruptive xanthoma (April 2015), risk of falls in older adults (May 2015), and sentinel lymph node biopsy after excision of melanoma (May 2015).
- In Reply: Risk of falls (May 2015)
Readers comment on eruptive xanthoma (April 2015), risk of falls in older adults (May 2015), and sentinel lymph node biopsy after excision of melanoma (May 2015).
- The role of sentinel lymph node biopsy after excision of melanomas (May 2015)
Readers comment on eruptive xanthoma (April 2015), risk of falls in older adults (May 2015), and sentinel lymph node biopsy after excision of melanoma (May 2015).
- In Reply: The role of sentinel lymph node biopsy after excision of melanomas (May 2015)
Readers comment on eruptive xanthoma (April 2015), risk of falls in older adults (May 2015), and sentinel lymph node biopsy after excision of melanoma (May 2015).