Table of Contents
From the Editor
- Perioperative MI: Data, practice, and questions
What should be done when an elevated troponin is detected in a postoperative patient who is otherwise doing perfectly well?
Medical Grand Rounds
- 2015 Update on Parkinson disease
An improved understanding of the disease is leading to new diagnostic tools and treatments.
1-Minute Consult
- What is the difference between palliative care and hospice care?
The two have different indications and goals and are often provided in different settings.
The Clinical Picture
- Occult satellite metastasis of an auricular melanoma
Satellite lesions are a sign of aggressive disease and require a thorough evaluation for metastases.
- Herpes zoster triplex
A 77-year-old man presented with painful eruptions on the left chest, right lower groin, and left thigh.
Review
- Middle East respiratory syndrome: SARS redux?
Prompt identification and isolation of infected patients is critical to limiting the spread of infection.
- Troponin elevation after noncardiac surgery: Significance and management
Patients with elevations are at higher risk of morbidity and death, but current guidelines provide few recommendations.
- Lactic acidosis: Clinical implications and management strategies
In hospitalized patients, elevated lactate is both a marker of risk and a target of therapy.
Editorial
- Postoperative troponin surveillance: A diagnostic dilemma
Postoperative troponin elevations are linked to bad outcomes. But does screening for troponin elevations improve outcomes?
Im Board Review
- Ankle pain in a young woman with Gaucher disease
Gaucher disease causes hepatomegaly, splenomegaly, bone marrow disease, bone pain, bone infarcts, and lytic lesions.
Departments
- Sleep apnea ABCs (August 2014)
Readers comment on obstructive sleep apnea (August 2014) and on writing better consult notes (January 2015).
- In Reply: Sleep apnea ABCs (August 2014)
Readers comment on obstructive sleep apnea (August 2014) and on writing better consult notes (January 2015).
- EMR notes should communicate and educate (January 2015)
Readers comment on obstructive sleep apnea (August 2014) and on writing better consult notes (January 2015).