Table of Contents
From the Editor
- Hope may not be the best component of an exercise regimen
Exercising to lose weight more often results in frustration than a trip to the store to buy smaller-sized clothes.
The Clinical Picture
- Bulldog scalp
A 54-year-old man presented with a 2-year history of unusual skin folds on the scalp—cutis verticis gyrata.
- A 60-year-old man with forehead swelling
CT and MRI revealed infection in close proximity to the brain. The patient recovered with antibiotics and surgery.
1-Minute Consult
- Can patients opt to turn off implantable cardioverter-defibrillators near the end of life?
Yes, it is reasonable to consider deactivation near the end of life if the patient or family wishes.
Im Board Review
- A tale of two sisters with liver disease
A young woman presents with acute liver failure. What is the cause? Is her sister at risk?
Review
- Common neurologic emergencies for nonneurologists: When minutes count
Recognizing and treating acute stroke, status epilepticus, subarachnoid hemorrhage, and others.
- The intersection of obstructive lung disease and sleep apnea
Many patients who have chronic obstructive pulmonary disease or asthma also have obstructive sleep apnea, and vice versa.
- Prescribing exercise to help your patients lose weight
It’s not enough to tell patients to exercise. The exercise you prescribe needs to be “SMART.”
Commentary
There is no ethical requirement that treatment, once started, must continue against the patient’s wishes.
Chaplains and clinicians bring complementary skills and services to the problem of suicide risk in veterans.
Guilt in patients with suicidal tendencies is a profoundly spiritual issue.