Table of Contents
From the Editor
- When we need to remember that it is more than a job
It is the nature of our engagement with our patients and our colleagues that makes what we do more than a job.
1-Minute Consult
- Can patients with infectious endocarditis be safely anticoagulated?
New infectious endocarditis is not an indication for starting anticoagulation, and whether to continue it is a diffi cult decision.
Editorial
- The emotional impact of a malpractice suit on physicians: Maintaining resilience
Resilient people can face reality, see a better future, put things into perspective, and bounce back from adversity.
The Clinical Picture
- Fungal folliculitis masquerading as acute exanthematous pustulosis
Concern was raised for antibiotic-related acute exanthematous pustulosis, but punch biopsy revealed the yeast Malassezia.
Medical Grand Rounds
- Advances in the treatment of dyslipidemia
Current guidelines do not set specifi c targets for LDL-C, but evidence supports the concept that lower is better.
Interpreting Key Trials
- Interpreting SPRINT: How low should you go?
In treating hypertension, lower systolic pressure is better than higher—but with caveats.
Editorial
- Blood pressure management in the wake of SPRINT
SPRINT should be interpreted in the context of prior trials and of its inclusion and exclusion criteria.
Review
- Managing patients at genetic risk of breast cancer
People with these syndromes have a much higher risk, and the cancers often occur at an early age.
- Prescribing opioids in primary care: Safely starting, monitoring, and stopping
Prescription drug abuse has reached epidemic proportions. Some patients benefi t from opioids, but many suffer harm.
Celiac disease: Managing a multisystem disorderThis autoimmune disorder can cause symptoms that involve not only the gastrointestinal tract but also the skin and bones.
Editorial
- The microbiome in celiac disease: Beyond diet-genetic interactions
Evidence points to the mix of bacteria that make the gut their home, collectively called the microbiome.
Departments
- The PARADIGM-HF trial (October 2015)
A reader comments on the fi ndings of the PARADIGM-HF trial (October 2015).
Commentary
Lawsuits often confront physicians with incidental imperfections in the care they provided or with errors in their documentation.