Table of Contents
From the Editor
- Zika—a new continent and new complications?
Zika reminds us that we live in a medically connected global community.
The Clinical Picture
- Phrenic nerve paralysis induced by brachial plexus block
The patient developed shortness of breath 1 day after undergoing arthroscopic repair of a rotator cuff.
- Cocaine-induced ecchymotic rash
Levamisole-adulterated cocaine can induce an ANCA-associated vasculitic rash within hours or days.
1-Minute Consult
- What is the best approach to a high systolic pulmonary artery pressure on echocardiography?
This is a common incidental finding. What to do depends on clinical presentation, comorbidities, and results of other tests.
Review
- Zika virus: A primer for clinicians
Zika is worrisome because of associations with microcephaly and Guillain-Barré syndrome. Watch for updates at cdc.gov.
When does asymptomatic aortic stenosis warrant surgery? Assessment techniquesWe review the guidelines for valve replacement and the traditional and novel variables to consider.
- Drugs that may harm bone: Mitigating the risk
The implicated drugs have important therapeutic roles, so their benefits must be weighed against the risks.
- Treating and preventing acute exacerbations of COPD
Corticosteroids, antibiotics, and bronchodilators are the cornerstones of prevention and treatment.
- Managing diabetes in hospitalized patients with chronic kidney disease
Avoiding hypoglycemia takes precedence over meeting strict blood sugar targets.
