Table of Contents
From the Editor
- Trust the thyroid thermostat
Why do some physicians persist in regularly following the T3 and T4 levels in addition to the TSH?
The Clinical Picture
- Advanced-stage calciphylaxis: Think before you punch
Biopsy can cause or worsen ulceration at the incision site, increasing the risk of infection and sepsis.
- Geographic tongue
Although striking, the lesion is benign and self-limiting and rarely warrants further investigation.
1-Minute Consult
- Should patients with stable ischemic heart disease undergo revascularization?
The benefi t is much less clear for stable disease than for acute coronary syndromes.
Smart Testing
- Is a serum TSH measurement sufficient to monitor the treatment of primary hypothyroidism?
Yes, the TSH level provides the information you need to manage primary hypothyroidism.
Medical Grand Rounds
- Your patient has chronic leukemia: Now what?
New therapies for chronic myelogenous leukemia and chronic lymphocytic leukemia are increasing the number of survivors.
Im Board Review
- Renal failure in HCV cirrhosis
The patient was diagnosed with hepatitis C 15 years ago; now, his kidneys are failing.
Review
- Information management for clinicians
How to create a personalized stream of relevant information that can be saved so that it is readily accessible.
- Thrombotic thrombocytopenic purpura: The role of ADAMTS13
ADAMTS13 testing is useful in diagnosing this disease, guiding therapy, and predicting relapse.
- Is there a time limit for systemic menopausal hormone therapy?
The duration needs to be an individualized, shared decision that is reassessed annually.
- Anemia of chronic kidney disease: Treat it, but not too aggressively
Renal anemia is associated with bad outcomes, but attempting to normalize hemoglobin levels can be harmful.
Departments
- Measles: More than the rash (May 2016)
Readers comment on recognizing the signs of measles (May 2016)