Table of Contents
From the Editor
- A rose by any other name is still a rose—but why a rose?
Christopher Columbus returned from the New World with a chronic illness, now believed to have been reactive arthritis.
1-Minute Consult
- What is the role of roflumilast in chronic obstructive pulmonary disease?
It has been shown to reduce acute exacerbations in patients with severe disease.
The Clinical Picture
- Lymphoplasmacytic lymphoma presenting as retinal hemorrhage
New-onset blurred vision should prompt a comprehensive history and physical examination.
- Erythematous patches with keratotic annular borders on the glans penis
Reactive arthritis was diagnosed on the basis of urethritis, ocular symptoms, circinate balanitis, and sacroiliitis.
- Imaging suggestive, but symptoms atypical
Pseudosubarachnoid hemorrhage is an artifact of CT imaging.
Im Board Review
- A patient with altered mental status and an acid-base disturbance
Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.
Review
- Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance
The decision-making process is complex and should be shared with the patient and the patient’s family and caregivers.
Editorial
- Whether to anticoagulate: Toward a more reasoned approach
The patient’s life expectancy and personal preferences are important and affect the decision.
Review
- Parsimonious blood use and lower transfusion triggers: What is the evidence?
Cumulative data have confi rmed the safety of a conservative approach to transfusion.
- Benign prostatic hyperplasia: Evaluation and medical management in primary care
Effective medical therapy is available but underutilized in the primary care setting.
- Postexposure management of infectious diseases
People who have been exposed to an infectious disease should be evaluated promptly and systematically.