Table of Contents
From the Editor
- When cold-induced vasospasm is the tip of the iceberg
For a minority of patients, Raynaud phenomenon may be the presenting sign of a systemic disorder.
The Clinical Picture
- Osborn waves of hypothermia
The differential diagnosis includes Brugada syndrome, hypercalcemia, and early repolarization syndrome.
1-Minute Consult
- Is pregnancy safe after kidney transplant?
Yes, but successful pregnancy requires a team approach, patient education, and counseling.
The Clinical Picture
- Sarcoidosis mimicking lytic osseous metastases
Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.
1-Minute Consult
- Which patients with respiratory disease need long-term azithromycin?
Long-term use should be individualized, with benefi ts weighed against the risks and monitoring for adverse effects.
Medical Grand Rounds
- Diabetes medications and cardiovascular outcome trials: Lessons learned
Drugs of several classes have demonstrated cardiovascular safety; empaglifl ozin carries a cardiovascular indication.
Cardiology Tall Rounds
- Navigating the anticoagulant landscape in 2017
What is the best strategy in acute venous thromboembolism? How should anticoagulation be managed before surgery?
Im Board Review
- Acute monocular vision loss: Don’t lose sight of the differential
An 83-year-old man woke up one morning unable to see out of his left eye; 6 hours earlier it had been normal.
Addressing Disparities in Healthcare
- Disparities in cervical cancer in African American women: What primary care physicians can do
African American women are disproportionately affected, but equal access to care may eliminate most of the disparity.
Editorial
- Cervical cancer in African American women: Optimizing prevention to reduce disparities
Primary care providers play a crucial role in cancer control, including screening and follow-up.
Review
- Treating Raynaud phenomenon: Beyond staying warm
Avoidance of cold and stress are fi rst-line measures, but if these fail, vasodilator agents are used.