Table of Contents
From the Editor
- Thoughtful vaccination
Vaccination against the varicella-zoster virus reduces the likelihood of shingles and postherpetic neuralgia.
The Clinical Picture
- A broken pacemaker lead in a 69-year-old woman
The patient presented with fatigue, cough, light-headedness, and a heart rate of 30 beats per minute.
- A second-degree burn after MRI
After undergoing imaging, the patient had 2 new bullous lesions on his inner thighs.
1-Minute Consult
- Which bowel preparation should be used for colonoscopy in patients who have had bariatric surgery?
The authors routinely use low-volume (2-L) polyethylene glycol preparations in split-dose regimens.
Review
- Diabetes control during Ramadan fasting
For diabetic patients, fasting during Ramadan can cause wide fluctuations in blood sugar levels.
Editorial
- Strategies for management of intermittent fasting in patients with diabetes
The focus is on avoiding hypoglycemia, but patients also need to know the risks of hyperglycemia and ketoacidosis.
Review
- Preventing herpes zoster through vaccination: New developments
Because protection wanes by 10 years, a booster dose may be necessary but is not yet recommended.
- Sexual dysfunction in women: Can we talk about it?
Sexual health may be difficult to discuss, for both the patient and the provider.
- Use and misuse of opioid agonists in opioid addiction
Methadone and buprenorphine can reduce craving and opioid use but remain misunderstood and underused.
Editorial
- A rational approach to opioid use disorder in primary care
Treating addiction is quickly becoming part of primary care. Clinicians can no longer turn a blind eye toward this problem.
Review
- Peripartum depression: Early recognition improves outcomes
Evidence is mounting that the risks of untreated maternal depression outweigh those of treating it.
- Chronic constipation: Update on management
If conservative treatments fail, clinicians can choose from a growing list of new ones.