Table of Contents
From the Editor
- Fighting the reflux reflex
We should think twice when making a clinical diagnosis of gastroesophageal reflux disease.
The Clinical Picture
- Black hairy tongue cured concurrently with respiratory infection
Proposed causes include medications, hyposalivation, poor oral hygiene, smoking, and infection.
- A 68-year-old man with a blue toe
The patient had undergone coronary artery bypass grafting, which caused cholesterol crystal embolism.
- A dermatosis of pregnancy
Eight days after giving birth, a 33-year-old woman presented with pruritic erythematous papules and plaques on the abdomen.
Im Board Review
A man with progressive dysphagiaDifficulty swallowing can be caused by problems in the oropharynx or in the esophagus.
Review
- Apps and fitness trackers that measure sleep: Are they useful?
In general, they have major shortcomings and limited utility.
- Is there a doctor on board? In-flight medical emergencies
Although not legally required to render assistance, physicians have an ethical obligation to do so and should be prepared.
- ERAAs for menopause treatment: Welcome the ‘designer estrogens’
These drugs stimulate estrogen receptors in some tissues and inhibit them in others, enabling tailored treatment.
- Autosomal dominant polycystic kidney disease and the heart and brain
Early-onset hypertension is common. Other complications include heart disease and intracranial aneurysm.
Departments
- Fungal organisms in the brain (February 2017)
Readers comment on fungal organisms in the brain (February 2017).
Commentary
Their finding of insufficient evidence might be misinterpreted and needs to be put into context.