Table of Contents
From the Editor
- Watson, the game is a foot… or a palm
Sherlock Holmes I am not, but some useful clues are readily apparent if one is prepared to recognize them.
The Clinical Picture
- Heartburn or heart attack? A mimic of MI
The diagnosis: milk-alkali syndrome, complicated by thiazide use.
- Palmar erythema as a sign of cancer
Red palms in an elderly patient can be due to a number of systemic diseases.
- Metastatic pulmonary calcification and end-stage renal disease
CT may show diffusely calcified nodules, high-attenuation areas of consolidation, or fluffy ground-glass nodules.
Smart Testing
- Measuring both serum amylase and lipase for acute pancreatitis lowers quality and raises cost
Measuring lipase alone is sufficient.
Medical Grand Rounds
Interpreting Key Trials
- Renal denervation: What happened, and why?
Despite promising initial results, this treatment failed in its largest trial to date. Is it dead? Can it be revived?
Editorial
- Renal denervation: Are we on the right path?
Before renal denervation can be a mainstream therapy, we need proof that it reduces blood pressure or clinical events.
Im Board Review
- Postoperative delirium in a 64-year-old woman
Nine days after surgery, her mental status takes an abrupt turn for the worse. What is going on?
Editorial
- Bedside manners: How to deal with delirium
Delirium is often overlooked. Clinical observation remains important.
Im Board Review
- Another complication of cirrhosis
A patient with cirrhosis presents with acute abdominal pain and shock.
Review
A minimally invasive treatment for early GI cancersEndoscopic submucosal dissection allows curative resection of early malignant gastrointestinal lesions.
- Reproductive planning for women after solid-organ transplant
Pregnancy can succeed, but patients must wait at least a year. Until then, meticulous contraception is mandatory.
Departments
- Anticoagulation for atrial fibrillation (January 2017)
Readers comment on anticoagulation for atrial fibrillation (January 2017).
