Table of Contents
From the Editor
- Can a shared decision be wrong if made for the ‘right’ reasons?
Providing information alone is not enough; we need to understand the patient’s biases, fears, and priorities.
The Clinical Picture
- Erythema ab igne
The patient had been using a heating pad daily, often for several hours at a time, to relieve his back pain.
- Paraneoplastic acral vascular syndrome
The patient presented with a painful blue great toe, abdominal pain, and unintentional weight loss.
Medical Grand Rounds
PCI for stable angina: A missed opportunity for shared decision-makingPatients mistakenly believe that PCI saves lives. They need clear information to give informed consent.
Editorial
- Having the COURAGE to include PCI in shared decision-making for stable angina
In a select group, a PCI-first strategy does not reduce the risk of death, but it does relieve angina sooner.
Review
- Medication management in older adults
Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.
Editorial
- Finding balance: Optimizing medication prescribing in older patients
More than one-third of older adults in the United States take 5 or more medications. Consider deprescribing.
Medical Grand Rounds
- Kidney transplant: New opportunities and challenges
Kidney transplant improves survival and long-term outcomes in patients with renal failure.
IM Board Review
- A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg
Workup revealed the patient had both arterial and venous thrombosis. What was the cause?
Review
- Transient neurologic syndromes: A diagnostic approach
Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.
