Table of Contents
From the Editor
- Deprescribing: When trying for less is more
We should periodically revisit the goals and rationale for all prescribed medications.
The Clinical Picture
- Primary livedo reticularis of the abdomen
Livedo reticularis can be the manifestation of a wide range of conditions—or not.
- Methemoglobinemia in an HIV patient
He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.
- Ascites from intraperitoneal urine leakage after pelvic radiation
Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.
1-Minute Consult
- Hypertension in older adults: What is the target blood pressure?
Goal: systolic pressure below 130 mm Hg if the patient can take multiple medications and be followed closely.
Im Board Review
- A 67-year-old woman with bilateral hand numbness
Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.
Review
- Alzheimer dementia: Starting, stopping drug therapy
It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.
- Primary care management of chronic pelvic pain in women
While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.
- Which test for CAD should be used in patients with left bundle branch block?
CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.
Acute cardiorenal syndrome: Mechanisms and clinical implicationsVolume overload is central to its pathogenesis, and accurate assessment of volume status is critical.
Editorial
- Hemodynamically, the kidney is at the heart of cardiorenal syndrome
In heart failure, the heart and the kidneys share a rocky relationship.
Departments
- Ascites from intraperitoneal urine leakage after pelvic radiation
Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.
