Table of Contents
From the Editor
- The algorithm less traveled
At Bellevue, the RPR was a routine test; at the University of Pennsylvania not so much—it all depends on context.
The Clinical Picture
- An unusual complication of peritoneal dialysis
A 45-year-old man, on peritoneal dialysis for 15 years, presented with abdominal pain, nausea, vomiting, and fever.
- Eyes of the mimicker
A 42-year-old man presented with intermittent fevers, rigors, headache, and myalgia, and now, one-sided vision loss.
1-Minute Consult
- How soon should patients with infective endocarditis be referred for valve surgery?
Refer sooner rather than later if the patient has heart failure, uncontrolled infection, or embolic risk.
Editorial
- Infective endocarditis: Refer for expert team care as soon as possible
Infectious endocarditis needs multidisciplinary care. if surgery is indicated, it is best done sooner.
Medical Grand Rounds
- What you can do for your fibromyalgia patient
Fibromyalgia is a defi ned syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.
Review
- Idiopathic pulmonary fibrosis: What primary care physicians need to know
This devastating and fatal lung disease generally affects older adults, especially men, and can be mistaken for COPD.
Editorial
- It takes a village to care for the patient with idiopathic pulmonary fibrosis
The primary care physician can play key roles in diagnosis, referral, and long-term management.
Review
- Genitourinary syndrome of menopause: Common problem, effective treatments
Half of all postmenopausal women experience these symptoms. Most do not seek relief.
Hypertrophic cardiomyopathy: A complex diseaseMost people who carry its mutations are never affected, but, rarely, some patients die suddenly at a young age.
