Table of Contents
From the Editor
- Training physician leaders to save the health system… and us
The success of the health system and the emotional well-being and clinical skills of its physicians are clearly interrelated.
The Clinical Picture
- Aortic dissection presenting as ischemic limb
With surgical repair and blood pressure control, the patient recovered and left the hospital 1 week later.
- Central nervous system lymphoma mimicking Bell palsy
Failure of presumed Bell palsy to improve should prompt an evaluation for an underlying condition.
Editorial
- Is a detailed neurologic physical examination always necessary?
In medicine, we need all the help we can get.
The Clinical Picture
- Necrotizing fasciitis after a watercraft accident
Despite intravenous antibiotics and surgical debridement, the patient’s right leg had to be amputated.
Smart Testing
- Is Pap testing still needed after hysterectomy?
There is no need to continue Pap testing after hysterectomy for a benign indication.
Current Drug Therapy
- Hydroxychloroquine: An old drug with new relevance
This antimalarial drug is now approved to treat discoid lupus, systemic lupus erythematosus, and rheumatoid arthritis.
Review
- Evaluating suspected pulmonary hypertension: A structured approach
With a myriad of causes and nonspecifi c symptoms, pulmonary hypertension needs a methodic diagnostic approach.
Thoracic aortic aneurysm: How to counsel, when to referBe alert for clues on chest imaging, and consider screening fi rst-degree relatives of patients known to have aortic disease.
Departments
- ‘Non-criteria’ antiphospholipid antibodies and thrombosis (February 2018)
Readers comment on antiphospholipid antibody syndrome (February 2018).
Commentary
Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.