Table of Contents
From the Editor
- We can learn a lot from drug adverse effects
No one likes adverse effects, but they can teach us important things about human biology.
The Clinical Picture
- Fournier gangrene
The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.
- Brain abscesses in a 60-year-old man
The lesions were not from compromised immunity, but from septic hematogenous spread of an odontogenic infection.
1-Minute Consult
- What can we do about musculoskeletal pain from bisphosphonates?
The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.
- How should we diagnose and manage checkpoint inhibitor-associated colitis?
Rule out infection, especially Clostridium difficile, then order colonoscopy or computed tomography.
Symptoms to Diagnosis
- Shortness of breath, fever, cough, and more in an elderly woman
The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defi brillator and amiodarone.
Review
- Obesity: Are shared medical appointments part of the answer?
Shared medical appointments allow multiple patients to be managed together by a multidisciplinary team.
- Coronary artery calcium scoring: Its practicality and clinical utility in primary care
It outperforms other risk-stratifi cation tools. Drawbacks include the possibility of unnecessary testing and incidental fi ndings.
Editorial
- Coronary artery calcium scoring: A valuable tool in primary care
Coronary calcium scoring is safe and accurate, but who should be tested?
Departments
- Aortic aneurysm: Fluoroquinolones, genetic counseling, June 2018
Readers comment on the pathogenesis and management of aortic aneurysm (June 2018).
Commentary
Current evidence suggests little reason to prescribe calcium, and vitamin D should be for patients with low levels.