Table of Contents
From the Editor
- MGUS: It’s about the protein, not just the marrow
What is a cause of a high erythrocyte sedimentation rate with a normal C-reactive protein and a low anion gap?
The Clinical Picture
- Acute-onset quadriplegia with hyperreflexia
MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.
- Emphysematous cystitis
The patient had fallen in her home and remained on the floor for 2 days until neighbors heard her cries and called 911.
1-Minute Consult
- When can I stop dual antiplatelet therapy in patients with drug-eluting stents?
The decision requires balancing the risk of thrombosis against the risk of bleeding. A cardiologist can help.
- Should metformin be used in every patient with type 2 diabetes?
Most patients should receive it, with exceptions. Nevertheless, it is underused.
Symptoms to Diagnosis
- Rapidly progressive pleural effusion
A 33-year-old nonsmoker presents with severe pleuritic chest pain; the differential diagnosis is broad.
Review
- Monoclonal gammopathy of undetermined significance: A primary care guide
Low-risk MGUS may not require subspecialty referral and can be followed by the outpatient provider.
- Hypertension guidelines: Treat patients, not numbers
When treating high blood pressure, how low should we try to go? Debate continues.
- Common benign breast concerns for the primary care physician
Because breast cancer is so common, women with breast problems often fear the worst. They needn’t.
- Who needs to carry an epinephrine autoinjector?
Patients who have had anaphylaxis or who are at risk of it should carry an epinephrine autoinjector with them at all times.