Table of Contents
From the Editor
- A link between A-fib and sleep apnea is no surprise, but why?
The two conditions commonly coexist, and treating the sleep apnea results in better rhythm-directed outcomes in the A-fib.
1-Minute Consult
- Should I evaluate my patient with atrial fibrillation for sleep apnea?
Yes. The prevalence of sleep apnea is high in patients with atrial fibrillation, and vice versa.
The Clinical Picture
- Atraumatic splenic rupture in acute myeloid leukemia
Atraumatic splenic rupture is rare but potentially life-threatening, especially if the diagnosis is delayed.
Symptoms to Diagnosis
- Severe hypercalcemia in a 54-year-old woman
Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?
Review
Current management of Barrett esophagus and esophageal adenocarcinomaRisk factors: reflux symptoms > 5 years, male sex, age > 50, white race, central obesity, and smoking.
- STI update: Testing, treatment, and emerging threats
Fast, sensitive molecular diagnostic tests that use self-collected samples may help bend the upward curve of STIs.
- SEEDS for success: Lifestyle management in migraine
Lifestyle counseling can be based on the mnemonic SEEDS: sleep, exercise, eat, diary, and stress.
Appropriate laboratory testing in Lyme diseaseTesting for Lyme disease is challenging and if done incorrectly can lead to unnecessary treatment.
Correction
- Diabetes management
Information was omitted from Table 1 on page 596 of the article, Makin V, Lansang MC. Diabetes management: Beyond hemoglobin A1c. Cleve Clin J Med 2019; 86(9):595–600. doi:10.3949/ccjm.86a.18031
Commentary
Despite the guidelines, most patients still receive high intravenous doses for acute exacerbations.