Table of Contents
From the Editor
- There is more to the TSH than a number
Management of subclinical hypothyroidism should be nuanced and based on clinical and laboratory parameters.
The Clinical Picture
- Aleukemic leukemia cutis
An 85-year-old man presented with rapidly progressive nodules on the scalp, neck, trunk, and extremities.
- Dancing sternal wires: A radiologic sign of sternal dehiscence
Loose fragments of bone and wire pose a danger of puncturing the heart, making sternal dehiscence a surgical emergency.
1-Minute Consult
- Repeating blood cultures after initial bacteremia: When and how often?
Repeating blood cultures after an initial positive result is superfluous except in certain situations.
Editorial
- Follow-up blood cultures are often needed after bacteremia
Without follow-up cultures, the adequacy of treatment can be difficult to assess.
Review
- Managing malignant pleural effusion
Depending on the circumstances, options are observation, thoracentesis, an indwelling catheter, and chemical pleurodesis.
- Subclinical hypothyroidism: When to treat
The decision remains controversial and depends on the degree of TSH elevation, thyroid antibodies, and comorbidities.
Breast augmentation surgery: Clinical considerationsThe evolution of breast implants, their complications, and key considerations with regard to aesthetic breast surgery.
- Heart failure guidelines: What you need to know about the 2017 focused update
Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.
