Table of Contents
From the Editor
- Can a humanities background prevent physician burnout?
Osler urged physicians to study the humanities. Can it prevent professional dissatisfaction and burnout?
The Clinical Picture
- Gastroparesis in a patient with diabetic ketoacidosis
Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.
Smart Testing
- Is neuroimaging necessary to evaluate syncope?
If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.
1-Minute Consult
- How should I treat acute agitation in pregnancy?
This is an obstetric emergency. Intervention should progress in a stepwise manner.
Review
- Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
SCAD accounts for up to 35% of acute myocardial infarctions in women 50 or younger, and even more in pregnant women.
Symptoms to Diagnosis
- A woman, age 35, with new-onset ascites
She also has jaundice, hepatomegaly, and multiple abnormal laboratory results. What is the next step?
Review
- Acute kidney injury after hip or knee replacement: Can we lower the risk?
Various risk factors have been identified, and some are potentially modifiable.
- Unusual effects of common antibiotics
Less recognized but potentially serious adverse effects of commonly prescribed antibiotics.
Departments
- Rapidly progressive pleural effusion January 2019
Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).
- Metformin for type 2 diabetes January 2019
Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).
Commentary
Screening can lead to early diagnosis and prevent death from cancer, but the topic provokes controversy.
One hundred years after his death, what can Osler teach the high-tech physician of today?