Table of Contents
From the Editor
- Deciding when a picture is worth a thousand words and several thousand dollars
Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.
The Clinical Picture
- Osteonecrosis of the femoral head with subchondral collapse
A 45-year-old woman had been taking corticosteroids long-term after organ transplant.
Smart Testing
- When does acute pyelonephritis require imaging?
Imaging is recommended for those at risk of complications.
1-Minute Consult
- Should we stop aspirin before noncardiac surgery?
It depends on the type of surgery and the reason the patient is taking aspirin.
Editorial
Editorial
- Running in place: The uncertain future of primary care internal medicine
If we don’t demand change, who will be there to take care of us when we grow old?
Symptoms to Diagnosis
- An unusual cause of bruising
The coagulation assay, particularly the prothrombin time and aPTT, is key in initially assessing a bleeding abnormality.
Review
- Adults with autism spectrum disorder: Updated considerations for healthcare providers
Social support, community programs, and behavioral therapies can help. Caregivers may also need support.
Editorial
- Where have all the children gone? Intentional communities for adults with autism
Children with ASD grow to be adults with ASD, with complex healthcare needs.
Review
Infective endocarditis: Beyond the usual testsNewer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.
Commentary
Technology has infiltrated all parts of our lives. Physicians need to adapt and adjust.