Table of Contents
From the Editor
- An unending ode to pneumonia
The examination, history, and sometimes, sputum Gram stain and culture results still inform our clinical judgment.
The Clinical Picture
- Acute lymphangitis
Linear erythematous streaks sometimes spread with remarkable speed—within a few hours.
- Posterior reversible encephalopathy syndrome
On day 4, his blood pressure was 209/93 mm Hg, and CT showed new vasogenic edema in both occipital lobes.
- Leukoplakia of the tongue
This potentially premalignant lesion is found mostly in middle-aged and older men who smoke.
Symptoms to Diagnosis
- Gastroenteritis gone rogue
A 56-year-old woman presented with 2 weeks of vomiting and diarrhea. Her troubles were just beginning.
Review
- Community-acquired pneumonia: Strategies for triage and treatment
Not all patients need to be hospitalized. Initial empiric treatment should be de-escalated as soon as possible.
- Severe megaloblastic anemia: Vitamin deficiency and other causes
Determining the underlying cause and initiating prompt treatment are critical.
Restrictive eating disorders in previously overweight adolescents and young adultsSome patients with restrictive eating disorders are hiding in plain sight.
Endoscopic ultrasonography: An inside viewEndoscopic ultrasonography has evolved from a diagnostic tool to a therapeutic procedure for a wide range of conditions.
Editorial
- Atypical anorexia nervosa can be just as bad
Eating disorders can occur in patients with a wide variety of weights.
Commentary
Mitral valve prolapse is common, but sudden cardiac death is rare. How can we stratify risk?