Table of Contents
From the Editor
- The under- and overrecognized, and the elephant in the room
We internists must recognize the pine cones without losing our vision of the forest.
The Clinical Picture
- Paroxysmal finger hematoma
This benign, self-limiting condition predominantly affects middle-aged women.
- Constitutional symptoms, pathologic PET-CT
PET-CT showed diffuse hypermetabolism of the great vessel walls, compatible with large-vessel giant cell arteritis.
- Trousseau syndrome
Examination revealed multiple bluish macules and 2 palpable thrombosed superficial veins in the right popliteal fossa.
1-Minute Consult
- Can I use direct oral anticoagulants to treat cancer-associated venous thromboembolism?
DOACs are increasingly replacing low-molecular-weight heparins for this purpose.
Review
- To scan or not to scan? DXA in postmenopausal women
DXA is strongly recommended for women age 65 and older, but not so much for younger postmenopausal women.
GERD: A practical approachPPIs are the first-line medical therapy. Endoscopic and surgical options are pursued only if medical therapy fails.
- ACC/AHA lipid guidelines: Personalized care to prevent cardiovascular disease
Risk assessment, drugs, patient subgroups, value of therapy, personalized plans, and shared decision-making.
Current Drug Therapy
- CGRP antagonists for decreasing migraine frequency: New options, long overdue
CGRP drugs are an exciting frontier, but migraine management is still a combination of lifestyle changes plus treatment.
Editorial
- Preventing migraine: The old and the new
Roughly half of patients taking any preventive medication have a 50% reduction in migraine frequency.
Letters to the editor
- Infective endocarditis: Don’t forget the ICE
A recent article did not mention intracardiac echocardiography.
- In reply: Infective endocarditis: Don’t forget the ICE
Echocardiography relies on finding an anatomic abnormality, whereas 18FDG-PET is a functional examination.
