Table of Contents
From the Editor
- COVID-19 Curbside Consults at www.CCJM.org
These are tough times. This is a wicked disease. But healthcare providers are stepping up.
COVID-19 Curbside Consults
- Can multiple ARDS patients be ventilated with a single ventilator?
With more patients than machines, multiplex ventilation is a reasonable last resort to prevent certain death.
1-Minute Consult
- What mask should I wear to protect against transmissible acute respiratory infections?
Clinical trials have not shown a direct advantage for N95 respirators vs surgical masks for many acute respiratory infections.
The Clinical Picture
- Page kidney after a renal biopsy
A patient presents with flank pain and worsening hypertension and renal function 3 weeks after percutaneous renal biopsy.
Review
- Perinatal depression: A review
Depression affects 10% to 20% of women during pregnancy or postpartum, but it can be difficult to recognize.
- Bronchoscopic lung volume reduction with valves: What should the internist know?
For selected patients with emphysema, 1-way valves reduce hyperinflation and are a palliative option.
- Cutaneous adverse effects of biologic medications
These therapies have revolutionized medicine but come with many unique adverse effects.
- Aspirin for primary prevention of atherosclerotic cardiovascular events
A more limited role for aspirin as primary prevention in patients at intermediate risk, with diabetes, and the elderly.
Commentary
Ideally, the provider’s race shouldn’t matter, but what if it does?