Table of Contents
From the Editor
- A seaworthy nautical tale and a pictured rash
In history’s first randomized controlled trial, James Lind gave 2 sailors lemons and oranges, and they got better.
COVID-19 Curbside Consults
- Coagulopathy in COVID-19: Manifestations and management
Prophylaxis against venous thromboembolism is recommended for all patients hospitalized with COVID-19.
Thoracic imaging in COVID-19Typical findings include bilateral multifocal parenchymal opacities, predominantly in the peripheral and lower zones.
The Clinical Picture
- Acute dacryocystitis
Inflammation of the lacrimal sac is related to obstruction, which can be primary or secondary.
- Scurvy: Old, but still relevant
A patient with alcohol use disorder presented with progressively worsening fatigue, dyspnea on exertion, and easy bruising.
1-Minute Consult
- Should we monitor troponin up to peak value when evaluating for acute coronary syndrome?
No. Once troponin is over the 99th percentile, finding the peak value does not aid in diagnosis.
Editorial
- Cardiac troponin testing: Goodbye, ‘troponinemia’
Any troponin elevation is prognostically important; dismissing it as “troponinemia” is no longer a viable strategy.
Review
- Rhinosinusitis and the role of imaging
Imaging should only be used in complicated sinus infections, in recurrent or chronic sinus disease, or in surgical planning.
- Pneumonia and alcohol use disorder: Implications for treatment
Patients with alcohol use disorder are at increased risk for Streptococcus pneumoniae but not resistant gram-negative infections.
- Irritable bowel syndrome with diarrhea: Treatment is a work in progress
Understanding of its mechanisms is progressing, and treatments are increasingly targeted to the individual etiology.
