Table of Contents
From the Editor
- Recognizing a retirement, and a calcium deposition syndrome
Personnel changes at CCJM, and underrecognition of calcium deposition in the cervical spine.
The Clinical Picture
- Crowned dens syndrome: Caution about asymptomatic calcification
An 88-year-old man developed fever, headache, and posterior neck pain resistant to initial therapy.
Editorial
- Calcium pyrophosphate deposition and crowned dens syndrome
Patients are typically over age 65, often with significant leukocytosis and dramatically elevated inflammatory markers.
The Clinical Picture
- Puffy hand syndrome
A 37-year-old man visited the rheumatology clinic for evaluation of swelling of his fingers and hands.
1-Minute Consult
- Is it safe to start steroids at home for a COPD exacerbation after virtual assessment in the COVID-19 era?
Yes. Corticosteroids are beneficial, and virtual visits are appropriate, especially in this pandemic.
Interpreting Key Trials
- Update in perioperative cardiac medicine 2021
New light on preoperative assessment and on the need for anticoagulation.
Symptoms to Diagnosis
Pregnancy in a woman with congenitally corrected transposition of the great arteriesShe presents with nausea and emesis 7 weeks after her last menstrual period.
Review
- Update on medical management of acute hip fracture
Emphasis is on prompt surgery, multimodal analgesia, and enhanced recovery pathways.
Commentary
Current screening and confirmatory testing lack sensitivity and carry a poor negative predictive value.