Table of Contents
From the Editor
- Anaphylaxis: Expanding our perspective
Anaphylaxis is not always the extreme scenario we learned about in medical school. There is a range of far milder allergic infusion reactions that are nonetheless anaphylaxis.
1-Minute Consult
- Does my hospitalized patient need an NPO-after-midnight order preoperatively?
Delays and postponements of surgical procedures are common, and NPO-after-midnight orders in these situations can result in prolonged periods without oral intake.
The Clinical Picture
- Hypertrichosis and topical corticosteroid use
The xerotic dermatitis had resolved 2 years earlier, but the patient had continued to apply the medication.
Review
- Soft tissue sarcoma: Recognizing a rare disease
Awareness of the signs and symptoms ensures prompt referral to a sarcoma center for appropriate assessment and treatment to optimize outcomes.
Extraosseous calcification in kidney diseaseA review of the pathogenesis, presentation, diagnosis, and treatment of vascular and soft tissue calcifi cation.
Symptoms to Diagnosis
- Recurrent anemia in a patient with chronic lymphocytic leukemia
New episodes of anemia do not automatically imply disease progression, and each should be evaluated completely.
Review
- Hypercalcemia and vitamin A: A vitamin to keep in mind
Vitamin A toxicity can affect bone resorption and hypercalcemia and should be explored in unexplained cases of parathyroid hormone-independent hypercalcemia.
Guidelines to Practice
- Anaphylaxis: Highlights from the practice parameter update
The update addresses diagnostic criteria, treatment options, prevention of recurrences, and patient education on avoiding triggers and using self-injectable epinephrine.
