Table of Contents
From the Editor
- Foxglove, not quite gone or forgotten
Digoxin use has waned dramatically over the past decades, with good reason, but for select patients, it may be a very reasonable option.
The Clinical Picture
- Persistent erosions of the glans penis and foreskin
A 66-year-old man presented with an 8-month history of persistent erosions of the glans penis and foreskin with slight itching and pain.
1-Minute Consult
- What fluids should I order for my patient with acute pancreatitis?
Recent data show that moderate fluid resuscitation is associated with fewer adverse events and that lactated Ringer’s may be superior to normal saline.
Symptoms to Diagnosis
- Recurrent syncope in a 62-year-old man
The patient experienced 2 episodes of syncope over 4 weeks, had a history of recurrent carpal tunnel syndrome, and had ankle edema for the previous 18 months.
Review
- Helicobacter pylori: A concise review of the latest treatments against an old foe
H pylori eradication regimens are tailored based on the presence of effective empiric therapy (local cure rates ≥ 90% for a given regimen) or antimicrobial susceptibility testing.
- Digoxin is still useful, but is still causing toxicity
The authors review the presentation of digoxin toxicity, its mechanisms and predisposing factors, and its medical management.
Diabetic retinopathy: Screening, prevention, and treatmentEffective screening processes, timely referrals, and strategic diabetes management are essential to prevent and mitigate the consequences of diabetic retinopathy.
