Table of Contents
From the Editor
- Diabetes: Putting off until tomorrow what could happen today can be good
Prevention of beta-cell loss and preservation of endogenous insulin production have been attractive treatment prerogatives in type 1 diabetes.
The Clinical Picture
- Trident sign in osmotic demyelination syndrome
Brain magnetic resonance imaging showed a confluent trident-shaped lesion in the central pons 1 week after correction of the patient’s chronic hyponatremia.
- Acute transient phlebitis after a morphine infusion
Prominent ascending erythema outlining the infused vein and its proximal branches developed quickly after infusion.
- Skin manifestations of mpox
The patient presented with a tender, ulcerated perianal lesion and scattered papules on the trunk and extremities.
1-Minute Consult
- How should I incorporate emergency contraception counseling into my practice?
Emergency contraception counseling should be provided routinely to women at risk of unintended pregnancy as part of counseling on reproductive goals.
- Should I consider low-dose rivaroxaban (2.5 mg) for my patient with peripheral artery disease?
For patients with high ischemic risk, rivaroxaban 2.5 mg twice daily with aspirin 81 or 100 mg daily is a proven strategy to reduce major cardiovascular and limb events.
- How can I select the right thyroid hormone formulation for my patient with hypothyroidism?
Knowing the features of the available thyroid hormone formulations can provide a starting point for individualizing therapy for patients who have concerns about product formulations or remain symptomatic despite a normal thyroid-stimulating hormone level.
Symptoms to Diagnosis
Finding the cause of severe hypokalemia: A 4-step approachThis case illustrates the approach to a group of conditions associated with hypokalemia that usually pose a diagnostic challenge.
Review
- Latent autoimmune diabetes in adults: Not type 1, not type 2, a little of both
Latent autoimmune diabetes in adults shares features of type 1 and type 2 diabetes, often leading to misdiagnosis and a delay in starting needed insulin therapy.
Editorial
- LADA: A case for starting insulin therapy at diagnosis
The author discusses factors that support starting insulin therapy at diagnosis in all patients with latent autoimmune diabetes in adults.
