Table of Contents
From the Editor
- Treating the thyroid: Trust the feedback loop
Studies show that, when testing to detect or monitor thyroid dysfunction, we order more free T3 and T4 levels than are necessary. We apparently should trust the thyroid-stimulating hormone feedback loop more than we do.
The Clinical Picture
- Vesicular pityriasis rosea
A 37-year-old man presented with a 9-day history of disseminated pruritic rash on his trunk and extremities.
1-Minute Consult
- Which patients with presumed acute infectious diarrhea in an outpatient setting should undergo gastrointestinal pathogen panel testing?
Use of a gastrointestinal pathogen panel is warranted in certain individuals, such as those with fever, visible blood in the stool, sepsis, or a compromised immune system.
Symptoms to Diagnosis
- Thyroid obstacle course: Many challenges from a single gland
The patient presented to his primary care clinician for new irritability, anxiety, and insomnia. Laboratory testing revealed a low thyroid-stimulating hormone level.
Review
- Hypoglycemia after bariatric surgery: Management updates
The authors discuss how to differentiate post-bariatric surgery hypoglycemia from other causes of hypoglycemia, highlight the evolving role of continuous glucose monitors in detecting it, and summarize management options.
Don’t judge a book by its cover: Unusual presentations of pericardial diseaseTaking a good history, performing a good physical examination, and properly reading an electrocardiogram and chest radiograph are the best starting points for diagnosing pericardial and mediastinal disease.
- Wolff-Parkinson-White syndrome: Diagnostic and management strategies
The challenge lies in managing those with the Wolff-Parkinson-White pattern on electrocardiogram but no symptoms.
Commentary
The authors review the burden, prevention, diagnosis, and treatment of influenza, COVID-19, and respiratory syncytial virus infection.