Table of Contents
From the Editor
- Getting stuck on a name: An example of an eponymous syndrome
Debate continues about whether we should continue to use eponymous diagnostic nomenclature or shift entirely to an anatomic or pathophysiologic descriptive terminology.
The Clinical Picture
- ‘Boxing glove’ hands in a patient initially diagnosed with RS3PE syndrome
The patient had edema that limited finger flexion, impairing daily tasks such as putting on socks.
- Ogilvie syndrome (colonic pseudo-obstruction)
Two days after the patient underwent surgery to repair a left femur fracture, his abdomen became markedly distended, but without pain.
- Westermark sign (focal oligemia) in pulmonary embolism
The patient’s chest radiograph showed a focal area of reduced blood flow in the middle and upper zones of the right lung.
Symptoms to Diagnosis
- A 24-year-old man with severe hemolytic anemia and variable Coombs test results
The patient was admitted to the hospital because of dark urine, jaundice, fatigue, and confusion.
Guidelines to Practice
- Optimizing bowel preparation for colonoscopy: Updated consensus recommendations
Key updates in the 2025 guideline include simplifying dietary restrictions to low-residue foods for a single day before colonoscopy, preferring 2-L over 4-L preparation regimens, and universally recommending split-dose administration.
Review
Polycystic ovary syndrome: An update on diagnosis and managementBecause this syndrome affects health throughout the lifespan, long-term management is essential, not only to control symptoms but also to prevent associated metabolic conditions.
Commentary
Detecting alpha-1 antitrypsin deficiency early is imperative because diagnostic delay is associated with harm, including worsened clinical status and impaired survival.