Table of Contents
From the Editor
- A physician’s response to observational studies of opioid prescribing
Not long ago, we were told we needed to do better at relieving pain.
1-Minute Consult
- Which patients with pulmonary embolism need echocardiography?
The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.
The Clinical Picture
- Renal vein thrombosis and pulmonary embolism
A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.
- Back pain as a sign of inferior vena cava filter complications
Complications can include filter movement, fracture, occlusion, and penetration.
Studies That Changed My Practice
- How acute pain leads to chronic opioid use
Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.
Symptoms to Diagnosis
- Pulmonary infarction due to pulmonary embolism
A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.
Review
- Perioperative cardiovascular medicine: 5 questions for 2018
Findings of recent studies regarding aspirin, troponin T, hypotension, patent foramen ovale, and recurrent stroke.
Influenza update 2018–2019: 100 years after the great pandemicA centennial year update on immunization, epidemiology, transmission, and treatment of influenza.
- Men’s health 2018: BPH, prostate cancer, erectile dysfunction, supplements
Latest research in 4 areas of men’s health commonly addressed in primary care.
Review
- Bisphosphonate-related atypical femoral fracture: Managing a rare but serious complication
Concern about this rare complication has led to a decrease in bisphosphonate use.
Commentary
Screening for prostate cancer reduces mortality rates and metastatic disease, and the paradigm continues to evolve.