Table of Contents
From the Editor
- Quality, frailty, and common sense
Ideal management of the frail elder with severe congestive heart failure is not always a matter of devices and drugs.
Im Board Review
- A 25-year-old man with very high alkaline phosphatase
He has generalized malaise, a palpably enlarged liver, and an alkaline phosphatase level of 1,307 U/L. What is the cause?
The Clinical Picture
- A less common source of dyspnea in scleroderma
A 48-year-old man with scleroderma reports progressive shortness of breath, fatigue, and melena over the past month. What is the link?
- Presumed premature ventricular contractions
The electrocardiogram shows what appear to be premature ventricular contractions. But are they?
Im Board Review
- A 54-year-old woman with pancytopenia
Her red blood cell, white blood cell, and platelet counts are all low. What is the cause?
Review
Essential tremor: Choosing the right management plan for your patientSuccessful management entails excluding secondary causes, carefully selecting drug therapy, and, in severe resistant or atypical cases, referring to a specialist.
Current Drug Therapy
- Bioidentical hormone therapy: Clarifying the misconceptions
Many women are turning to bioidentical hormone therapy on the basis of misconceptions, which we hope to clarify.
Review
- Heart failure in frail, older patients: We can do ‘MORE’
A comprehensive approach is necessary in managing heart failure in frail older adults. Physicians need to draw from the fields of internal medicine, geriatrics, and cardiology.
Departments
- The negative U wave in the setting of demand ischemia (August 2011)
Readers comment on negative U waves (August 2011) and on dabigatran (October 2011).
- Dabigatran (October 2011)
Readers comment on negative U waves (August 2011) and on dabigatran (October 2011).
