Table of Contents
From the Editor
- The impact of anti-TNF therapy on the nonspecialist
These drugs are being used in a growing number of diseases. We all need to increase our familiarity with their unique risks.
 
The Clinical Picture
- Slow-growing angiomatous lesions on the limbs
Erythematous plaques after age 70 should raise the suspicion of classic Kaposi sarcoma.
 - Wide QRS complex rhythm with pulseless electrical activity
Although this presentation is grave, several of its possible causes can be treated, allowing the patient to recover.
 
1-Minute Consult
- Should patients with gout avoid
No study has directly addressed this issue. In most cases, continue the thiazide and adjust the hypouricemic therapy if necessary.
 
Review
- Clinical update in sexually transmitted diseases –2014
With recent changes to the health care landscape, expect to encounter more patients with STDs.
 - Anticoagulation and antiplatelet therapy in acute coronary syndromes
Antiplatelet and anticoagulant drugs prevent ischemic events but can cause bleeding. Here is how to optimize the benefit.
 - Managing risks of TNF inhibitors: An update for the internist
Tumor necrosis factor inhibitors pose infrequent but serious risks, including infection and malignancy.
 
Departments
- Stiff, numb hands (June 2013)
Readers comment on the measurement of serum calcium in a patient with tetany (June 2013) and on the metabolic side effects of canagliflozin (November 2013).
 - In Reply: Stiff, numb hands (June 2013)
Readers comment on the measurement of serum calcium in a patient with tetany (June 2013) and on the metabolic side effects of canagliflozin (November 2013).
 - Canagliflozin (November 2013)
Readers comment on the measurement of serum calcium in a patient with tetany (June 2013) and on the metabolic side effects of canagliflozin (November 2013).
 



