Table of Contents
From the Editor
- Thoughtful vaccination
Vaccination against the varicella-zoster virus reduces the likelihood of shingles and postherpetic neuralgia.
The Clinical Picture
- A broken pacemaker lead in a 69-year-old woman
The patient presented with fatigue, cough, light-headedness, and a heart rate of 30 beats per minute.
- A second-degree burn after MRI
After undergoing imaging, the patient had 2 new bullous lesions on his inner thighs.
1-Minute Consult
- Which bowel preparation should be used for colonoscopy in patients who have had bariatric surgery?
The authors routinely use low-volume (2-L) polyethylene glycol preparations in split-dose regimens.
Review
- Diabetes control during Ramadan fasting
For diabetic patients, fasting during Ramadan can cause wide fluctuations in blood sugar levels.
Editorial
- Strategies for management of intermittent fasting in patients with diabetes
The focus is on avoiding hypoglycemia, but patients also need to know the risks of hyperglycemia and ketoacidosis.
Review
- Preventing herpes zoster through vaccination: New developments
Because protection wanes by 10 years, a booster dose may be necessary but is not yet recommended.
- Sexual dysfunction in women: Can we talk about it?
Sexual health may be difficult to discuss, for both the patient and the provider.
Use and misuse of opioid agonists in opioid addictionMethadone and buprenorphine can reduce craving and opioid use but remain misunderstood and underused.
Editorial
- A rational approach to opioid use disorder in primary care
Treating addiction is quickly becoming part of primary care. Clinicians can no longer turn a blind eye toward this problem.
Review
- Peripartum depression: Early recognition improves outcomes
Evidence is mounting that the risks of untreated maternal depression outweigh those of treating it.
- Chronic constipation: Update on management
If conservative treatments fail, clinicians can choose from a growing list of new ones.
