Table of Contents
From the Editor
- Appropriate diagnosis of tickborne infections
Fear of undertreatment of early infection can morph into unwarranted treatment of nonexistent chronic infection.
The Clinical Picture
- Swelling of both arms and chest after push-ups
Symptoms of rhabdomyolysis: myalgia, muscle weakness, dark urine, and, in some, muscle swelling.
- Secondary syphilis
A 39-year-old man presents with generalized weakness, headache, nausea, and migratory arthralgia.
Editorial
- Syphilis 100 years later: Another lost opportunity?
A century of progress and then backward steps on syphilis and other sexually transmitted diseases.
The Clinical Picture
- A large mass in the right ventricle: Tumor or thrombus?
A 69-year-old woman with ovarian cancer presents with worsening dyspnea, lower-extremity edema, and dizziness.
Review
Breast cancer screening: Does tomosynthesis augment mammography?This technology may reduce recall rates and increase cancer detection rates, but outcome studies are needed.
- Living with hematologic cancer: Recommendations, solutions
Once-terminal diagnoses are now chronic conditions. Survivors need a plan.
- Patients with challenging behaviors: Communication strategies
Having a plan to deal with difficult personality types leads to better communication and outcomes—and less stress.
Editorial
- Labels matter: Challenging conversations or challenging people?
Caring for patients is a complex, intricate, intimate privilege. To characterize it otherwise is to not fully understand it.
Review
- Optimizing diagnostic testing for venous thromboembolism
A thoughtful approach to diagnosing venous thromboembolism and screening for thrombophilic disorders.
- Tickborne diseases other than Lyme in the United States
Consider them in patients with known or potential tick exposure and fever or vague constitutional symptoms.
