Table of Contents
From the Editor
The Clinical Picture
- Air embolism after peripheral IV contrast injectionAs little as 2 to 3 mL of air in the cerebral circulation can be fatal. 
Smart Testing
- Does this young adult patient need a hip radiograph?Hip fractures are uncommon in adults under age 50. 
COVID-19 Curbside Consults
Symptoms to Diagnosis
- Fever in a lung transplant recipientA 36-year-old woman presents with high fevers, chills, nausea, decreased oral intake, and diarrhea. 
- Acute pancreatitis secondary to hypertriglyceridemiaA man presents with acute severe abdominal pain and triglycerides 5,250 mg/dL. 
Review
- Autonomous sensory meridian response: Your patients already know, do you?People are actively seeking it out as a type of complementary therapy. 
- Optimal surveillance and treatment of renal and splenic artery aneurysmsIndications for repair are based on aneurysm location and risk factors for rupture. 
- Long-term consequences of prematuritySurvivors of premature birth may have adverse health effects later in life. 
Letters to the Editor
- COVID-19 coagulopathySkepticism of high-intensity prophylaxis for patients with D-dimer ≥ 3.0 µg/mL. 
- In Reply: COVID-19 coagulopathyAn attempt to balance the potential risks and benefits of intensified prophylaxis. 
- Assessing stable coronary artery diseaseDifferences between the coronary calcium score and CT coronary angiography 
- In Reply: Assessing stable coronaryartery diseaseCT angiography is the appropriate test to exclude left main disease. 





Commentary
Caution for some, but no evidence to support withholding it altogether.