Table of Contents
From the Editor
- The initial viral infection may be only part of the story
We clearly see that the coronavirus elicits syndromes far afield from respiratory tissues. But a virus eliciting effects seemingly distinct from the primary infection is nothing new.
The Clinical Picture
- Abdominal pseudohernia due to herpes zoster
A 66-year-old man presents with bulging and persistent burning pain in the right abdominal side for 4 days.
- Leriche syndrome
Physical examination revealed pallor of the toes, cold extremities, dry skin, and absence of bilateral femoral pulses. The patient also disclosed erectile dysfunction.
- Dermatomyositis-related interstitial lung disease mimicking COVID-19 pneumonia
A subtype of myositis with characteristic skin rashes and ulcers, amyopathic or hypomyopathic symptoms, and rapidly progressive ILD.
Symptoms to Diagnosis
- An 86-year-old man with unexplained right-sided headache and vision loss
Steroid treatment for suspected giant cell arteritis brought no improvement in vision or headache severity.
Review
Stress testing and noninvasive coronary imaging: What’s the best test for my patient?A review of current tests, what they measure, their diagnostic and prognostic value, and their limitations.
- Medical, ethical, and legal aspects of end-of-life dilemmas in the intensive care unit
Three hypothetical cases elucidate medical, ethical, and legal considerations in common end-of-life situations encountered in the ICU.
Commentary
The changes leave clinicians with the challenge of identifying appropriate patients.