June 2018, Volume 85, Issue Number 6 | MDedge

Table of Contents

Jun 2018
Vol. 85
No. 6

From the Editor

From the Editor

Training physician leaders to save the health system…and us

Author:

Brian F. Mandell, MD, PhD

The success of the health system and the emotional well-being and clinical skills of its physicians are clearly interrelated.
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Commentary

Commentary

Reverse T₃ or perverse T₃? Still puzzling after 40 years

Author:

Cristiane Gomes-Lima, MD

Kenneth D. Burman, MD

Few situations require measuring reverse T₃; diagnosis of euthyroid sick syndrome may be one of them.
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Editorial

Editorial

Is a detailed neurologic physical examination always necessary?

Author:

Richard J. Lederman, MD, PhD

In medicine, we need all the help we can get.
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Smart Testing

Smart Testing

Is Pap testing still needed after hysterectomy?

Author:

Halle G. Sobel, MD

Elise Everett, MD

Laura D. Lipold, MD

There is no need to continue Pap testing after hysterectomy for a benign indication.
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Reviews

Reviews

Evaluating suspected pulmonary hypertension: A structured approach

Author:

Akshay Bhatnagar, MD

Jonathan Wiesen, MD

Raed Dweik, MD

Neal F. Chaisson, MD

With a myriad of causes and nonspecific symptoms, pulmonary hypertension needs a methodic diagnostic approach.
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Reviews

Thoracic aortic aneurysm: How to counsel, when to refer

Author:

Frank Cikach, MD

Milind Y. Desai, MD, FACC, FAHA, FESC

Eric E. Roselli, MD, FACS

Vidyasagar Kalahasti, MD

Be alert for clues on chest imaging, and consider screening first-degree relatives of patients known to have aortic disease.
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Current Drug Therapy

Current Drug Therapy

Hydroxychloroquine: An old drug with new relevance

Author:

Eugen Alexander Shippey III, MD

Vanya D. Wagler, DO, FACP, FACR

Angelique N. Collamer, MD, FACP, FACR

This antimalarial drug is now approved to treat discoid lupus, systemic lupus erythematosus, and rheumatoid arthritis.
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The Clinical Picture

The Clinical Picture

Aortic dissection presenting as ischemic limb

Author:

Faiza Khalid, MD

Shikha Gupta, MD

With surgical repair and blood pressure control, the patient recovered and left the hospital 1 week later.
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The Clinical Picture

Central nervous system lymphoma mimicking Bell palsy

Author:

Kiyoshi Shikino, MD, PhD

Shingo Suzuki, MD, PhD

Takanori Uehara, MD, PhD

Masatomi Ikusaka, MD, PhD

Failure of presumed Bell palsy to improve should prompt an evaluation for an underlying condition.
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The Clinical Picture

Necrotizing fasciitis after a watercraft accident

Author:

Natsu Fukui, MD

Mark Delman, MD

Tuyethoa N. Vinh, MD

Svetolik Djurkovic, MD, FACCP

Despite intravenous antibiotics and surgical debridement, the patient’s right leg had to be amputated.
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Letters To The Editor

Letters To The Editor

‘Non-criteria’ antiphospholipid antibodies and thrombosis

Author:

Satish Maharaj, MBBS

Simone Chang, MBBS

Marwan Shaikh, MD

Antiprothrombin antibodies are associated with thrombosis, can be considered features of antiphospholipid antibody syndrome in the right clinical...
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Letters To The Editor

In reply: ‘Non-criteria’ antiphospholipid antibodies and thrombosis

Author:

Maya Serhal, MD

Heather Gornik, MD, RVT, RPVI

Natalie Evans, MD, RPVI

We do not routinely screen for these “non-criteria” antibodies, but we agree that this is an area that warrants further investigation.
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