Spotlight
Primary Care
Ultrasound Plus Mammography for Breast Cancer Screening
- General Medicine
- Summary and Comment
- Subscription required
Adding ultrasound improved detection but led to more false-positives.
- By Thomas L. Schwenk, MD
- May 15, 2008
- Covering JAMA 2008 May 14
Specialty Care
Melanoma Prognosis Based on Anatomic Site
- Dermatology
- Summary and Comment
- Free
We don’t know why, but location affects prognosis.
- By George J. Hruza, MD
- May 16, 2008
- Covering Arch Dermatol 2008 Apr
Vitamin D and Infections
- Dermatology
- Summary and Comment
- Subscription required
The discovery of vitamin D’s role in host defense points to new therapeutic targets in dermatology.
- By Mark V. Dahl, MD
- May 16, 2008
- Covering J Invest Dermatol 2008 Apr
Kidney Failure After Unidentified Filler Injection
- Dermatology
- Summary and Comment
- Subscription required
Three cases of severe complications occurred after injections by an unlicensed operator.
- By George J. Hruza, MD
- May 16, 2008
- Covering MMWR Morb Mortal Wkly Rep 2008 May 2
A Few More T Cells and Cytokines to Investigate in Psoriasis
- Dermatology
- Summary and Comment
- Subscription required
Th17 cells, known to be linked to autoimmune disorders, were found at elevated levels in psoriatic plaques.
- By Craig A. Elmets, MD
- May 16, 2008
- Covering J Invest Dermatol 2008 May
Troponins and Acute Decompensated Heart Failure
- Emergency Medicine
- Summary and Comment
- Subscription required
In acute decompensated heart failure, as in acute coronary syndromes, troponin elevation portends worse outcome.
- By J. Stephen Bohan, MD, MS, FACP, FACEP
- May 16, 2008
- Covering N Engl J Med 2008 May 15
Acute Hemorrhagic Stroke: rFVIIa Is Not Effective
- Emergency Medicine
- Summary and Comment
- Free
The promise shown previously for rFVIIa was not sustained in this trial.
- By J. Stephen Bohan, MD, MS, FACP, FACEP
- May 16, 2008
- Covering N Engl J Med 2008 May 15
Is CT Plus MRI Better Than CT Alone for Cervical Spine Evaluation?
- Emergency Medicine
- Summary and Comment
- Subscription required
These findings support the use of MRI in patients with unreliable neurologic exams.
- By John A. Marx, MD, FAAEM, FACEP
- May 16, 2008
- Covering J Trauma 2008 Apr
Acute Lung Injury: A Result of How and When We Treat Septic Shock
- Emergency Medicine
- Summary and Comment
- Subscription required
Delayed goal-directed resuscitation, recent chemotherapy, and delayed antibiotic administration were risk factors for acute lung injury in an observational cohort study.
- By Tiffany M. Osborn, MD
- May 16, 2008
- Covering Crit Care Med 2008 May
Pay for Performance: Emergency Medicine Is No Longer Immune
- Emergency Medicine
- Summary and Comment
- Subscription required
Not all measures are appropriate, but they could have been even worse.
- By Richard D. Zane, MD, FAAEM
- May 16, 2008
- Covering Ann Emerg Med 2008 May
Renal Damage from Oral Sodium Phosphate
- Gastroenterology
- Summary and Comment
- Subscription required
Acute phosphate nephropathy is a real concern, even in patients with normal preprocedure renal function.
- By Douglas K. Rex, MD
- May 16, 2008
- Covering Arch Intern Med 2008 Mar 24
H. pylori Eradication and Gastric Intestinal Metaplasia
- Gastroenterology
- Summary and Comment
- Subscription required
Although histologic scores were not reduced with H. pylori eradication, the cellular phenotype of gastric intestinal metaplasia was changed in many patients.
- By David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
- May 16, 2008
- Covering Clin Gastroenterol Hepatol 2008 Apr