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April 2007 • Vol 53 • No 4


Features

  Drug Update
Sitagliptin: First DPP-4 Inhibitor for Type 2 Diabetes

Approach to the Patient with Low HDL Cholesterol: An Independent Risk Factor for Cardiovascular Disease
  With self-assessment test
  by Mirza Perez, PharmD, Temple University, Gregory Mokrynski, MD, Jefferson Medical College, and Mark G. Graham, MD, Thomas Jefferson University Hospital
  Low high-density lipoprotein level has emerged as a new therapeutic target that can be managed with a combination of lifestyle modifications and pharmacotherapy. Potent medications are available and new ones are in the pipeline.
Safe Oral Equianalgesic Opioid Dosing for Patients With Moderate-to-severe Pain
  With self-assessment test
  by Samuel M. Galvagno, Jr, DO, Brigham and Women's Hospital, Darin J. Correll, MD, Harvard Medical School, and Sanjeet Narang, MD, Harvard Medical School
  The authors clarify common misconceptions about these powerful yet underused analgesics and present tips on safely switching a patient from one opioid to another.
  Case Report
Cyclical High Fevers and Chills in a Recent Immigrant: Increasing Incidence of Malaria in the United States
  by Jeffrey T. Kirchner, DO, Lancaster General Hospital, Lancaster, Pa
  With the rise in international travel, physicians should be on the alert for symptoms in patients who have been to an endemic area; early diagnosis is essential for successful treatment.
  Case Report
Magnan-Saury's Sign Revisited
  by Vasant P. Dhopesh, MD, Pilar Cristancho, MD, and Stanley N. Caroff, MD, University of Pennsylvania School of Medicine
  The presence of tell-tale self-induced skin lesions is an important clue to covert cocaine dependence.
Unexpected Death in the Emergency Department: How to Tell the Family
  With self-assessment test
  by Thomas Barry, MD, Temple University Hospital
  Notifying next-of-kin of the death of a loved one presents many challenges, but physicians receive little training for it. Appropriate preparation can improve physicians' skills and reduce discomfort level.


Departments

  Photo Quiz
Dermatology
  Photo Quiz
Oncology
Top 10 Clinical Pearls in Pain Management
  Picture Perfect
An Infectious Type of Angina
  Code Blue from the Resident and Fellow Section of the AMA
Lobby Day 2007

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