September 2007 • Vol 53 • No 8

Features   Editorial Routine HIV Screening—One Year Later Why Do Patients at Highest CV Risk Receive the Least Treatment? The Danger of Doing Too Little   With self-assessment test   by Peter P. Toth, MD, PhD, University of Illinois College of Medicine, Peoria, and Southern Illinois University School of Medicine, Springfield   Preventive cardiology expert outlines the optimal care of patients at very high risk for a cardiovascular event, while reviewing the solid evidence for the benefits of statin therapy.   Case Report Cardiac Tamponade: A Rare Complication of Interferon-Induced Hypothyroidism   by Brad Q Starley, MD, Mary Jo Rohrer, MD, and Stephen A. Harrison, MD, Brooke Army Medical Center, San Antonio, Tex   Hypothyroid-induced pericardial effusions typically accumulate gradually and rarely cause tamponade in the absence of prolonged hypothyroidism. Brugada Syndrome: Recognizing the ECG Patterns   With self-assessment test   by Ami Sharad Joshi, DO, MBA, Hospitalist, Division of Internal Medicine, Cooper University Hospital, Camden, NJ; David Kleinman, MD, Cardiologist, Crozer Chester Medical Center, Chester, Pa   This potentially fatal condition can be prevented by becoming familiar with the characteristic electrocardiographic patterns of the syndrome.   Case Report Relapsing Polychondritis Manifesting as Stroke and Aseptic Meningitis   by Mandeep Hundal, MD, Rajeev Garg, MD, and Niraj Mehta, MD, University of Texas, Houston   Usually affecting cartilage in the nose, ears, and laryngotracheobronchial tree, this condition can also involve the central nervous system.   Case Report Unusual Case of Noncirrhotic Ascites: Tuberculous versus Coccidioidal Peritonitis and the Role of Laparoscopy   by Joel A. Lardizabal, MD, and Royce H. Johnson, MD, UCLA, Kern Medical Center, Bakersfield, Calif   Despite all the earmarks of abdominal tuberculosis, diagnostic laparoscopy and histopathology revealed the presence of coccidioidomycosis with peritoneal dissemination.

Departments   Drug Update Altabax: New Antibacterial for Impetigo, Safe in the Elderly   Photo Quiz Infectious Diseases   Photo Quiz Nephrology Letters to the Editor   Support for HPV vaccine applauded; Islamic law about organ donation misinterpreted   Picture Perfect Ulcerative Facial Lesion in an Elderly Woman   Residents' Corner Efficient and Effective Rounding Current Topics   Code Blue from the Resident and Fellow Section of the AMA Improving Health by Changing Healthcare: One Meeting at a Time