Table of Contents

VOL 119 / NO 1 / June-July 2006 / POSTGRADUATE MEDICINE

• SYMPOSIUM ON OSTEOPOROSIS

  OSTEOPOROSIS IN PREMENOPAUSE
  When are screening and treatment prudent?
  Although the relative importance of bone mineral density measurements and their correlation with fracture risk are not well established in premenopausal women, screening is appropriate for women in this age-group who are at high risk for osteoporosis.
  Chris T. Derk, MD
  
• BONE DENSITOMETRY
  Interpretation and pitfalls
  Dual-energy x-ray absorptiometry (DXA) scans continue to increase the identification and influence the management of osteoporosis.
  Monica Agarwal, MD, Pauline Camacho, MD
  

• Commentary

  TACKLING VITAMIN D DEFICIENCY

  Identification and treatment of patients with vitamin D deficiency is important for optimal bone development and muscle strength.
  Heidi S. Powell, MD, Deborah Greenberg, MD
  

• CLINICAL UPDATES

  HIP FRACTURE
  Risk factors, preoperative assessment, and postoperative management
  The primary care physician's role in coordinating an interdisciplinary team effort before and after hip surgery.
  T. S. Dharmarajan, MD, Prabir Banik, MD
  
• UPDATE ON ACUTE UNCOMPLICATED URINARY TRACT INFECTION IN WOMEN
  Because of growing resistance to causative pathogens, alternative antibiotic agents, as well as prophylactic strategies, are needed.
  Christopher A. Czaja, MD, Thomas M. Hooton, MD
  
• THE NEW MENINGOCOCCAL CONJUGATE VACCINE
  A profile of its safety, efficacy, and indications for use
  The new meningococcal quadrivalent conjugate vaccine offers several advantages over the older polysaccharide vaccine.
  Michael E. Pichichero, MD
  
• A COMPREHENSIVE APPROACH TO PARKINSON'S DISEASE
  How to manage fluctuating motor and nonmotor symptoms
  Symptom control can be achieved through appropriate drug therapy, prompt recognition of drug side effects, and neurosurgical referral should medical therapy fail.
  Stephen Brunton, MD
  
• CHOLESTATIC LIVER DISEASE
  Recognizing the clinical signs
  Primary biliary cirrhosis, primary sclerosing cholangitis, and cholangiocarcinoma can be clearly differentiated, but effective treatments short of transplantation remain elusive.
  Abhijit S. Bhatia, MD, Anastasios A. Mihas, MD, DMSc
  
• EPISTAXIS PACKING
  Practical pointers for nosebleed control
  A simplified approach to treatment using three types of packs that work in virtually every situation.
  David A. Randall, MD
  
• WHEN CHRONIC KIDNEY DISEASE BECOMES ADVANCED
  Guidelines for care in the emergency department and hospital
  Understanding dialysis requirements, medication contraindications, dietary restrictions, and appropriate laboratory tests helps reduce both complications and unnecessary procedures that can put patients at risk for anemia.
  Ari Mosenkis, MD, Deepa Kirk, MD, Jeffrey S. Berns, MD
  
• PRIMARY SYSTEMIC AMYLOIDOSIS
  
  Early diagnosis and therapy can improve survival rates and quality of life
  The availability of many effective treatments has improved the outlook of patients with this frustrating disease.
  Archana Roy, MD, Vivek Roy, MD
  

• CONTINUING FEATURES

  EDITOR'S NOTE
  Change can be good
  
• PEARLS IN DERMATOLOGY
  Sudden enlargement and tenderness of a stable neck mass
  Fadi I. Jabr, MD
  
• PATIENT NOTES
  Preventing osteoporosis
  Risk factors, DXA testing, and bone-strengthening strategies.
  Peter A. Setness, MD, with Mary Van Beusekom
  

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