American Journal of Medicine, internal medicine, medicine, health, healthy lifestyles, cancer, heart disease, drugs

Power Failure: Acromegalic Cardiomyopathy

Presentation During his college years, the patient, at 6 ft, 8 in and 280 lb, aroused the attention of professional basketball scouts. But exertional fatigue and shortness of breath truncated his athletic aspirations. These symptoms continued in the ensuing years, necessitating approximately 15 hospitalizations at outside institutions for progressive dyspnea. No discernible etiology was established […]

Read more

Resistant Hypertension and the Pivotal Role for Mineralocorticoid Receptor Antagonists: A Clinical Update 2016

Clinical features of resistant hypertension are described, and the importance of several risk factors undergoing clinical investigation and reappraisal are considered in this review. True resistant hypertension must be distinguished from apparent resistant hypertension, of which important causes include medication nonadherence, illicit drug use, and alcoholism. Ambulatory blood pressure monitoring should be considered to rule out […]

Read more
profile of thin and obese person

Changes in Lipid Profile of Obese Patients following Bariatric Surgery (video)

In-depth, multi-study analysis characterizes role of contemporary bariatric surgery procedures in benefiting serum lipids. Fifty years after the first reported partial-ileal bypass, metabolic surgery has an established role in achieving weight loss and reducing cardiovascular death in obese patients. Scientists have now demonstrated that it can significantly benefit the lipid profiles of these patients a […]

Read more
pills with purple background

A Tool to Assess Risk of De Novo Opioid Abuse or Dependence

Readily available demographic, clinical, behavioral, pharmacy, and geographic information can be used to predict the likelihood of opioid abuse or dependence. Determining risk factors for opioid abuse or dependence will help clinicians practice informed prescribing and may help mitigate opioid abuse or dependence. The purpose of this study is to identify variables predicting opioid abuse […]

Read more
Joseph S. Alpert

‘If You Are Not a Liberal When You Are Young, You Have No Heart, and If You Are Not a Conservative When Old, You Have No Brain’

I have often heard the above headline quoted by politically conservative friends here in the United States. I think of it more and more these days not with respect to any political issue, but rather with respect to my daily rounds in the hospital. When I cite this quote to residents and friends, I am […]

Read more
touchscreen technology in the hospital

Sampling of Electronic Medical Records Predicts Hospital Mortality

  Validated system for monitoring electronic health records in real time predicts patients at a higher risk for mortality, according to new report published in The American Journal of Medicine Hospitalized patients can deteriorate quickly, requiring prompt identification and treatment, especially since each hour of treatment delay can increase the risk of mortality. In a […]

Read more

Cardiac Examination: Stethoscope or Pocket Echo—Why Not Both?

Portable echocardiographic devices were first introduced in 1978.1 As technology has evolved, they have become smaller and more comprehensive. At present, pocket echos (pocket-sized, hand-held cardiac ultrasounds), which cost less than $1000 can, in 5 to 10 minutes, produce data very similar to that obtained by a standard echo examination of the heart. At present (United […]

Read more

Reading Level of Internet Medical Information for Common Diagnoses

The National Institutes of Health (NIH) recommend that health materials be written at a grade 6-7 reading level, which has generally not been achieved in online reading materials. Up to the present time, there have not been any assessments focused on the reading level of online educational materials across the most popular consumer Web sites […]

Read more

A Rare Cause of Large Bowel Obstruction

    A 64-year-old man presented with abdominal distension, pain, and vomiting for 5 days. Computed tomography scan of the abdomen showed dilated small intestine and colon, air in the biliary tree, and a calcified mass in the sigmoid colon. Colonoscopy showed a large impacted stone in the sigmoid colon. This was likely a migrated […]

Read more

Painful Violaceous Purpura on a 44-Year-Old Woman

Returning to the fundamentals of our medical training, eliciting a full social history, including the use of illicit drugs, can be the key to making a correct diagnosis. This point is illustrated in the following case. A 44-year-old woman with a past medical history notable for asthma and heroin abuse, presented to the Emergency Department […]

Read more
UA-42320404-1