Cardiac Stress Testing

AJM Contest: ‘Best Medical Image’ Case

Every physician has seen patients whose diagnoses and the corresponding medical images are remarkable. Now The American Journal of Medicine has created a medical imaging case report competition to help you share your most fascinating cases.  All members of the international medical community are invited to submit their most extraordinary medical imaging cases for consideration. […]

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The Perils of Country Life

The Perils of Country Life: Human Monocytic Ehrlichiosis An ordinary day began with a patient transfer from a rural hospital in Eastern Kentucky. The 26-year-old woman presented to the outside hospital with a 2-day history of shortness of breath and productive cough, which had been preceded by several days of generalized fatigue, subjective fever, and […]

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prescription drugs

CME: Tools for Safe Prescribing in Chronic Pain Management

The American Journal of Medicine and the Journal of Pain and Symptom Management are sponsoring continuing medical education (CME) resource center on safe prescribing practices for opioids. The Opioid REMS Resource: Tools for Safe Prescribing in Chronic Pain Management provides you with free access to the latest peer-reviewed clinical information relating to ER/LA opioid treatment and management […]

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Irritable Bowel Syndrome: Combating a Common Complaint (video)

Irritable bowel syndrome is the most common functional gastrointestinal disorder, manifesting as abdominal pain/discomfort and altered bowel function.  Despite affecting as many as 20% of adults, a lack of understanding of etiopathogenesis and evaluation strategies results in diagnostic uncertainty. In the August 2015 issue of The American Journal of Medicine, Sayuk and Gyawali detail modern […]

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Healthcare Costs

Caveats to Consider When Calculating Healthcare Value

Concerns about the impact of healthcare costs on the economy and the exploration of new reimbursement models have colluded to encourage a transition “from volume to value” in US healthcare. “Volume” meant that healthcare providers received a payment for providing a particular service, regardless of outcomes or need; healthcare reimbursement has been volume-based for 50 […]

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Doctor at work

Solutions to the Primary Care Physician Shortage

A primary care physician shortage currently exists in this country. As millions get health insurance under the Patient Protection and Affordable Care Act, this shortage is likely to grow. It is imperative that leaders recognize the need to grow primary care capacity. This piece will explore solutions to increase primary care capacity in the United […]

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It Took a Village: Good’s Syndrome

A complex medical history became even more tangled when a 52-year-old man presented with a 4-week history of dry cough, dyspnea, weight loss, chills, subcutaneous nodules on his extremities, and fatigue. He had no fever. Initially, his primary care physician examined him and prescribed a course of clindamycin. Although the patient completed therapy, the nodules […]

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AJM’s Best of 2014: The Lives of Black Physicians in the South

Professor and Dr Richard D. deShazo et al’s series of articles dealing with the history of African American medical school applicants and physicians in the Deep South during the contentious years of desegregation represent the very best articles published in The American Journal of Medicine during 2014. Dr deShazo et al courageously detail the various ways in which discriminatory practices were used […]

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Are e-Cigarettes Safe?

As the popularity of e-cigarettes increases, concerns are being raised about their safety and lack of regulation. E-cigarettes are not regulated or taxed like normal tobacco-containing cigarettes. Unlike nicotine inhalers, the exact chemical content of the liquid that is heated in the e-cigarettes is unknown, and e-cigarettes have not been clinically proven to promote smoking cessation. […]

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food

The Mediterranean Diet: What You Should Know

Diet fads are a dime a dozen, but one diet has risen about the rest in terms of effectiveness– the Mediterranean Diet. The American Journal of Medicine often publishes prevention-related articles that focus on diet, exercise, and lifestyle. Given the obesity epidemic, it’s important for physicians to be able to advise patients on weight management and […]

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Women in High-Income Medical Ed Jobs Paid Less than Men

The existence of gender-based wage gaps in many occupations continues to be a hot-button topic in social and political debates. While much attention has been focused on medium- and lower-wage positions, some studies have shown that wage disparities extend to high-wage, high-prestige positions. According to a new study published in The American Journal of Medicine, […]

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Firearm-related Hospitalizations Track Ups & Downs of US Stock Market

Over 2001-2011, the national incidence of firearm-related hospitalizations has closely tracked the national stock market performance, suggesting that economic perturbations and resultant insecurities might underlie the perpetuation of firearm-related injuries, according to a new study published in The American Journal of Medicine. Although the fatality rates have remained stable over the last two decades, the […]

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48% of US Population Will Have Chronic Disease by 2020

  Chronic disease accounts for 7 of every 10 deaths in the United States and more than 75% of total health care costs. Among people 65 years old and older, over 92% suffer from one or more chronic diseases. By 2020, it is estimated that 48% of the total population will have chronic disease. In […]

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What Mediators Can Teach Physicians About Managing ‘Difficult’ Patients

Between 10% and 12% of patients are considered difficult by their treating physicians,1 indicating a widespread problem. Many physicians report feeling at a loss to know how to effectively manage challenging patient interactions.2 In extreme cases, physicians resort to refusing to treat hostile patients or dismissing them from their clinical practice. But these last-resort measures […]

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