American Journal of Medicine, internal medicine, medicine, health, healthy lifestyles, cancer, heart disease, drugs
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Coronary Artery Disease Among Postmenopausal Women

  Epidemiological studies have shown a higher risk of cardiovascular mortality associated with early menopause, but the relation between menopausal age and extent of coronary artery disease after menopause is unknown. We assessed the relation between menopausal age and extent of coronary disease in postmenopausal women with an acute coronary syndrome. Methods A prospective study […]

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Demographics and Epidemiology of Sudden Deaths in Young Athletes

  Sudden deaths in young competitive athletes are tragic events, with high public visibility. The importance of race and gender with respect to sport and the diagnosis and causes of sudden death in athletes has generated substantial interest. Methods The US National Registry of Sudden Death in Athletes, 1980-2011, was accessed to define the epidemiology […]

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Plasma Lactescence in Acute Pancreatitis

A 54-year-old man with history of diabetes mellitus and acute necrotizing pancreatitis was admitted with acute abdominal pain. A computed tomography scan of the abdomen revealed findings consistent with acute pancreatitis. Initial laboratory analysis was unremarkable except for HbA1c 11.1%, lipase of 2195 U/L, and amylase of 234 U/L. Interestingly, the laboratory reported that the […]

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Mental Health and Cardiovascular Disease

For centuries, the mind–body relationship has been postulated. These findings suggest that depression and anxiety are not simply “in the mind.” They are real illnesses, like any other physical illnesses, and can negatively impact the entire body, including the cardiovascular system. Despite the abundance of investigation and demonstration of a clear relationship between mental health […]

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Unmasking a Hidden Cause of Persistent Facial Ulceration: The Relevancy of a Neurologic Examination

Upon presentation, the patient was afebrile and hypertensive to 199/81 mm Hg. Physical examination revealed prominent tender left-sided preauricular and submandibular lymphadenopathy and a linear crusted ulcer with jagged edges extending from the inferior aspect of the medial left eyebrow to the left nasolabial fold (Figure 1). Neurologic examination was notable for left-sided ptosis and miosis, […]

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Essential Facts About Mosquito Control and Zika Virus

The threat to persons living in the southern United States from Zika virus (ZIKV) is both significant and ongoing. Although there are several modes of transmission of ZIKV to humans, mosquito transmission is the primary avenue by which persons become infected. Only 2 mosquito species are likely able to transmit ZIKV to humans in the […]

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An Unusually Long Process: Eagle Syndrome

For a tiny subset of patients, an anomaly in the skull’s architecture can precipitate significant symptoms. That was true for a 34-year-old woman who presented with a 5-month history of diffuse neck pain that increased with movement. For the previous 3 months, discomfort was associated with the feeling that she had a lump in the […]

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Presumptive Lupus Enteritis

A 22-year-old student of engineering presented with a 2-week history of facial puffiness and pedal edema. Investigations revealed anemia, lymphopenia, urinary nephritic sediment, low complements, antinuclear antibodies with a homogenous pattern on immunofluorescence, and high titers of anti–double-stranded DNA antibodies. A renal biopsy was performed, and the results were uneventful. It confirmed class 4 lupus […]

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Recurrent Syncope: An Unusual Complication of Hypertensive Heart Disease

To the Editor: Syncope accompanied by outflow tract obstruction most commonly is associated with obstructive forms of hypertrophic cardiomyopathy. Outflow tract obstruction also may be seen in select diseases that cause ventricular hypertrophy, including aortic valve replacement for aortic valve stenosis, myocardial infarction, and pheochromocytoma. Initially described by Brock, there have been several reports of hypertension implicated […]

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Joseph S. Alpert

Reflections on a Recent Trip to Lithuania and the Global Family of Physicians

My wife and I recently returned from a trip to Vilnius, Lithuania. It was my third trip there and her second. Each time we have gone to Lithuania, we have been made to feel like members of our host’s family. Here is the story that led to our current close personal and professional friendships in […]

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