Nearly Missed: Postpartum Type B Aortic Dissection

Presentation A new mother was evaluated 3 times over 2 weeks before the aortic tear responsible for her symptoms was identified. The patient, a 37-year-old woman who had been previously healthy, was 1 week postpartum when she presented to the emergency department with chest pain, shortness of breath, and lower extremity swelling. She was discharged […]

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Holiday Blues: Recognizing & Treating Depression

In the US, the holiday season between Thanksgiving and New Year’s Eve is filled with parties, family, good food, gifts, and togetherness. It’s a time when love, forgiveness, and good cheer are in the air. Or, at least, that is how the holidays are depicted by the media. For many, the holidays are a time […]

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Variability in United States Allopathic Medical School Tuition

Background Over the course of the last generation, the cost of medical school attendance and medical student debt has increased drastically. Medical student debt has been reported as high as $350,000, and the Association of American Medical Colleges (AAMC) reports that medical school tuition continues to increase annually. The increasing cost of medical education and […]

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Anthony Bourdain: From ‘Kitchen Confidential’ to Hospital Hallways

Good Advice from Anthony Bourdain My wife and I are big fans of chef Anthony Bourdain. In his bestselling book, Kitchen Confidential,1 Bourdain lists some sage advice for anyone considering a career as a chef. On reading this list, I realized that many of his bon mots apply equally well to a life lived in medicine. Below […]

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New Functionality, More Social Media Added to AJM Blog

The American Journal of Medicine blog got a minor face lift this week, in an effort to strengthen the Journal’s social media presence, as well as tie the blog to other AJM/Elsevier services and resources. Although the slide show carousel of new blog posts still appears at the top, and the latest posts appear in the […]

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Just Scratching the Surface: Intractable Nausea and Vomiting

Presentation Linitis plastica is an uncommon (<20% of all gastric cancers) and aggressive form of gastric cancer with a high rate of metastatic disease at the time of diagnosis and poor prognosis.We present a case of linitis plastica masquerading as peptic stricture in a young Hispanic woman. The diagnosis was delayed owing to sparing of […]

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AJM on Social Media: Tweeting Trends Show Reader Interest

The American Journal of Medicine’s home page–– has an interesting link to Altmetrics, an online tool that measures social media engagement with the Journal’s research articles. So, what are people reading about the most, according social media? Marijuana, guns, male microchimerism, and a whole lot more. Below is a list of the top AJM […]

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Difficult to Identify

Vague symptoms belied a 59-year-old woman’s dire situation. She presented with a 3-month history of abdominal pain, constipation, and anorexia, accompanied by a 40-pound (18.1 kg) weight loss. Initially she had attempted to manage her symptoms conservatively, but worsening abdominal pain, bloating, and loss of appetite prompted her to seek medical care. The patient denied […]

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social media

Using Text Messages to Improve Medication Adherence

One-way Versus Two-way Text Messaging on Improving Medication Adherence: Meta-analysis of Randomized Trials Two-way text messaging (reminder plus patient reply) improves medication adherence by 23%, while one-way text messaging (reminder only) has little or no effect. Abstract Background Mobile telephone text messaging is a simple potential solution to the failure to take medications as directed. […]

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