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Venturing Out on a Limb: Axillary Web Syndrome

  Axillary web syndrome is a poorly understood cause of morbidity after lymph node surgery characterized by visible or palpable cords in the involved axilla extending down into the medial arm and forearm, often accompanied by a sensation of tightness, limitation of movement, and pain. Axillary web syndrome was first described in 2001 as a […]

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Curious Case of Wheezing: Carcinoid Heart Disease

  A 58-year-old African American woman with a history of well-controlled hypertension (on amlodipine and lisinopril) presented with a 2-month history of anorexia, early satiety, dysgeusia, and intermittent loose stools, symptoms that had progressed to the point that she had experienced a 20-pound weight loss. These abdominal symptoms also were accompanied by progressive exertional dyspnea […]

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Benign but Not Harmless: Solitary Fibrous Tumor

For one unfortunate patient, benign histopathology did not lead to a good outcome. A 74-year-old woman presented with dyspnea on exertion and altered mental status. She had no history of lung disease and denied other cardiopulmonary, abdominal, or constitutional symptoms. Her past medical history, besides many years of tobacco abuse, was unremarkable Assessment While the […]

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An Incidentaloma in the Cardiology Clinic

  Paragangliomas are rare neuroendocrine tumors of neural crest origin.1, 2 In this report, we describe the exhaustive diagnostic workup involved in the diagnosis of a paraganglioma, which was first noted as an incidental mass in the proximity of left atrium on a routine transthoracic echocardiogram (TTE). Case Report A 55-year-old man with a history of valvular […]

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Smoking Cessation: The Urgent Need for Increased Utilization of Varenicline

In the US, cigarette smoking causes 480,000 premature deaths annually, due mainly to a twofold increased risk of cardiovascular disease and a 20-fold increased risk of lung cancer.1 Public health efforts and effective cessation treatments–including behavioral counseling and medications–have decreased US rates to approximately 14%; they are markedly increasing in most developing countries.2 Smoking and the emerging […]

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