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Not so Obvious: Acute Herpes Esophagitis

  The gross examination immediately suggested infection with Candida species, but biopsy results pointed to a different culprit. A 29-year-old woman sought care in the emergency department after experiencing sharp epigastric pain over 2 days. She was initially seen at an urgent care center and empirically treated for gastritis with omeprazole. However, her pain progressively worsened and […]

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More than a Mite Contagious: Crusted Scabies

Although an extensive skin infestation might be expected to cause serious discomfort, this is not always the case. A holiday visit sparked concern among family members when they saw that their relative, a 53-year-old woman who lived alone, was unable to perform routine daily activities. They brought her to the hospital to be evaluated for […]

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The Master Clinician’s Approach to Diagnostic Reasoning

“The value of experience is not seeing much, but in seeing wisely.” William Osler, MD “There are only three things that are important in medicine: diagnosis, diagnosis, diagnosis.” Charles Bryan, MD   Just as age, of itself, does not make a person wise, experience in medicine without clinical insight does not improve diagnostic skills. Clinical […]

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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 […]

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Popeye defromity

Case Studies Tab Added to AJM Blog

Do you like to read interesting case studies and diagnostic dilemmas? If so, check out the new tab at the top of the AJM blog. We have added a collection of case studies from over the years– including one on the Popeye Deformity, pictured here. The most recent ones are first, but you can use […]

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