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Primary Care Management of Skin Abscesses Guided by Ultrasound

Primary care providers often manage skin abscesses in the outpatient setting. Estimating the size and depth of an abscess, and distinguishing abscess from cellulitis by clinical examination can be challenging due to surrounding firm tissue induration. Definitive treatment of abscess requires incision and drainage, and the approach chosen may be altered by abscess size, depth, […]

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Still Febrile After All These Weeks

A previously healthy 28-year-old man was admitted to an outside hospital with fever, pharyngitis, and diarrhea. His symptoms began with generalized fatigue, fever, night sweats, pharyngitis, diffuse myalgias and arthralgias, and 10-pound weight loss. He self-administered a 5-day course of azithromycin. Afterwards, he developed malodorous and watery diarrhea, abdominal cramping, tenesmus, and incomplete evacuation. On […]

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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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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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Over-testing: Why More Is Not Better

Over-testing is at the root of many of our problems. Ordering, reviewing, and interpreting tests, explaining results, and follow-up testing consume valuable time. When a test isn’t necessary, time can be more appropriately spent counseling patients, listening to them, and redoubling efforts to follow well-supported preventive guidelines. Over-testing may be defined as the use of: […]

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