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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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Not What It Looks Like

Not What It Looks Like: A Transient Cardiomyopathy Significant cardiac signs and symptoms developed in a young patient undergoing treatment for a severe infection. The 23-year-old man presented with a left groin abscess and a 5-day history of fever. Computed tomography (CT) showed findings consistent with fasciitis (Figure 1). He was initially treated with intravenous […]

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Beyond Mammography?

Is it time to end the one-size-fits all approach to breast cancer screening? Yes! say authors of a provocative new review article and related editorial in the June 2013 issue of The American Journal of Medicine, now available on our website.

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Divulged through Imaging

Imaging Divulged What Signs and Symptoms Didn’t: Acute Pericarditis Shortness of breath in an 85-year-old man posed a diagnostic challenge. He presented with a 2-month history of progressively worsening dyspnea on exertion. Over the previous week, he also experienced orthopnea and bilateral lower-extremity edema. He denied chest pain or recent febrile illness. His medical history […]

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The Immortality Myth

Dismissing the Immortality Myth: Improving Care and Incidentally Reducing Costs Is our “death evasion fantasy” driving up health care costs? Check out this provocative commentary from our May 2013 issue. -Ed. A major driver of health care costs that seems to be off limits for any discussion is the American trait of denying death, with […]

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