Archive | diagnostic tests RSS feed for this section

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: […]

Read more

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 […]

Read more

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.

Read more

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 […]

Read more

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 […]

Read more