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Acquired Generalized Lipodystrophy Following Immune Thrombocytopenia

We describe an adult male patient with acquired generalized lipodystrophy preceded by autoimmune thrombocytopenia. A 44-year-old man with adult-onset type I diabetes presented with 4 weeks of fat wasting in his face, neck, torso, and arms. He was hospitalized 9 months earlier for epistaxis and isolated thrombocytopenia with a presenting platelet count of 3 k/μL. […]

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People Were Staring…

Sometimes, a patient minimizes the symptoms of his or her illness, while at other times a condition can be glaringly evident and frankly observable to all. Both of these seemingly opposite situations occurred simultaneously in this case of a rare skin condition. A 27-year-old man with a medical history of atopic dermatitis presented with a […]

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Black Hairy Tongue

Black Hairy Tongue: If You’re Tongue Looks Like This, Brush It More Often A 62-year-old man, known for alcohol and tobacco abuse, was diagnosed with laryngeal squamous cell carcinoma in 2008. He underwent curative radiotherapy (70 Gy), delivered to the laryngeal and oropharyngeal area as well as the neck. Follow-up 4 months after this treatment […]

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Squat Maneuvers & Diagnosis

Should the Routine Physical Examination Include Squat Maneuvers? Few primary care physicians or even cardiologists ask patients to squat routinely as part of the physical examination despite evidence that squatting is a quick and simple means of augmenting the cardiac examination.(1, 2, 3, 4) Characteristic hemodynamic changes may occur when patients squat or stand upright […]

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Better Health: Can Physical Exams Save Healthcare Costs?

The Better Health blog recently posted an interesting story about really seeing your patients during the physical exam: Can Physical Exams Save Healthcare Costs? The American Journal of Medicine has published many research articles and commentaries about the art of physical examination. In addition, the Journal’s Physical Findings section is a regular feature, which occurs […]

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