American Journal of Medicine, internal medicine, medicine, health, healthy lifestyles, cancer, heart disease, drugs

The Great Masquerader Strikes Again!

To the Editor: A 42-year-old man presented with symptoms of severe low-back pain that was aggravated by activity and bending. He also reported sharp pains radiating down the back of the right thigh. In addition, he had an occasional mild cough with yellowish-gray sputum production. He denied any weight loss, night sweats, fevers, or chills. […]

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doctor talking on cell phone stting at his desk, looking at computer

Humanizing the Electronic Medical Record with the Personal Fact

The current model of patient care promotes a system wherein patients are viewed as diseases with treatment plans rather than individuals with a lifetime of experiences. This is further exaggerated by the electronic medical record, wherein streams of impersonal data are presented above the patient narrative. Quantitative data are crucial for medical management, but it […]

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A Tale of Two Valves

To the Editor: Radiation heart disease is associated with a high level of morbidity and mortality. Its natural history is not well understood. Its management is difficult. We report a case of radiation heart disease with dramatic disease progression over 11 years, captured on echocardiography. Case Report A 66-year-old woman presented with increasing dyspnea on […]

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How Well Are Pulses Measured?

Although taking a radial pulse is considered to be an essential clinical skill, there have been few reports on how well it is measured in clinical practice, and how its accuracy and precision are influenced by rate, rhythm, and blood pressure. Methods This study is a retrospective quality audit carried out as part of a […]

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Incidence, Frequency, and Clinical Characteristics of Type 3 Myocardial Infarction in Clinical Practice

Cardiac death in a patient with symptoms and electrocardiographic changes indicative of myocardial ischemia but without available measurements of cardiac biomarkers is designated a type 3 myocardial infarction. We wanted to investigate the incidence, the frequency, and the characteristics of patients diagnosed as type 3 myocardial infarction. Methods The occurrence of deaths in a well-defined […]

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