Tag Archives: diagnostic testing

Long-Term Peritoneal Dialysis May Result in Vascular Changes Within the Peritoneal Cavity, Leading to Reduced Efficacy of Intravenous Antibiotics in Treatment of Bacterial Peritonitis

Peritoneal dialysis is a home-based dialysis modality. In the US, 7.5% of the total dialysis population uses peritoneal dialysis.1 Peritoneal dialysis catheter-related peritonitis is a well-recognized complication, with an annual mortality rate as high as 16%.2 Although peritoneal dialysis-associated peritonitis treatment has been standardized, peritoneal dialysis catheter may require removal in cases of relapsing or refractory peritonitis […]

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Gynecomastia: Look Beyond the Obvious

A 29-year-old man was referred to our clinic with a 4-week history of a tender predominant left breast enlargement without nipple discharge. He had been practicing bodybuilding regularly for years, but denied taking anabolic androgenic steroids. His past medical history was unremarkable apart from surgical treatment of undescended testes in childhood. His sexual desire and […]

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Torus Mandibularis

A 34-year-old male patient presented with asymptomatic bony overgrowth in his mandibular arch. The overgrowth started 5 years back and gradually kept on increasing to its present size. On intraoral examination, the bony overgrowth was present bilaterally on the lingual surface of the mandible from canine to first molar region, measuring about 1.4 cm × 1 […]

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young female doctor examines x-ray

High-Value, Cost-Conscious Care: Iterative Systems-Based Interventions to Reduce Unnecessary Laboratory Testing

Inappropriate testing contributes to soaring healthcare costs within the United States, and teaching hospitals are vulnerable to providing care largely for academic development. Via its “Choosing Wisely” campaign, the American Board of Internal Medicine recommends avoiding repetitive testing for stable inpatients. We designed systems-based interventions to reduce laboratory orders for patients admitted to the wards […]

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Cardiac Stress Testing

AJM Contest: ‘Best Medical Image’ Case

Every physician has seen patients whose diagnoses and the corresponding medical images are remarkable. Now The American Journal of Medicine has created a medical imaging case report competition to help you share your most fascinating cases.  All members of the international medical community are invited to submit their most extraordinary medical imaging cases for consideration. […]

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