Tag Archives: Featured
Joseph S. Alpert, MD

Are You Planning to Sign Up for a Trip to Mars? Extreme Environmental Health Consequences of Space Travel

In this issue of The American Journal of Medicine, Lipman et al report on therapy for a serious environmental medical condition.1 My commentary below describes an even more serious environmental condition with multiple dangerous and even life-threatening consequences. Recently, one of my colleagues and I at the University of Arizona heard a lecture by one of the retired […]

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The Seven Ages of the Physician

All the world’s a stage, And all the men and women merely players; They have their exits and their entrances, And one man in his time plays many parts, His acts being seven ages. At first, the infant, Mewling and puking in the nurse’s arms. Then the whining schoolboy, with his satchel And shining morning […]

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Teaching Diagnostic Reasoning in the Digital Age: The Role of the Mentor

Each case has its lesson—a lesson that may be, but is not always, learnt, for clinical wisdom is not the equivalent of experience. A man who has seen 500 cases of pneumonia may not have the understanding of the disease which comes with an intelligent study of a score of cases, so different are knowledge […]

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Geographic Tongue

A 45-year-old female patient presented to our clinic with a painless, erythematous lesion on her tongue. Medical history was negative, with absence of any allergies or habits. The patient recalled that she had a similar lesion on her tongue 6 months earlier, which resolved spontaneously. Clinical examination of the dorsal surface of the tongue revealed […]

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Dizziness Symptom Type Prevalence and Overlap

  The traditional approach to dizziness encourages providers to emphasize the type of dizziness. However, symptom types might substantially overlap in individual patients, thus limiting the clinical value of this approach. We aimed to describe the overlap of types of dizziness using a US nationally representative sample. Methods The 2008 US National Health Interview Survey […]

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