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Lipid Management Guidelines from the Departments of Veteran Affairs and Defense: A Critique

In December 2014, the US Department of Veterans Affairs and Department of Defense (VA/DoD) published an independent clinical practice guideline for the management of dyslipidemia and cardiovascular disease risk, adding to the myriad of recently published guidelines on this topic. The VA/DoD guidelines differ from major US guidelines published by the American College of Cardiology/American […]

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Pneumopericardium Following Pericardiocentesis

A 73-year-old woman with metastatic adenocarcinoma of the lung including diffuse pulmonary involvement presented with profound dyspnea. An echocardiogram demonstrated a large circumferential pericardial effusion with tamponade physiology. Palliative echo-guided pericardiocentesis was performed, with removal of 550 mL of fluid, and a multi-sidehole pericardial catheter was left to gravity drainage. Despite evacuation of the effusion, […]

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Multiple System Atrophy Mistaken for Autoimmune Cerebellar Degeneration

A 59-year-old African American woman with a history of Hashimoto thyroiditis presented with nearly 1 year of progressively worsening ataxia, dysarthria, and illegible handwriting. She had been thoroughly worked up at an outside hospital and diagnosed with a rare, autoimmune ataxia related to Hashimoto thyroiditis. She further endorsed dizziness upon standing, dysphagia, falls, and increasing […]

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A Diagnosis at Hand: Pulmonary Arterial Hypertension

A classic physical examination finding pointed to underlying disease in a 43-year-old Hispanic woman. On presenting to the Emergency Department, she reported progressive shortness of breath, fatigue, and chest pressure. One month earlier, she could exercise without limitation. However, in the ensuing interval, she developed increasing dyspnea and constant, nonexertional, left-sided chest pressure. A review […]

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Hospital Readmissions Following Physician Call System Change (video)

Reorganizing Physician Teams in a Large Hospital Caused Readmissions to Increase Significantly, According to New Report in The American Journal of Medicine As hospitals try to maintain effective and efficient operations, physician call systems can be a critical element in maintaining quality medical care and financial stability. In a new report published in The American […]

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Reading Level of Internet Medical Information for Common Diagnoses

The National Institutes of Health (NIH) recommend that health materials be written at a grade 6-7 reading level, which has generally not been achieved in online reading materials. Up to the present time, there have not been any assessments focused on the reading level of online educational materials across the most popular consumer Web sites […]

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