American Journal of Medicine, internal medicine, medicine, health, healthy lifestyles, cancer, heart disease, drugs
nurse speaking to a patient in bed

The Rise of Documentation and the Destruction of Modern Medicine

The doctor–patient relationship has remained a central theme in the art of medicine since Hippocrates. Investing time into this relationship ensures trust and communication between both parties during a patient’s most vulnerable moments. Unfortunately, however, it seems as if the doctor–patient interaction has been gradually declining over time. The widespread implementation and dissemination of the […]

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Swelling on the upper lip (black arrow).

Strawberry Marks on Lip

A 32-year-old male patient presented with enlargement of his upper lip since childhood, which was compromising his facial aesthetics, as well as causing inability to close the mouth completely. History revealed the presence of a red spot on his lower lip when he was 2 months old, and it had increased considerably ever since. The […]

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Team-Based Primary Care for the Multimorbid Patient: Matching Complexity With Complexity

Complex, multimorbid patients are individuals within whom multiple chronic diagnoses (usually, more than two)1intersect additional complications—diminished function, cognitive impairment, homelessness, or substance abuse, for example. As many as one third of patients are multimorbid, with correlates of socioeconomic deprivation, increasing health services utilization, and mental health comorbidity.2 The growing scope and scale of care for complex, […]

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Physical examination revealed a right parietal cephalohematoma as well as crusted vesicles over C4-6 dermatomal distribution.

Hyponatremia: An Unusual Link to a Common Encounter

A 76-year-old Chinese man presented with 2 falls in a day and nonspecific symmetrical lower-limb weakness. This was not associated with anorexia, vomiting, syncope, or seizures. Five days prior, he had consulted his general practitioner for herpes zoster and was prescribed oral acyclovir 800mg 5times a day. His background medical history included ischemic heart disease […]

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Annals of Communication: ’Giving a Patient a Diagnosis‘ and Other Idioms in Development

Communication is at the heart of the medical enterprise. We doctors share our research and our interpretations of that research in words. We use words to learn about the concerns of our patients and record our impressions, our findings, and our plans; words to share with patients and families what we have discovered, how we […]

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Diabetic Mastopathy Masquerading as Breast Cancer

A 50-year-old woman with long-standing type 1 diabetes mellitus complicated by diabetic retinopathy, peripheral vascular disease and end-stage renal disease on hemodialysis was referred for screening mammography by her primary care physician. Her hemoglobin A1c was 7.1%, and she was on long-acting insulin along with mealtime coverage. Mammography revealed heterogeneouslydense breast tissue (Figures 1A and […]

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