American Journal of Medicine, internal medicine, medicine, health, healthy lifestyles, cancer, heart disease, drugs
(Left panel) Left upper extremity brachiocephalic arteriovenous fistula with skin degeneration and oozing. (Right panel) Ocular examination findings showing improvement from the time of presentation. Arrow points to hypopyon in each image (resolved by day 4). Intravitreal antibiotics were administered at presentation, and consequent subconjunctival hemorrhage can be seen in the subsequent images.

Keep an Eye on the Eye Symptoms of Your Dialysis Patient

  A 73-year-old man with a history of end-stage renal disease (on hemodialysis for 6 years), hypertension, and diabetes mellitus type 2 presented with worsening pain and swelling of the left upper extremity brachiocephalic arteriovenous fistula. The patient was having night sweats for a few days prior to presentation. He was started on intravenous cephalosporin […]

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handgun painted with american flag

A Tale of Two Cities: Persistently High Homicide Rates in Baltimore City Compared With Significant Declines in New York City

Deaths from homicide are a major public health problem in the United States and throughout the world. Further, the United States has experienced homicide rates that are 6.9 times higher than those in other high-income countries, and the vast majority are attributable to firearms.1 For many decades there have been striking regional variations among various cities […]

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The patient's posterior trunk was marked with pink urticarial papules and plaques.

Down the Rabbit Hole: Cutaneous Tuberculosis

The term “going down the rabbit hole,” based on Lewis Carroll’s Alice’s Adventures in Wonderland, is a metaphor for an entry into the unknown, the disorienting, or the mentally deranging. Although the case of a patient with a nonhealing ulcer did not set us on a path with these exact qualities, it did remind us that […]

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doctor gives a physical examination of a patient

Inferior Vena Cava Filters in Patients with Recurrent Pulmonary Embolism

There are sparse data to support the recommendation for inferior vena cava (IVC) filters in patients with recurrent pulmonary embolism while on anticoagulant therapy. Methods This was a retrospective cohort study of administrative data from the Premier Healthcare Database, 2009-2014. All-cause mortality according to the use of IVC filters was evaluated in patients who suffered […]

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Impact of Geriatrician-Performed Comprehensive Geriatric Care on Medication Use and Cognitive Function in Older Adults Referred to a Non-Hospital-Based Rehabilitation Unit

Eighty-eight percent of older adults referred to Danish non-hospital-based rehabilitation units used ≥5 regular drugs per day at the beginning of rehabilitation. The aim of the study was to explore whether geriatrician-performed comprehensive geriatric care had an impact on medication use and cognitive function in older adults after a 90-day follow-up. Methods There were 368 […]

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Joseph S. Alpert

The Racial Divide Here at Home

My policy as editor for The American Journal of Medicine (AJM) has been to avoid reviewing books despite the fact that we receive a number of courtesy copies of excellent volumes every month. Because we also receive many outstanding manuscripts, this policy preserves space for our clinical and scientific contributions. However, on a rare occasion, I have […]

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