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Tag: diagnostic dilemma
An Unusual Cause of Stroke
A 44-year-old white woman presented to the Emergency Department with acute onset of severe vertigo, nausea, vomiting, and severe right frontal headache associated with...
A Simpler Answer – After All This Time
There is an allure associated with a rare diagnosis. Diagnosis momentum refers to the “stickiness” of a diagnosis once it is attached to the...
Segmental Arterial Mediolysis: An Important but Often Overlooked Cause of Multi-Vessel Thrombosis
A 52-year-old man with a past medical history significant for hypercholesterolemia and systemic hypertension presented to an outside hospital with acute-onset, diffuse abdominal and...
Thoracoabdominal Aneurysm in a Professional Body Builder
A 71-year-old man with a history of Parkinson's disease experienced a sudden decline in function, with multiple falls over 2 weeks. He had previously...
‘Landolfi’s Sign’—Eyes Don’t See What the Mind Does Not Know!
To the Editor:
A 60-year-old woman was admitted with progressively worsening dyspnea on exertion associated with intermittent lightheadedness and palpitations. On physical examination, a 3/6...
An Uncommon Cause of Low Back Pain
A 21-year-old active duty Air Force male without past medical history presented to our Emergency Department with low back pain. The patient had been...
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Sarcoidosis with Lupus Pernio in an Afro-Caribbean Man
A 54-year-old man of Afro-Caribbean ancestry presented with a 2-month history of nonproductive cough, 10-day history of constant subjective fevers, and a 1-day history...
Flu Vaccination to Prevent Cardiovascular Mortality (video)
"Influenza can cause a significant burden on patients with coronary artery disease," write Barbetta et al in The American Journal of Medicine. For this...
Varicella Zoster Virus-Induced Complete Heart Block
Complete heart block is usually caused by chronic myocardial ischemia and fibrosis but can also be induced by bacterial and viral infections. The varicella...
Teaching Anti-Racism in the Clinical Environment
"Teaching Anti-Racism in the Clinical Environment: The Five-Minute Moment for Racial Justice in Healthcare" was originally published in the April 2023 issue of The...
The ‘Invisible Hand’ Doesn’t Work for Prescription Drugs
Pharmaceutical innovation has been responsible for many “miracles of modern medicine.” Reliance on the “invisible hand” of Adam Smith to allocate resources in the...