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Tag: diagnostic dilemma
Slowly Growing Adrenal Mass: A 20-Year Incubation
A 68-year-old Japanese woman was referred for the evaluation of bilateral adrenal masses. These masses were incidentally discovered 20 years previously on computed tomography...
Case of Tuberculous Pericarditis Mimicking Lupus Carditis
A 48-year-old man presented to the emergency department of our hospital complaining of sharp substernal chest pain, fever, and chills for 3 days. He...
Not Your Typical Renal Cyst
A 32-year-old man with no significant past medical or family history presented to his primary care physician with lower back and abdominal pain. Renal...
Four Cancers and a Rash: Henoch–Schönlein Purpura
A patient who had a history of 4 primary malignancies developed a rash that is usually seen among children. The 65-year-old man presented with...
Not so Obvious: Acute Herpes Esophagitis
The gross examination immediately suggested infection with Candida species, but biopsy results pointed to a different culprit. A 29-year-old woman sought care in the emergency department...
More than a Mite Contagious: Crusted Scabies
Although an extensive skin infestation might be expected to cause serious discomfort, this is not always the case. A holiday visit sparked concern among...
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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...