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Tag: diagnostic dilemma
Provoked Dizziness from Bow Hunter’s Syndrome
A 62-year-old man was experiencing debilitating bouts of dizziness provoked by head rotation until ultimately finding relief with cervical spine fixation. He had a...
An Unusual Presentation of Thrombotic Thrombocytopenic Purpura
We describe a patient with sudden and severe postoperative thrombocytopenia whose diagnosis was delayed. The patient was a 58-year-old black man with diabetes mellitus...
Double the Trouble: Acute Coronary Syndrome and Ischemic Stroke in Polycythemia Vera
Vague symptoms turned out to be life-threatening conditions. A 50-year-old man with a history of polycythemia vera presented to the hospital with epigastric discomfort...
What’s in a Mass?: Large Native Mitral Valve Mass
After an elective cystectomy, a 77-year-old man developed postoperative atrial fibrillation, resulting in a surprising new finding and a challenging diagnosis. He had no cardiovascular...
Curious Case of Wheezing: Carcinoid Heart Disease
A 58-year-old African American woman with a history of well-controlled hypertension (on amlodipine and lisinopril) presented with a 2-month history of anorexia, early satiety,...
A Rarity in a Common Disease: Thyroid Paraganglioma
Thyroid nodule is extremely common in clinical practice. An evaluation of thyroid nodule is often straightforward. However, pathologic findings can occasionally be surprising. A...
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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...