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Tag: diagnostic dilemma
Still Febrile After All These Weeks
A previously healthy 28-year-old man was admitted to an outside hospital with fever, pharyngitis, and diarrhea. His symptoms began with generalized fatigue, fever, night...
A Red Herring in the Green Grass: Syphilitic Membranous Glomerulonephritis
Physical discomfort attributed to a routine chore was actually an unusual presentation of an insidious infection. A 51-year-old man presented to the emergency department...
An Uncommon Cause of Obstructive Jaundice: An Infrequent Neoplasm
A 42-year-old man was admitted to the Johns Hopkins Hospital with right upper quadrant abdominal pain and scleral icterus of 3 weeks duration. The...
Double Jeopardy: Autoimmune Myelofibrosis with Pyoderma Gangrenosum
A 33-year-old African American woman with no significant past medical history presented to an outside hospital with 3 months of oropharyngeal ulcers and odynophagia....
Inside Out: Bone Marrow Necrosis and Fat Embolism
Neurologic symptoms initially attributed to infection were ultimately the result of a devastating hematologic condition. The patient, a 57-year-old woman, was rushed to the...
Renal Thrombotic Microangiopathy, Podocytopathy, and Chylous Ascites: A Hard-Nosed Diagnosis
Presentation
A 67-year-old Sub-Saharan African man presented to an outside institution with progressive, painless abdominal distention, anorexia, leg swelling, and dyspnea on exertion. He had...
Latest Posts
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...