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Tag: diagnostic dilemma
Eyelid Metastasis in Non-Small Cell Lung Cancer: Diagnosis and Management
A 75-year-old man presented with a left lower eyelid lesion that had progressively enlarged over 2 months without bleeding, irritation, or change in vision....
A Picture’s Worth: Giant Cell Arteritis
The ubiquitous smartphone became a helpful diagnostic tool when a patient used one to snap a photograph of her tongue. Although her symptoms were...
Ongoing Pleuritic Chest Pain and a Guinea Pig: Missed Pulmonary Embolism and Majocchi’s Granuloma
A 27-year-old woman presented for a second opinion with chest pain, dyspnea, and a worsening rash with new pustules. Three weeks before presentation she...
Pneumopericardium Following Pericardiocentesis
A 73-year-old woman with metastatic adenocarcinoma of the lung including diffuse pulmonary involvement presented with profound dyspnea. An echocardiogram demonstrated a large circumferential pericardial...
No Structural Signposts: Afterload-Dependent Mitral Regurgitation
Bad news seemed to generate alarming symptoms in a 61-year-old woman. After learning of a stressful family situation, she presented to an outside hospital...
Painful Violaceous Purpura on a 44-Year-Old Woman
Returning to the fundamentals of our medical training, eliciting a full social history, including the use of illicit drugs, can be the key to...
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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...