There is limited data suggesting that recovery from severe pulmonary infection with Coccidioides may be hastened by the addition of…
Behind the Curve: Late-Onset Axial Spondyloarthritis
The patient’s diagnosis was more commonly associated with people in their teens and twenties. Yet, a 56-year-old woman met the…
Variation in the Use of Warfarin and Direct Oral Anticoagulants in Atrial Fibrillation and Associated Cost Implications
Little is known about national patterns of anticoagulant use among patients with atrial fibrillation after the availability of direct oral…
Follow the Beads: Fibromuscular Dysplasia
Imaging provided a definitive diagnosis for a 58-year-old woman who presented to the emergency department with abdominal pain. The previous…
Without Warning: Scleroderma Renal Crisis
The patient’s disease had yet to be diagnosed when a complication emerged in dramatic fashion. A 44-year-old man of Indian…
Optimal Therapy for Unstable Pulmonary Embolism
There are no randomized controlled trials of thrombolytic therapy, pulmonary embolectomy, or inferior vena cava (IVC) filters in patients with…
Burn Bright II: Reflections on Solutions to Burnout (Part Two of a Two-Part Series)
There have been many published studies describing the current epidemic of burnout among physicians, but there are far fewer with…
A Bad Sign: Dermatomyositis with Interstitial Lung Disease
The presence of an autoantibody explained why a patient with dermatomyositis had respiratory symptoms. A 52-year-old man presented with a…
How Strongly Do Physical Examination Estimates and Ultrasonographic Measurements of Liver Size Correlate? A Prospective Study
Liver size assessed by physical examination and ultrasound has long been used to gain useful clinical information. The size measurements…