The patient’s disease had yet to be diagnosed when a complication emerged in dramatic fashion. A 44-year-old man of Indian…
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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…
Sarcoidosis Presenting as Isolated Anasarca and Hypercalcemia
A 62-year-old woman presented to clinic for a second evaluation. Previously healthy, she initially presented for care several months earlier…
Bilateral Breast Ulcers: Granulomatosis with Polyangiitis
An investigation into the patient’s unusual dermatologic symptoms identified an underlying autoimmune disease. Fourteen days after breast-reduction surgery, the patient,…
Asking How Our Patients Understand Addiction
When the President’s Commission on Combating Drug Addiction and the Opioid Crisis declares “addiction [a] chronic relapsing disease of the…
Diagnostic and Management Dilemma: Massive Hemoptysis from Severe Mitral Stenosis
Severe hemoptysis in a critically ill patient must prompt rapid development of a broad differential. We present an unusual case…