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Hidden Heart Disease: 17 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD    |  June 16, 2016 Patients with cardiac diseases often present with manifestations on the skin. The patient in the above image, for example, has lupus pernio, a cutaneous sign of the multisystem inflammatory disease sarcoidosis. Cutaneous manifestations such as this can play a valuable role in guiding physicians to the correct cardiac diagnosis. Review our ...
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Medscape > Fast Five Quizzes Quiz: What Do You Know About the Syndrome of Inappropriate Antidiuretic Hormone Secretion? Vecihi Batuman, MD June 03, 2016 The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is the most common cause of euvolemic hyponatremia in hospitalized patients. The prognosis of SIADH correlates with the underlying cause and the effects of severe hyponatremia and its overzealous correction. Rapid and complete recovery tends to be the ...
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JAMA Diagnostic Test Interpretation | May 24/31, 2016 Elevated Hemoglobin or Hematocrit Level Robyn M. Scherber, MD, MPH; Ruben A. Mesa, MD JAMA. 2016;315(20):2225-2226. doi:10.1001/jama.2016.2435. A 71-year-old woman presented for evaluation of an elevated hemoglobin level (16.2 g/dL) that was incidentally discovered during a recent emergency department visit. She reported night sweats and some excessive fatigue over the last few months. She was unaware of any family his...
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JAMA Diagnostic Test Interpretation | May 24/31, 2016 Elevated Hemoglobin or Hematocrit Level Robyn M. Scherber, MD, MPH; Ruben A. Mesa, MD JAMA. 2016;315(20):2225-2226. doi:10.1001/jama.2016.2435. A 71-year-old woman presented for evaluation of an elevated hemoglobin level (16.2 g/dL) that was incidentally discovered during a recent emergency department visit. She reported night sweats and some excessive fatigue over the last few months. She was unaware of any family his...
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JAMA Diagnostic Test Interpretation HbA1c in the Evaluation of Diabetes Mellitus Derek T. O'Keeffe, MB, BCh, BAO, PhD; Spyridoula Maraka, MD; Robert A. Rizza, MD JAMA 2016; 315: 605-606 A 76-year-old man presented to his physician's office, requesting assistance managing his type 2 diabetes. He was diagnosed 18 months previously, based on a fasting blood glucose level of 200 mg/dL (11 mmol/L), and was prescribed metformin. The metformin was discontinued 12 months later...
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JAMA Diagnostic Test Interpretation HbA1c in the Evaluation of Diabetes Mellitus Derek T. O'Keeffe, MB, BCh, BAO, PhD; Spyridoula Maraka, MD; Robert A. Rizza, MD JAMA 2016; 315: 605-606 A 76-year-old man presented to his physician's office, requesting assistance managing his type 2 diabetes. He was diagnosed 18 months previously, based on a fasting blood glucose level of 200 mg/dL (11 mmol/L), and was prescribed metformin. The metformin was discontinued 12 months l...
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Medscape > Fast Five Quizzes Quiz: Are You Able to Confront Clostridium Difficile Infections? Michael Stuart Bronze, MD January 04, 2016 Clostridium difficile is a gram-positive, anaerobic, spore-forming bacillus that is responsible for the development of antibiotic-associated diarrhea and colitis. C difficile infection commonly manifests as mild to moderate diarrhea, occasionally with abdominal cramping. In rare cases, patients with C difficile infection can present w...
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Medscape > Fast Five Quizzes Quiz: Are You Able to Confront Clostridium Difficile Infections? Michael Stuart Bronze, MD January 04, 2016   Clostridium difficile is a gram-positive, anaerobic, spore-forming bacillus that is responsible for the development of antibiotic-associated diarrhea and colitis. C difficile infection commonly manifests as mild to moderate diarrhea, occasionally with abdominal cramping. In rare cases, patients with C difficile infection can pr...
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Teachable Moment | December 2015 The Importance of Clinical Context When Interpreting Serum Ammonia Levels A Teachable Moment Joseph W. Howells; Patricia A. Short JAMA Intern Med. 2015;175(12):1902-1903. doi:10.1001/jamainternmed.2015.5772. Story From The Front Lines病历摘要 A man in his early 40s presented to his primary care physician with intermittent anxiety attacks and progressive fatigue. An active duty service member, the patient had a history of panic disorder sinc...
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Teachable Moment | December 2015 LESS IS MORE The Value of the History and Physical Examination—Sailing Through Medicine With Modern Tools A Teachable Moment Maen D. Abou Ziki; David N. Podell; Danise M. Schiliro JAMA Intern Med. 2015;175(12):1901-1902. doi:10.1001/jamainternmed.2015.5768. Story From The Front Lines病历摘要 A middle-aged woman presented to the emergency department with severe ankle pain, generalized body aches, malaise, and petechial rash over her extremit...
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