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…
Marijuana’s Effects on Brain Structure and Function: What Do We Know and What Should We Do? A Brief Review and Commentary
The recent US Food and Drug Administration approval of the marijuana constituent cannabidiol as safe and effective for treatment of…
Fixed-Dose Combination Amlodipine/Celecoxib (Consensi) for Hypertension and Osteoarthritis
The US Food and Drug Administration recently granted an approved indication for the first fixed-dose combination antihypertensive (amlodipine) and nonsteroidal…
Granulomatosis with Polyangiitis Presenting as Hypophysitis
A 20-year-old healthy woman presented to a local hospital with 3 months of headaches and fatigue and 3 weeks of…
Assessment and Treatment of Physician Speechlessness
What does a doctor say when words don’t come? Such was my dilemma several years ago on an inpatient psychiatric…