Continuous Glucose Monitor Use—Avoiding Overuse
This case report describes a patient in their 30s with hypertension, anxiety, depression, chronic tremulousness, nausea, vomiting, headache, and mental fog.
Medical Knowledge
Ethics Talk: Time as a Critical Resource in Rural Emergency Medical Services
This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about time as a critical resource for rural emergency medical service workers. The featured guest is Representative Eric Emery, a paramedic,…
What Might the Past Suggest About Rural Emergency Services Amidst Critical Access Hospitals’ Decline?
Critical access and other rural hospitals have struggled to remain open, which exacerbates inequity in rural residents’ access to routine and emergency health services and strains already-taxed rural emergency medical services (EMS). This article discusses the recent history of rural…
How Should We Fund and Reimagine EMS to Support Sustainable Rural Health Infrastructure?
Emergency medical services (EMS) care in rural areas of the United States has suffered from being chronically under-resourced and understaffed for many years. Deficits, to a large extent, are due to how EMS is funded and due to shortfalls in…
Data-Driven Contingency Management Incentive Magnitudes – A Review
Importance Interest in contingency management (CM) as a treatment for opioid and stimulant use disorders has increased because of the ongoing dual opioid/stimulant crisis, rising stimulant drug deaths, and demand for effective treatments for stimulant use disorder. The success of the…
Management of Peripheral Artery Disease
This JAMA Clinical Guidelines Synopsis summarizes the American College of Cardiology and American Heart Associationís 2024 guidelines on management of lower extremity peripheral artery disease.
Hundreds of Pruritic Flat-Topped Papules on the Lower Legs
A woman in her 40s presented with a 30-year history of an intensely pruritic eruption predominantly affecting her legs, forearms, and hands. What is your diagnosis?
An Adolescent With a Tracheal Mass
A 17-year-old male adolescent had a 3-day history of sore throat and progressive shortness of breath. He had begun experiencing exertional dyspnea and “noisy” respirations 4 months prior. What is your diagnosis?
Tongue Lesions While Undergoing Cancer Therapy
A woman in her 40s with well-differentiated neuroendocrine tumor of the pancreas with liver metastases undergoing treatment with oral cabozantinib presented to a routine oncology appointment with tongue lesions for 1 week. What is your diagnosis?
West Nile Virus – A Review
Importance West Nile virus (WNV), a neurotropic flavivirus spread by Culex species mosquitoes, is the leading cause of mosquito-borne disease in the contiguous US. From 2014 to 2023, a mean of 1300 WNV neuroinvasive disease cases and 130 deaths were reported annually in…
