Medical Knowledge

Palliative Care Program for Community-Dwelling Individuals With Dementia and Caregivers – The IN-PEACE Randomized Clinical Trial

Importance  Care management benefits community-dwelling patients with dementia, but studies include few patients with moderate to severe dementia or from racial and ethnic minority populations, lack palliative care, and seldom reduce health care utilization. Objective  To determine whether integrated dementia palliative care…

A 58-Year-Old Woman With Urticaria, Fever, and Joint Pain

A 58-year-old woman with no allergies or rheumatic disease had a 2-year history of spontaneous wheals that occurred daily, accompanied by pruritus, arthralgia, and intermittent fevers; the wheals resolved after several hours without residual hyperpigmentation or bruising. C-reactive protein level…

Verrucous Tungiasis

This case report describes a man in his 30s presenting with foul-smelling verrucous plaques and whitish papules with central black dots observed on the feet, legs, knees, buttocks, elbows, and hands, with nail dystrophy.

Molecular Phenotyping With Proteomics

This JAMA Insights explores the capability of proteomics to analyze thousands of proteins in patient samples, which could improve clinicians’ understanding of and ability to treat a wide range of diseases.

A Crowded Nasal Cavity

A 41-year-old male patient had symptoms of chronic rhinosinusitis lasting several years. Endoscopy revealed edematous mucosa without discrete mass and was followed by a computed tomography scan to assess severity and inform surgical planning. What is your diagnosis?

What Does Our Tolerance of Poor Management of Patients’ Pain Have to Do With Reimbursement Inequity for Office-Based Gynecologic Procedures?

Office-based gynecologic procedures (OBGPs) are reimbursed at lower rates than similar office urology and dermatology procedures. But there is a broader “hidden curriculum” in health professions training that perpetuates clinicians’ and organizations’ acceptance of these patterns of poor reimbursement, disincentivizes…

Using Policy and Law to Help Reduce Endometriosis Diagnostic Delay

Despite high incidence of endometriosis internationally and domestically, many patients wait a decade after symptom onset for an accurate diagnosis. This article suggests why diagnostic criteria should be clarified and why endometriosis screening should be incentivized among members of the…