Importance Patient to staff ratios vary across US dialysis facilities and have been associated with patient outcomes in older adults. Objective To determine whether patient to nurse or patient to social worker staff ratios are associated with access to kidney transplant for…
A 72-year-old man with a history of polycythemia vera (positive for JAK2 V617F) presented with several months of functional decline and weight loss. An 18F-fluorodeoxyglucose positron emission tomography/computed tomography showed soft tissue infiltrates and sclerosis of the perirenal spaces with…
Importance Youth, parents, educators, and policymakers are concerned about the potential relationship between social media use and negative mental health outcomes, including risk for suicidal thoughts and behaviors. Observations Current research shows complex and conflicting relationships between social media use and suicide…
This case report describes the electrocardiagram findings of a patient in their 60s with chest tightness and dyspnea, left ventricular systolic impairment, and elevated troponin I levels.
This Teachable Moment discusses guideline-directed medical therapy intolerance in a woman in her 80s with heart failure with reduced ejection fraction and transthyretin amyloid cardiomyopathy.
Importance In the US, peptic ulcer disease affects 1% of the population and approximately 54 000 patients are admitted to the hospital annually for bleeding peptic ulcers. Observations Approximately 10% of patients presenting with upper abdominal pain in a primary care setting have…
This JAMA Insights discusses ovarian aging and provides strategies to address infertility due to ovarian aging.
As more states legalize, decriminalize, or otherwise increase access to cannabis for adult populations, there are also potential health implications for children and adolescents. Maria H. Rahmandar, MD, physician at Northwestern’s Feinberg School of Medicine, explores the risk factors, screening…
A man in his 30s presented with a painful ulcer on the ventral aspect of the penile shaft that had appeared 3 months before. Physical examination disclosed discrete penile swelling with an indurated yellowish plaque diffusely involving the ventral surface….
Importance There is poor accuracy and reproducibility for the histopathologic diagnosis of melanocytic skin lesions, and the provision of clinical information may improve this. Objective To examine the impact of clinical information on the histopathologic diagnosis of melanocytic skin lesions. Evidence Review PubMed,…
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