When Dysuria Is More Than Just a Urinary Tract Infection – A Teachable Moment
This Teachable Moment describes a 66-year-old woman with mild dysuria, vulvar discomfort, and recurrent urinary tract infections.
JAMA Internal Medicine
ST-Segment Elevation in the Stress Laboratory
This case report describes a woman in her early 60s who went into cardiac arrest immediately after administration of an echocardiogram contrast agent.
A Clinical Update on MASLD
Metabolic dysfunction–associated steatotic liver disease (MASLD; formerly nonalcoholic fatty liver disease) is a growing cause of chronic liver disease, affecting 25% of the population in the US and 30% of the population globally.1 It is the second leading indication for liver…
Elective Surgery for People With HIV With Low CD4 Cell Count
This case report describes a man in his 60s with hypertension, deep vein thrombosis, and a recent diagnosis of HIV presented with low CD4 cell count after starting antiretroviral therapy with tenofovir alafenamide-emtricitabine-bictegravir.
When Can a MRSA Nares Swab Guide Antibiotic Stewardship? – What the Nose Knows
This Clinical Insights discusses how the methicillin-resistant Staphylococcus aureus (MRSA) nares swab may be used alongside disease prevalence and clinical factors to determine when MRSA coverage is needed for common inpatient infections.
Early Screening for Latent Autoimmune Diabetes in Adults to Improve Care—Beyond the Routine
This Teachable Moment describes a man in his 30s who presented with a right diabetic foot ulcer and hyperglycemia and was assumed to have type 2 diabetes and was subsequently diagnosed with latent autoimmune diabetes in adults.
Management of Elevated Blood Pressure in the Hospital—Rethinking Current Practice
This Clinical Insight proposes a new framework for managing asymptomatic blood pressure elevation in the hospital setting.
An Ominous Wave
This case report describes a man in his 40s with evidence of malignant J wave syndrome on electrocardiography.
Tirzepatide-Induced Rapid Weight Loss–Related Thyrotoxicosis
This Teachable Moment describes a 62-year-old man with thyrotoxicosis due to excess levothyroxine exposure during tirzepatide treatment that induced rapid weight loss.
Postexercise Cardiac Asystole
This case report describes a patient in their 40s with hypertension who exhibited presyncopal symptoms following an exercise test.
