Importance Children in the US are disproportionately affected by disasters. However, pediatric-specific disaster medicine research remains limited, underscoring an urgent need for a pediatric-focused disaster medicine research agenda for the US to improve outcomes and preparedness for future events. Objective …
This Clinical Insights summarizes the pharmacological characteristics of dalbavancin and oritavancin and evaluates the clinical evidence supporting their use in infections beyond acute bacterial skin and skin structure infections for general internal medicine clinicians.
Importance Heart failure (HF) affects more than 64 million individuals worldwide, and acute HF is associated with 1-year mortality rates of 23.6% in North America and Europe. Cardiac dyssynchrony from conduction system disease may cause HF progression, particularly in patients…
This JAMA Insights discusses the epidemiology, clinical presentation, and diagnostic evaluation of benign paroxysmal positional vertigo.
An 82-year-old man presented with 4 months of fluctuating diagonal binocular diplopia and progressive bilateral ptosis. Examination in the strabismus clinic revealed variable ptosis and ophthalmoplegia in multiple gaze directions, with a large-angle esotropia and left hypotropia. What would you…
This case report discusses a diagnosis of trematode granuloma in a child aged 8 years who presented with a painful red right eye after 2 weeks of river swimming.
Importance Prepregnancy care and counseling optimize maternal health before conception to improve outcomes for mothers and infants. In the US, 66.4% of reproductive-aged women have at least 1 modifiable risk factor for adverse pregnancy outcomes. Observations For all individuals desiring…
This Guide to Statistics and Methods examines the population-level associations of guidelines for the use of doxycycline postexposure prophylaxis with sexually transmitted infection incidence.
This Teachable Moment describes a patient who underwent a recent gastrojejunostomy tube placement, who returned to the hospital after 3 weeks with gastrointestinal distress and leakage at the insertion site.
Importance Low-cost methods that improve physician adherence to clinical guidelines are lacking. Trauma triage exemplifies time-sensitive conditions where guideline adherence remains at 50% or less despite stakeholder efforts, particularly when treating older adults. Objective To determine whether a theory-based serious…
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