A 34-year-old woman had progressive skin tightening over her right elbow and forearm, bilateral forearm pain, difficulty extending her fingers and elbows, and elevated eosinophil count and C-reactive protein level; examination showed a linear depression along a superficial vein when…
This case report describes a patient in his 60s with drug-induced subacute cutaneous lupus erythematosus.
A 37-year-old woman with a history of resolved nasopharyngeal carcinoma presented with transient binocular horizontal diplopia for 2 years. What would you do next?
A 76-year-old man presented to the emergency department with a 6-week history of globus sensation and muffled voice and acute onset frank hemoptysis. Laryngoscopy revealed a large mobile, multilobulated, broadly pedunculated mass that was friable and oozing on the lingual…
Importance Osteoporosis is characterized by low bone mass, increased bone fragility, and increased susceptibility to fracture, which is associated with substantial morbidity, mortality, and economic costs. Worldwide, 1 in 3 women and 1 in 5 men older than 50 years of…
This Guide to Statistics and Methods provides an overview of the covariate-constrained randomization design, which can achieve improved control over large imbalances across study arms at the cluster level over simpler methods of randomization.
This Clinical Insights describes the process for initiating feminizing gender-affirmative hormone therapy for transgender women or nonbinary people.
This case report describes a patient in their 30s with hypertension, anxiety, depression, chronic tremulousness, nausea, vomiting, headache, and mental fog.
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,…
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…
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