Retiform Ulceration and Bullae on the Bilateral Thighs
A man with a history of polysubstance use presents with new bullae on his bilateral lower extremities. What is your diagnosis?
ABMS Lifelong Learning CME Activity
Updates in Primary Immunodeficiency 2025
Early diagnosis and appropriate management are crucial for improving the quality of life and prognosis for those with IEI. Advances in genetic research and therapies continue to improve outcomes for many patients with these disorders. However, IEI can be challenging…
A 3-Year-Old With Gingival Hemorrhage and Musculoskeletal Pain
A 3-year-old had spontaneous gingival hemorrhage and bilateral limb weakness with inability to bear weight. He had no preceding oral trauma or recent infection, took no regular medications, and had no recent use of aspirin or nonsteroidal anti-inflammatory drugs; his…
Opioid-Induced Adrenal Insufficiency
This case report describes a woman in her 40s with opioid use disorder receiving methadone who was admitted for extended antibiotic treatment for methicillin-resistant Staphylococcus aureus bacteremia and was subsequently diagnosed with opioid-induced adrenal insufficiency.
Acute Corneal Edema in a Middle-Aged Patient
A middle-aged patient who had bilateral penetrating keratoplasty 20 years ago for keratoconus presented with pain and blurriness of the right eye for 2 days. Despite prompt corticosteroid therapy, they had no vision improvement and reported occasional pain. What would…
Climate Change and Mental Health
This JAMA Insights discusses the adverse effects of climate change on mental health and proposes solutions to help mitigate those effects.
Ophthalmology Risk: Retinal Tears
Reviewing medical professional liability claims in their specialty can help ophthalmologists to improve patient safety and reduce liability risks. Although improper performance of a procedure is the top allegation for ophthalmology claims, ophthalmologists are often named in cases involving diagnostic…
Diagnostic Safety, Part 3: The Patient’s Story
Diagnostic errors are among the top allegations in US medical malpractice claims. While it’s impossible to eliminate all errors, there are some actions that can reduce the risks of diagnostic mistakes. One such action is to focus on each patient’s…
Essentials of Primary Care Addiction Medicine Conference 2025, Train New Trainers (TNT) PC-TEAM Fellowship Series 2025, 2025 PC-TEAM Fellows Conference
The curriculum includes over 50 hours of training and will lead to a certificate of completion from the UCI School of Medicine. • Two-weekend intensive training (24-28 CME hours) • One hour per month of mentoring sessions with a TNT…
Wide Complex Tachycardia in a Middle-Aged Woman With Diarrhea
A woman in her mid-60s with a history of paroxysmal atrial fibrillation and hypertension presents with 3 days of nausea, vomiting, and diarrhea. What would you do next?
