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Racial Health Disparities, Prejudice and Violence

Racial disparities, discrimination, harassment & violence are public health issues. Learn how ACP is committed to combatting racial disparities in health care.

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MATILDA KOVAL MEDICAL CENTER

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Baltimore Medical System is committed to providing quality health care

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ACP Mace Insignia Silk Neck Ties

$25 per each Mace Insignia tie.

Diagnostic Equity: Minimizing Bias in Practice Case 2

Diagnostic Equity: Minimizing Bias in Practice Case 2

Diagnostic Equity: Minimizing Bias in Practice Case 1

Diagnostic Equity: Minimizing Bias in Practice Case 1

Diagnostic Equity: Minimizing Bias in Practice

Diagnostic Equity: Minimizing Bias in Practice

ACP CME On-Demand: 2026 Hospital Medicine Recordings

Same clinical impact, new name (formerly ACP Hospital Med 100).Access the most current science across a wide range of topics. This comprehensive library of over 98 hours of on-demand audio/video sessions is tailored to meet the demanding needs of Hospital Medicine physicians, with 1 full year of access from date of purchase. Watch each lecture and claim CME credit and MOC points at your own pace. Learn More >

ACP CME On-Demand: 2026 Internal Medicine Recordings

Same clinical impact, new name (formerly ACP CME 165). Access the most current science across a wide range of topics. Learn at your own pace with 148+ hours of high-yield sessions recorded directly from Internal Medicine Meeting 2026. Learn More >

Navy Blue Unisex ACP Track Jacket

Navy Blue Unisex ACP Track Jacket

Navy Blue Women ACP Track Jacket

Navy Blue Women ACP Track Jacket

ACP Physician Peer Coaching: Finding Your Voice for What You Want 1:1 (Women in Medicine)

Offered through the ACP Women in Medicine Professional Development initiative, this personalized 30-min one-on-one coaching session provides tailored guidance to help you apply crucial communications and negotiation skills.  Sign up today to receive individualized support to prepare you for upcoming conversations and build confidence in advocating for what you want. Note: Members will be required to accept the terms of program participation in order to participate

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Displaying 1 - 10 of 500 in Annals of Internal Medicine: Clinical Cases

Annals of Internal Medicine: Clinical Cases: Archive

Annals of Internal Medicine: Clinical Cases: Vol 5, No 6

Thanks to Reviewers—2025 | Annals of Internal Medicine: Clinical Cases

Correction: An Atypical Case of Whipple Disease With Mesenteric Lymphadenopathy and an Exudative Pleural Effusion | Annals of Internal Medicine: Clinical Cases

Correction: Aortic Valve Papillary Fibroelastoma | Annals of Internal Medicine: Clinical Cases

From Dyad to Triad: Artificial Intelligence in the Patient–Physician Relationship | Annals of Internal Medicine: Clinical Cases

Lid Lifter Versus Renal Tissue: A Case of Disseminated Zygomycosis | Annals of Internal Medicine: Clinical Cases

We present a case of a man in his forties with hereditary hemochromatosis who presented with abdominal pain and discolored urine. Further work-up revealed bilateral hydronephrosis secondary to fungal bezoars requiring a prolonged posaconazole course. This case highlights the rarity of bilateral fungal bezoars while also providing insight into atypical causes of hydronephrosis in the adult population.

Diffuse Large B-Cell Lymphoma Presenting as Aortic Aneurysm Rupture: A Case Report | Annals of Internal Medicine: Clinical Cases

We present a rare case of diffuse large B-cell lymphoma (DLBCL) mimicking an abdominal aortic aneurysm rupture. A 78-year-old male with prior endovascular aneurysm repair presented with abdominal pain, hypotension, and renal failure. Imaging revealed a periaortic mass concerning for aneurysm leak; however, PET/CT and biopsy confirmed DLBCL. This case underscores the diagnostic challenge posed by periaortic lymphoma masquerading as vascular emergencies. Clinicians should maintain a broad differential, as early recognition may avoid unnecessary surgery and enable appropriate oncologic management.

Progressive Limb Weakness in Bilateral Medial Medullary Infarction | Annals of Internal Medicine: Clinical Cases

This case study analyzes the clinical and imaging features of a patient with progressive bilateral medial medullary infarction (BMMI). The patient was a 58-year-old man who presented with progressively worsening numbness and weakness in all 4 limbs as the main manifestation, with a complete absence of symptoms and signs of cranial nerve involvement. Magnetic resonance imaging diffusion-weighted imaging revealed linear and small patchy high signal intensities, presenting a “heart-shaped” configuration. A diagnosis of progressive BMMI was made. The patient's condition improved after comprehensive treatment, including antiplatelet aggregation therapy, plaque stabilization, and rehabilitation.

Atypical Pediatric Impetigo Masked by Witch Hazel and Topical Corticosteroids | Annals of Internal Medicine: Clinical Cases

Superficial bacterial skin infections in children typically present with easily recognizable lesions. However, topical corticosteroids and home remedies can alter their appearance, leading to misdiagnosis. We present a 3-year, 11-month-old girl with a nasal-tip lesion initially treated with witch hazel and over-the-counter hydrocortisone. The lesion lacked classical honey-colored crusting, complicating diagnosis. Treatment with topical mupirocin and oral clindamycin for 7 days resulted in complete resolution. The modified presentation was consistent with impetigo incognito, a steroid-altered form of impetigo. This case underscores the need for clinicians to inquire about nonprescription treatments and recognize altered presentations of common infections.

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