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Displaying 51 - 60 of 241 in ACP Store

Mississippi Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Missouri Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Minnesota Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Maine Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Maryland Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Louisiana Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Kentucky Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Kansas Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Indiana Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Illinois Southern Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

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Displaying 51 - 60 of 500 in Annals of Internal Medicine: Clinical Cases

Delayed Diagnosis of a Massive Pericardial Effusion With Tamponade Physiology in a Patient Who Was Nonverbal | Annals of Internal Medicine: Clinical Cases

We present the case of a 19-year-old man with a medical history of developmental delay and no cardiac history who had prolonged time to diagnosis of massive pericardial effusion with tamponade physiology. Cardiac tamponade is an uncommon medical emergency. Our case includes all classic echocardiographic findings of tamponade and a notable massive effusion. Given the notable paucity of literature in the diagnostic approach with patients who are nonverbal, using nonverbal cues, implementing a broad work-up, and relying on objective data to guide the diagnostic approach are imperative.

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

Whipple disease is a rare, multisystemic infection caused by the bacterium Tropheryma whipplei, primarily affecting middle-aged White men and targeting the joints, small intestine, and central nervous system. We present an atypical case of Whipple disease with mesenteric lymphadenopathy and an exudative pleural effusion. The patient was treated with intravenous ceftriaxone followed by oral trimethoprim-sulfamethoxazole. Owing to intolerance, the regimen was changed to doxycycline and hydroxychloroquine. He showed marked clinical improvement, with resolution of gastrointestinal symptoms. Whipple disease should be considered in patients with unexplained weight loss, abdominal pain, and mesenteric lymphadenopathy after malignancy and common infections have been excluded.

Correction: Uremic Pericarditis as a Complication of Coral Reef Aorta | Annals of Internal Medicine: Clinical Cases

Rothia-Associated Meningitis in a Patient With HIV: A Case Report | Annals of Internal Medicine: Clinical Cases

A 47-year-old man with HIV, off antiretroviral therapy for 4 months since losing insurance coverage, presented to the emergency department after he was found unresponsive with blood around the mouth. A seizure was suspected, and cerebrospinal fluid culture grew Rothia mucilaginosa, Rothia dentocariosa, and Streptococcus viridans. While it is well established that HIV-infected individuals are at higher risk for opportunistic infections, reports identifying commensal oral microbiota as the source of invasive disease are rare. This case underscores the importance of recognizing the pathogenic potential of atypical pathogens and diverse clinical presentations of meningitis in immunocompromised patients.

Fulminant Rheumatoid Vasculitis Presenting Shortly After Onset of Rheumatoid Arthritis | Annals of Internal Medicine: Clinical Cases

Rheumatoid vasculitis (RV) is a rare but severe extraarticular manifestation of rheumatoid arthritis (RA) associated with high mortality. We present a case of a 45-year-old man who developed rapidly progressive RV within 6 months of RA onset, manifesting with neuropathy, cutaneous necrosis, and multiorgan involvement confirmed on histopathology. His RV was refractory to treatment and he suffered fatal cardiac arrest. RV classically presents many years after onset of RA. Rapid onset, such as in this case, is unusual, highlighting the need for early recognition and improved treatment strategies in fulminant RV.

Nontypeable Hemophilus influenzae (NTHi) Septic Arthritis of Atypical Joints With Tenosynovitis in a Healthy Adult | Annals of Internal Medicine: Clinical Cases

Hemophilus influenzae septic arthritis is uncommon in the postvaccine era, but cases caused by nontypeable strains (NTHi) are rising in adults. A healthy 47-year-old African American man presented with bilateral wrist pain, swelling, and back pain. A computed tomography scan of the chest revealed pneumonia; however, he had no respiratory symptoms. Blood cultures grew NTHi. Magnetic resonance imaging revealed bilateral wrist tenosynovitis, sacroiliac joint septic arthritis, and piriformis abscess. He required surgical joint washout and prolonged intravenous antibiotics. This case highlights the evolving epidemiology of NTHi, its potential for invasive infections in healthy individuals, and the need for early recognition and thorough diagnostic evaluation in atypical presentations.

Atypical Presentation of Aerococcus urinae–Induced Infective Endocarditis | Annals of Internal Medicine: Clinical Cases

Aerococcus urinae, although primarily associated with urinary tract infections, is an infrequent cause of infective endocarditis (IE). We report the case of a 55-year-old man with worsening dyspnea and chest pain, ultimately diagnosed with A urinae–induced IE complicated by severe aortic regurgitation requiring valve replacement. This case contributes to the growing body of literature on the clinical presentation of A urinae IE as a rare yet potentially fatal cause of IE.

A Case of Hypercalcemia Secondary to Disseminated Cryptococcus neoformans Infection | Annals of Internal Medicine: Clinical Cases

Fungal infection is a rare cause of hypercalcemia, thought to be mediated by extrarenal conversion of 25-hydroxy-vitamin-D to 1,25-dihydroxy-vitamin-D within granulomas. Only 6 cases involving Cryptococcus neoformans have been reported in the literature, with prior cases varying in their treatment approach. We report a 7th case in a patient with disseminated infection and laboratory findings consistent with the proposed mechanism. This case underscores the importance of checking calcium levels in all patients with cryptococcal infection, regardless of symptoms, to identify hypercalcemia warranting treatment. Furthermore, this case demonstrates the efficacy of fluids, calcitonin, and bisphosphonate in treating cryptococcal hypercalcemia.

A Case of Thrombotic Cutaneous Gangrene in a Patient With Pan-Ulcerative Colitis | Annals of Internal Medicine: Clinical Cases

The most common extraintestinal manifestations of inflammatory bowel disease (IBD) involve the musculoskeletal and cutaneous systems, with cutaneous manifestations occurring in up to 50% of patients with IBD. Hypercoagulability is a known complication of IBD; however, cutaneous gangrene secondary to thrombotic vasculopathy is a rarely described extraintestinal complication of ulcerative colitis. This case underlines the importance of recognizing early manifestations of gangrene in patients with ulcerative colitis and pursuing timely evaluation with a hypercoagulability work-up and skin biopsy. Anticoagulation should be promptly initiated to prevent further complications.

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

We report the case of 77-year-old man presenting with chest pain and transient ST-segment elevation, who was found to have a large aortic valve fibroelastoma. Echocardiographic, computed tomographic, and gross and histopathologic images are presented for illustration. The patient had successful surgical resection with stable clinical status at 6-month follow-up.

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