Case Reports

Roundtable Discussion: Anticoagulation Management

Author:: Tracy Minichiello, MD; Geoffrey Barnes, MD, MSc; Arthur L. Allen, PharmD, CACP

Case Reports

An Imposter Twice Over: A Case of IgG4-Related Disease

Author:: Maj Anna Christensen, MD, USAF; Bhagwan Dass, MD; Maj Michael Weisbruch, MD, USAF; Paulette C. Hahn, MD; Maj Nathan R. Kelsey, MD, USAF

IgG4-RD has the ability to mimic other pathologic conditions, requiring that health care professionals have a high index of suspicion to make a...

Case Reports

Flexible Bronchoscopic Removal of 3 Foreign Objects

Author:: Javier Ramos-Rossy, MD; Onix Cantres, MD; Alfonso Torres, MD; Jesús Casal, MD; Yomayra Otero, MD; Ginger Arzon-Nieves; William Rodriguez-Cintrón, MD

Consider flexible bronchoscopy as an option to retrieve aspirated foreign bodies in the airway.

Case Reports

Acute Aortic Occlusion With Spinal Cord Infarction

Author:: Darrell R. Over, MD, MSc; Jeffery Deaver, MD; Carla Y. Pumphery, MD, PhD

Abrupt onset bilateral leg pain, sphincter dysfunction, and stigmata of vascular compromise with lower extremity mottling and cool skin should...

Article

Fatal Drug-Resistant Invasive Pulmonary Aspergillus fumigatus in a 56-Year-Old Immunosuppressed Man

Author:: Luke A. Seaburg, MD; Josh A. Hill, MD; Tyler J. Albert, MD

Immune status, severity or burden of disease, appropriate dosing of medication, and drug resistance are important considerations when treating...

Commentary

A Veteran With Fibromyalgia Presenting With Dyspnea

Author:: Lakshmana Swamy, MD; Paul Monach, MD; Alan Fine, MD; Anthony C. Breu, MD

Discussion of treatment for a patient who presented with dyspnea and a history of colorectal cancer, melanoma, and bromyalgia.

Clinical Review

Transgender Care in the Primary Care Setting: A Review of Guidelines and Literature

Author:: Leila Hashemi, MD; Jane Weinreb, MD; Amy K. Weimer, MD; Rebecca Loren Weiss, MD

For patients who desire transgender care, providers must use appropriate language, know the basics of cross-sex hormone therapy, and understand...

Case Reports

Vertebral Artery Dissection in Active-Duty Soldier Due to Mixed Martial Arts Choke Hold

Author:: Tyler Powell, MD; Timothy Fullam, MD; Jonathan Hammett, MD; Darrell Nettlow, MD; Jason Harris, MD

In the military health system, it is important to be aware of this potential complication of combatives as instruction in close-quarters combat...

Case Reports

Clostridium difficile Colitis in a Patient With Abdominal Distention, Pain, and Severe Constipation

Author:: Amy N. Cowan, MD; Geeta Kutty, MD

This case reinforces the need to consider infectious disease as a possible cause of constipation for a patient on opioids.

Case Reports

Nephrogenic Systemic Fibrosis in a Patient With Multiple Inflammatory Disorders

Author:: Kelley Chuang, MD; Casey Kaneshiro, MD; Jaime Betancourt, MD

The risk of developing nephrogenic systemic fibrosis in patients with end stage renal disease may increase with exposure to gadolinium-based...

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