At a time when states and school districts are trying to increase vaccination rates, an aggressive strategy in Seattle appears…
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Case 1-2020: An 11-Year-Old Boy with Vomiting and Weight Loss
Presentation of Case. Dr. Jenna R. Lillemoe (Pediatrics): An 11-year-old boy was seen in the emergency department of this hospital…
Cutaneous Leishmaniasis
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Axillary Artery Occlusion after TAVR
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Baroreflex Dysfunction
The autonomic nervous system innervates all body organs, including the cardiovascular system. Smooth muscle in arteries, arterioles, and veins and…
Health Care Hotspotting — A Randomized, Controlled Trial
Health care spending in the United States is heavily concentrated, with 5% of the population accounting for 50% of annual…
‘Optimising’ breastfeeding: what can we learn from evolutionary, comparative and anthropological aspects of lactation?
Promoting breastfeeding is an important public health intervention, with benefits for infants and mothers. Even modest increases in prevalence and…
Beware ketoacidosis with SGLT2 inhibitors in latent autoimmune diabetes
Sodium-glucose co-transporter-2 (SGLT2) inhibitors are increasingly recommended as second-line agents for the treatment of type 2 diabetes.1 This drug class,…
Hepatitis C virus-associated cryoglobulinemic vasculitis
A 74-year-old woman with a history of erythema presented with polyarthralgia and polymyalgia. Physical examination showed erythema affecting the shoulder…
Bilateral Adrenal Hemorrhage Secondary to Heparin-induced Thrombocytopenia
A 63-year-old woman presented with constipation and abdominal pain. Computed tomography (CT) scan of abdomen without contrast showed evidence of…