Placement of an indwelling pleural catheter is an effective initial treatment for recurrent malignant pleural effusion. It entails a shorter hospital stay and less risk of reintervention than chemical pleurodesis.
Roflumilast’s benefit-to-harm ratio suggests that it only provides net benefit in patients at high risk of severe exacerbations.
As healthcare systems allow patients to browse their electronic charts, the CAPS format shows them that their concern was heard accurately and clearly states the diagnosis and plan of care.
Patients with choroidal metastases can see flashing lights, floating spots and have distortion of their vision. A careful history and physical examination can uncover signs and symptoms of hidden cancer.
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Hereditary syndromes that increase the risk of breast cancer are not common, but it is critical to recognize and manage them appropriately.
Consider fungal folliculitis in the differential diagnosis of a pustular eruption in order to avoid discontinuation of potentially life-saving medications.
Brian Mandell, MD, PhD, Editor in Chief of Cleveland Clinic Journal of Medicine and staff in the Department of Rheumatic and Immunologic Diseases, reflects on the intricacies of vaccination in the immunosuppressed.
The appearance of ecchymoses in the periumbilical area or flank is considered a hallmark of acute pancreatitis, but other conditions can cause this discoloration.
Torus palatinus and torus mandibularis, localized benign overgrowths of cortical bone, are more common in women and certain ethnic groups. Causal factors include inheritance, trauma and lifestyle. Proper prostheses fitting may require removal.
Chronic and severe digital ischemia and nailfold capillaraoscopy help differentiate secondary from primary Raynaud phenomenon. Secondary Raynaud should prompt an investigation for autoimmune rheumatic disease.