Mental stress-induced myocardial ischemia appears to carry a stronger risk than conventional stress–induced ischemia for CV death, nonfatal myocardial infarction, or heart failure hospitalization. #cardiology@kewatson
The traditional model of autonomy sees patients as atomistic and the clinician’s duty as providing information and protecting the patient from undue influence. But people are interconnected and interdependent.
Image Challenge Follow-up: A patient presented to the otolaryngology clinic with difficulty of breathing through his nostril. Rhinoscopy and computed tomographic imaging showed an inverted ectopic tooth in the nasal cavity.
New NEJM Image Challenge: An infant delivered at term had a “blueberry muffin” rash at birth. Skin biopsy showed a dense infiltrate of cells with kidney-shaped nuclei and positive S100+ and CD1a+ on immunohistochemistry. What is the most likely diagnosis?
Spontaneous cerebrospinal fluid leakage causes orthostatic headache. Most cases are due to a tear in the spinal membranes. MRI shows enhancement of the dura, and special imaging may be required to show the leakage site.
In this editorial, Alida L.P. Caforio, M.D., Ph.D., provides insight on retrospective data on cases of presumed myocarditis that were detected after receipt of the BNT162b2 mRNA vaccine in Israel. #IDTwitter#COVID19