1
|
Vision-Language Model for Generating Textual Descriptions From Clinical Images: Model Development and Validation Study. JMIR Form Res 2024; 8:e32690. [PMID: 38329788 PMCID: PMC10884898 DOI: 10.2196/32690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 12/12/2023] [Accepted: 01/10/2024] [Indexed: 02/09/2024] Open
Abstract
BACKGROUND The automatic generation of radiology reports, which seeks to create a free-text description from a clinical radiograph, is emerging as a pivotal intersection between clinical medicine and artificial intelligence. Leveraging natural language processing technologies can accelerate report creation, enhancing health care quality and standardization. However, most existing studies have not yet fully tapped into the combined potential of advanced language and vision models. OBJECTIVE The purpose of this study was to explore the integration of pretrained vision-language models into radiology report generation. This would enable the vision-language model to automatically convert clinical images into high-quality textual reports. METHODS In our research, we introduced a radiology report generation model named ClinicalBLIP, building upon the foundational InstructBLIP model and refining it using clinical image-to-text data sets. A multistage fine-tuning approach via low-rank adaptation was proposed to deepen the semantic comprehension of the visual encoder and the large language model for clinical imagery. Furthermore, prior knowledge was integrated through prompt learning to enhance the precision of the reports generated. Experiments were conducted on both the IU X-RAY and MIMIC-CXR data sets, with ClinicalBLIP compared to several leading methods. RESULTS Experimental results revealed that ClinicalBLIP obtained superior scores of 0.570/0.365 and 0.534/0.313 on the IU X-RAY/MIMIC-CXR test sets for the Metric for Evaluation of Translation with Explicit Ordering (METEOR) and the Recall-Oriented Understudy for Gisting Evaluation (ROUGE) evaluations, respectively. This performance notably surpasses that of existing state-of-the-art methods. Further evaluations confirmed the effectiveness of the multistage fine-tuning and the integration of prior information, leading to substantial improvements. CONCLUSIONS The proposed ClinicalBLIP model demonstrated robustness and effectiveness in enhancing clinical radiology report generation, suggesting significant promise for real-world clinical applications.
Collapse
|
2
|
Mediastinal hematoma due to traumatic injury to the azygous vein. Clin Case Rep 2024; 12:e8441. [PMID: 38250092 PMCID: PMC10799216 DOI: 10.1002/ccr3.8441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 11/20/2023] [Accepted: 01/08/2024] [Indexed: 01/23/2024] Open
Abstract
Rupture of the azygous vein may result from abrupt deceleration applied to the mobile azygous arch, which can initiate shearing forces within the thorax.
Collapse
|
3
|
A case of a 55-year-old female with uterine prolapse grade IV: a rare clinical image. Pan Afr Med J 2023; 46:10. [PMID: 37928221 PMCID: PMC10620324 DOI: 10.11604/pamj.2023.46.10.41360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 08/23/2023] [Indexed: 11/07/2023] Open
|
4
|
Funnel chest (pectus excavatum): a rare clinical image. Pan Afr Med J 2023; 45:194. [PMID: 38020357 PMCID: PMC10656582 DOI: 10.11604/pamj.2023.45.194.40769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 08/07/2023] [Indexed: 12/01/2023] Open
|
5
|
A systematic review and clinical atlas on mucocutaneous presentations of the current monkeypox outbreak: With a comprehensive approach to all dermatologic and nondermatologic aspects of the new and previous monkeypox outbreaks. J Med Virol 2023; 95:e28230. [PMID: 36254380 DOI: 10.1002/jmv.28230] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Revised: 10/03/2022] [Accepted: 10/13/2022] [Indexed: 11/11/2022]
Abstract
Monkeypox is a zoonotic disease, endemic in central and west African regions, and has re-emerged, currently causing an outbreak as of May 2022. In this systematic review, we aimed to characterize the current face of the disease, with a detailed categorization of mucocutaneous, as well as systemic symptoms of the disease. We searched four main online databases with the keywords "monkeypox" and "Orthopoxvirus". A total of 46 articles were included, with a cumulative number of 1984 confirmed cases. Patients were predominantly men who have sex with men, who were mostly in their 30s, with a history of unprotected sexual contact or international travel. Among mucocutaneous manifestations, anogenital lesions were the most commonly observed, followed by lesions on the limbs, face, trunk, and palms or soles. Among lesion types, vesiculopustular, pustular or pseudo-pustular, vesicular-umbilicated and papular lesions were the most common, mainly presenting asynchronously, with less than 10 lesions on each patient. Almost all patients also reported systemic manifestations, namely fever, lymphadenopathy, fatigue, myalgia, headaches, pharyngitis, and proctitis. Sexual contact is the main pathway of transmission in the current outbreak, with viral shedding in bodily fluids playing a key role. We've compared these idiosyncratic findings of the new outbreak with previous outbreaks. We've also gathered and categorized images from our included studies to make a "clinical atlas" for this "new" face of monkeypox, which can be of utmost importance for clinicians to be familiarized with, and have a clear picture of monkeypox for their differential diagnoses.
Collapse
|
6
|
Factors important in the correct evaluation of oral high-risk lesions during the telehealth era. J Oral Pathol Med 2022; 51:747-754. [PMID: 36053963 PMCID: PMC9544116 DOI: 10.1111/jop.13343] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 06/28/2022] [Accepted: 07/27/2022] [Indexed: 01/10/2023]
Abstract
BACKGROUND Considering that early detection of squamous cell carcinoma (SCC) improves prognosis and clinical examination is the primary detection method, we identified factors related to the clinical evaluation of oral mucosal lesions. Due to the growing role of telehealth, our study was based on clinical image evaluation. SUBJECTS AND METHODS Oral medicine specialists and dental students evaluated six images of benign, potentially malignant, or SCC lesions (18 images in total). We analyzed the role of personal factors of the examiners and the visual pathological features of the lesion upon which the participants based their evaluation. RESULTS One hundred thirty-three subjects participated. Half of the benign images were correctly evaluated. On average 1.2 (±SD1.3) cancer pictures were recognized correctly and 3.66 (±SD1.42) images were considered potentially malignant. Potentially malignant lesions were correctly evaluated at an average of 4.08 (±SD1.48) images. For cancer and potentially malignant lesion images, there were significantly better results among clinicians with the worst results from the fourth-year students. Student results correlated significantly with years of study, number of weeks spent in the oral medicine clinic, and interest in oral pathology. Consideration of lesion irregularity yielded a correct diagnosis, whereas wrong answers were based on color changes. Lesion size and margins were considered equally important. CONCLUSIONS Using clinical images as part of the diagnostic process provides good results, though increased clinical experience for graduates and undergraduates may be necessary to improve accuracy. Therefore, emphasizing the important visual parameters of malignancy may be valuable in the current telehealth era.
Collapse
|
7
|
Diverticular Bleeding: A Clinical Image. Cureus 2021; 13:e18350. [PMID: 34725603 PMCID: PMC8555758 DOI: 10.7759/cureus.18350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2021] [Indexed: 11/26/2022] Open
Abstract
A man in his 40’s was admitted to the general surgery ward with multiple episodes of large amounts of painless bright red per rectal (PR) bleeding and passage of clots. Urgent outpatient colonoscopy revealed a diverticulum which was associated with a wide diameter blood vessel originating from its base which was not actively bleeding. The clinical picture presented by the colonoscopy is one of the first to clearly identify large caliber blood vessels emerging from a colonic diverticulum.
Collapse
|
8
|
Eagle syndrome: a rare pathology presented in a 3-Dimensional reconstructed view. Br J Neurosurg 2021:1-2. [PMID: 34410201 DOI: 10.1080/02688697.2021.1968339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 07/29/2021] [Accepted: 08/10/2021] [Indexed: 10/20/2022]
Abstract
A 42-year-old male presented with 3-month history of constant right-sided frontal headaches, severe right-sided intermittent sharp jaw pain, odynophagia, globus pharyngis, and worsening episodes of blurry vision in his right eye. Cervicocerebral angiography demonstrated a prominent, 4 cm right sided styloid process with close proximity to the right internal carotid artery (ICA). The patient was referred to otorhinolaryngology for styloidectomy and continued care.
Collapse
|
9
|
Dicephalus parapagus conjoined twins. Clin Case Rep 2021; 9:e04663. [PMID: 34430022 PMCID: PMC8365537 DOI: 10.1002/ccr3.4663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 07/13/2021] [Accepted: 07/16/2021] [Indexed: 11/08/2022] Open
Abstract
Dicephalus parapagus are conjoined twins with two separate heads. Proper identification helps in patient counseling and timely referral to specialist centers.
Collapse
|
10
|
A Picture Says a Thousand Words. The Importance of Digital Clinical Photography in Establishing Histopathological Diagnosis of Cutaneous Disorders: A Dermatopathologist's Perspective. J Prim Care Community Health 2021; 12:2150132721993621. [PMID: 33618571 PMCID: PMC7905712 DOI: 10.1177/2150132721993621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
11
|
Cerebellar progressive multifocal leukoencephalopathy in a patient with a history of Crohn's disease and acute myeloid leukemia. Acta Neurol Belg 2020; 120:759-760. [PMID: 31863281 DOI: 10.1007/s13760-019-01260-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Accepted: 12/11/2019] [Indexed: 10/25/2022]
|
12
|
SAPHO Syndrome from Hidradenitis Suppurativa. J Gen Intern Med 2020; 35:1307-1308. [PMID: 32076984 PMCID: PMC7174507 DOI: 10.1007/s11606-019-05131-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 01/11/2019] [Accepted: 05/22/2019] [Indexed: 11/28/2022]
|
13
|
Babesiosis-Associated Warm Autoimmune Hemolytic Anemia. J Gen Intern Med 2020; 35:928-929. [PMID: 31713032 PMCID: PMC7080882 DOI: 10.1007/s11606-019-05506-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Revised: 09/27/2019] [Accepted: 10/16/2019] [Indexed: 10/25/2022]
|
14
|
An Elusive Case of Mycosis Fungoides: Case Report and Review of the Literature. J Gen Intern Med 2019; 34:2669-2674. [PMID: 31388911 PMCID: PMC6848709 DOI: 10.1007/s11606-019-05231-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 04/30/2019] [Accepted: 07/09/2019] [Indexed: 11/26/2022]
Abstract
Erythroderma refers to a spectrum of skin diseases resulting in diffuse erythema and scaling encompassing ≥ 90% of the body surface area. The differential diagnosis ranges from primary dermatologic diseases such as atopic dermatitis and psoriasis to potentially deadly causes such as staphylococcal toxic shock syndrome, toxic epidermal necrolysis, and malignancy. Cutaneous T cell lymphoma (CTCL) is an uncommon but highly morbid cause of erythroderma. This non-Hodgkin lymphoma remains a diagnostic challenge due to its variable clinical presentation and varied histologic features. Mycosis fungoides (MF) is the most common form of CTCL. Making a timely diagnosis is challenging as it may mimic inflammatory diseases of the skin including eczema, psoriasis, lichen planus, and cutaneous lupus. We present a case of a 58-year-old man who presented with 5 years of cutaneous symptoms and several months of fevers and night sweats, ultimately diagnosed as MF. Owing to diffuse CD30 positivity, he was a candidate for brentuximab vedotin, an antibody-drug conjugate medication that selectively targets the CD30 antigen. This resulted in an excellent therapeutic response.
Collapse
|
15
|
|
16
|
The Oil Drop Sign. J Gen Intern Med 2019; 34:1946. [PMID: 31313120 PMCID: PMC6712102 DOI: 10.1007/s11606-019-05159-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 03/26/2019] [Accepted: 06/13/2019] [Indexed: 10/26/2022]
|
17
|
The Possibility of Deep Learning-Based, Computer-Aided Skin Tumor Classifiers. Front Med (Lausanne) 2019; 6:191. [PMID: 31508420 PMCID: PMC6719629 DOI: 10.3389/fmed.2019.00191] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Accepted: 08/13/2019] [Indexed: 11/13/2022] Open
Abstract
The incidence of skin tumors has steadily increased. Although most are benign and do not affect survival, some of the more malignant skin tumors present a lethal threat if a delay in diagnosis permits them to become advanced. Ideally, an inspection by an expert dermatologist would accurately detect malignant skin tumors in the early stage; however, it is not practical for every single patient to receive intensive screening by dermatologists. To overcome this issue, many studies are ongoing to develop dermatologist-level, computer-aided diagnostics. Whereas, many systems that can classify dermoscopic images at this dermatologist-equivalent level have been reported, a much fewer number of systems that can classify conventional clinical images have been reported thus far. Recently, the introduction of deep-learning technology, a method that automatically extracts a set of representative features for further classification has dramatically improved classification efficacy. This new technology has the potential to improve the computer classification accuracy of conventional clinical images to the level of skilled dermatologists. In this review, this new technology and present development of computer-aided skin tumor classifiers will be summarized.
Collapse
|
18
|
Urate Bulla: a Rare Manifestation of Gout. J Gen Intern Med 2019; 34:1069-1070. [PMID: 30887441 PMCID: PMC6544689 DOI: 10.1007/s11606-019-04864-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 12/19/2018] [Accepted: 01/16/2019] [Indexed: 11/29/2022]
|
19
|
Gout In Extremis: Massive Soft Tissue Tophaceous Deposits. J Gen Intern Med 2018; 33:2248-2249. [PMID: 30284170 PMCID: PMC6258634 DOI: 10.1007/s11606-018-4662-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2018] [Revised: 06/29/2018] [Accepted: 08/28/2018] [Indexed: 11/30/2022]
|
20
|
|
21
|
Atypical Pressure Ulcer as Cellulitis Mimic. J Gen Intern Med 2018; 33:1816. [PMID: 29992424 PMCID: PMC6153246 DOI: 10.1007/s11606-018-4550-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Revised: 03/20/2018] [Accepted: 06/28/2018] [Indexed: 10/28/2022]
|
22
|
|
23
|
[Evaluation of Entrance Surface Dose in Chest Radiography Using Clinical Images: Estimation of Subject Thickness Using Two-direction Radiography]. Nihon Hoshasen Gijutsu Gakkai Zasshi 2018; 74:661-666. [PMID: 30033959 DOI: 10.6009/jjrt.2018_jsrt_74.7.661] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The International Commission on Radiological Protection recommends adaptation of the diagnostic reference levels as an indicator of optimization of protection, and diagnostic reference levels of 2015 were also published in Japan in 2015 (Japan DRLs 2015). The entrance surface dose (ESD) is evaluated to the published standard subject thickness in Japan DRLs 2015. However, the standard radiographic settings of each facility may not be a radiographic condition of the standard subject thickness of Japan DRLs 2015. We measure and record the thickness of the subject in every examination, and it can solve this problem, but it is difficult to carry out it in the actual clinical scene. In this study, we aimed to estimate the subject thickness by using chest clinical images and to calculate ESD for each radiography. We evaluated and compared with Japan DRLs 2015 using these data. The subject thickness was estimated from 200 cases of digital imaging and communications in medicine (DICOM) image obtained by both the frontal and lateral views of the chest radiography. Also, at the same time, the radiographic settings were acquired from the information of the DICOM tag. The subject thickness was 23.60 cm on the average, and the median of the ESD was 0.104 mGy. Also, the median of the ESD at the standard subject thickness of 20 cm in Japan DRLs 2015 was 0.075 mGy. The ESD can be calculated without measuring the body thickness of the patient of every examination by using the method of this study.
Collapse
|
24
|
Chronic Abdominal Pain from Disseminated Splenosis. J Gen Intern Med 2018; 33:976-977. [PMID: 29611090 PMCID: PMC5975174 DOI: 10.1007/s11606-018-4414-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
25
|
|
26
|
An Unusual Cause of Horner Syndrome. J Gen Intern Med 2018; 33:774-775. [PMID: 29383548 PMCID: PMC5910350 DOI: 10.1007/s11606-018-4317-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Revised: 11/03/2017] [Accepted: 01/11/2018] [Indexed: 11/30/2022]
|
27
|
Lipemic Serum in Hypertriglyceridemia-Induced Pancreatitis. J Gen Intern Med 2017; 32:1267. [PMID: 28577287 PMCID: PMC5653545 DOI: 10.1007/s11606-017-4086-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 04/12/2017] [Accepted: 05/17/2017] [Indexed: 11/29/2022]
|
28
|
Coloboma of the Optic Disc and Retina. J Gen Intern Med 2017; 32:1160. [PMID: 28353130 PMCID: PMC5602753 DOI: 10.1007/s11606-017-4052-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2016] [Revised: 01/20/2017] [Accepted: 03/16/2017] [Indexed: 10/19/2022]
|
29
|
Urinothorax: A Rare Case of Pleural Effusion. J Gen Intern Med 2017; 32:1058-1059. [PMID: 28299602 PMCID: PMC5570734 DOI: 10.1007/s11606-017-4032-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Revised: 02/17/2017] [Accepted: 02/24/2017] [Indexed: 10/20/2022]
|
30
|
Disseminated Sporotrichosis with Osteolytic Bone Involvement. J Gen Intern Med 2017; 32:1063. [PMID: 28349410 PMCID: PMC5570735 DOI: 10.1007/s11606-017-4048-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Revised: 02/22/2017] [Accepted: 03/09/2017] [Indexed: 10/19/2022]
|
31
|
|
32
|
Faces of Lyme. J Gen Intern Med 2017; 32:583-584. [PMID: 27957662 PMCID: PMC5400763 DOI: 10.1007/s11606-016-3939-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 11/17/2016] [Accepted: 11/22/2016] [Indexed: 11/26/2022]
|
33
|
Incidental Discovery of Retained Triple Lumen Catheter Guidewire. J Gen Intern Med 2017; 32:361-362. [PMID: 27400925 PMCID: PMC5330992 DOI: 10.1007/s11606-016-3798-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Revised: 04/22/2016] [Accepted: 06/23/2016] [Indexed: 10/21/2022]
|
34
|
Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu syndrome). J Gen Intern Med 2017; 32:218-219. [PMID: 27714648 PMCID: PMC5264676 DOI: 10.1007/s11606-016-3870-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Revised: 08/25/2016] [Accepted: 09/14/2016] [Indexed: 10/20/2022]
|
35
|
|
36
|
Omphalolith: An Umbilical Concretion to Recognize. J Gen Intern Med 2016; 31:1396. [PMID: 27114363 PMCID: PMC5071274 DOI: 10.1007/s11606-016-3708-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Revised: 04/04/2016] [Accepted: 04/06/2016] [Indexed: 12/01/2022]
|
37
|
Bilateral Nephrocalcinosis in Primary Distal Renal Tubular Acidosis. J Gen Intern Med 2016; 31:1261. [PMID: 27090423 PMCID: PMC5023593 DOI: 10.1007/s11606-016-3697-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Revised: 03/17/2016] [Accepted: 03/29/2016] [Indexed: 11/28/2022]
|
38
|
Generalized Pustular Psoriasis Associated with Shock. J Gen Intern Med 2016; 31:1258-9. [PMID: 26976288 PMCID: PMC5023587 DOI: 10.1007/s11606-016-3664-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 02/02/2016] [Accepted: 02/26/2016] [Indexed: 10/22/2022]
|
39
|
Scrotal Calcinosis. J Gen Intern Med 2016; 31:1104. [PMID: 26921158 PMCID: PMC4978666 DOI: 10.1007/s11606-016-3600-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Revised: 12/04/2015] [Accepted: 01/12/2016] [Indexed: 11/30/2022]
|
40
|
Minoxidil-Associated Pleuropericardial Effusion. J Gen Intern Med 2016; 31:1105. [PMID: 26951281 PMCID: PMC4978667 DOI: 10.1007/s11606-016-3624-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Revised: 11/10/2015] [Accepted: 02/04/2016] [Indexed: 10/22/2022]
|
41
|
Abstract
Erythema nodosum is the most common form of panniculitis. It may have many aetiological factors. Erythema nodosum occurs three to five times more often in female patients. It appears as erythematous painful rounded nodules, located most often on the anterior surface of the lower extremities, and may be accompanied by systemic symptoms such as fever, malaise and arthralgia. During diagnosis, oncological vigilance should be maintained, because erythema nodosum may be a paraneoplastic symptom. It requires an interdisciplinary approach and exclusion of many underlying causes.
Collapse
|
42
|
Digit-Threatening Severe Tophaceous Gout. J Gen Intern Med 2016; 31:699. [PMID: 26608304 PMCID: PMC4870411 DOI: 10.1007/s11606-015-3548-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
43
|
Femoral Pseudoaneurysm as a Complication of Infective Endocarditis. J Gen Intern Med 2016; 31:447-8. [PMID: 26108404 PMCID: PMC4803702 DOI: 10.1007/s11606-015-3442-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Revised: 05/27/2015] [Accepted: 06/04/2015] [Indexed: 11/29/2022]
|
44
|
|
45
|
Cardiac tamponade - presentation of type A aortic dissection. J Community Hosp Intern Med Perspect 2014; 4:25449. [PMID: 25432649 PMCID: PMC4246145 DOI: 10.3402/jchimp.v4.25449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2014] [Revised: 09/12/2014] [Accepted: 09/25/2014] [Indexed: 11/14/2022] Open
Abstract
Acute aortic dissection usually presents with severe chest and/or back pain but may have a varied presentation ranging from syncope, stroke, and heart failure to shock or tamponade. We present classic chest computed tomography images of a case of type A aortic dissection presenting with cardiac tamponade.
Collapse
|
46
|
Facial flushing with food: the auriculotemporal syndrome. J Gen Intern Med 2013; 28:475-6. [PMID: 22878850 PMCID: PMC3579961 DOI: 10.1007/s11606-012-2175-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2012] [Revised: 05/22/2012] [Accepted: 07/02/2012] [Indexed: 10/28/2022]
|
47
|
Missing the tree for the forest: a case of secondary spontaneous pneumothorax. J Gen Intern Med 2012; 27:601-2. [PMID: 22215268 PMCID: PMC3326093 DOI: 10.1007/s11606-011-1954-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2011] [Accepted: 11/30/2011] [Indexed: 10/14/2022]
|