Explore this JAMA Internal Medicine series intended to educate medical trainees about the harms that result from overuse of health services.
This Teachable Moment describes the case of a 58-year-old man with bilateral knee osteoarthritis who presented to the emergency department with 1 week of dizziness and intermittent dark stools.
This teachable moment assesses the effectiveness of magic mouthwash for oral mucositis.
This case report describes a man in his 50s with no medical history of heart or lung disease who presented with progressive dyspnea on exertion due to chronic thromboembolic pulmonary hypertension and was misdiagnosed with WHO group 1 idiopathic pulmonary arterial hypertension.
This Teachable Moment describes the case of a marginally housed man with a history of alcohol use disorder and essential hypertension who was seen for abdominal pain and was diagnosed with uncomplicated diverticulitis, prescribed antibiotics, and subsequently was diagnosed with Clostridium difficile.
This Teachable Moment describes the case of a 77-year-old man with gout and hypertension who presented with allopurinol-associated adverse effects and who tested positive for the HLA-B*5801 allele.
This Teachable Moment describes novel strategies for notification and treatment of patients’ partners with gonorrhea infection to help reverse the trend of rising gonococcal infection and resistance.
This Teachable Moment uses the details of a case report to illustrate the need for Pneumocystis pneumonia prophylaxis in certain immunocompromised but HIV-negative patients.
This Teachable Moment examines the case of an 81-year-old man with heart failure (HF) who had been prescribed a regimen of therapies for comorbities but did not understand medication instructions owing to sensory impairments and subsequently experienced HF exacerbations due to noncompliance.
This Teachable Moment examines the case of a man who experienced a misdiagnosis due to translation difficulties and argues for more professional medical interpretation services in clinical settings.
This Teachable Moment reports the case of a woman with jaw pain, bitemporal headaches, and scalp tenderness who developed acute right eye partial vision loss, an inferior visual field defect, and a hyperemic optic disc, consistent with ischemic optic neuropathy.
This Teachable Moment differentiates between hypertensive emergency and hypertensive urgency and examines the case of a woman who was incorrectly treated for hypertensive emergency when treatment for hypertensive urgency would have been more appropriate.
This Teachable Moment questions the value of repeat lipase level assay as a follow-up measure for patients with a diagnosis of acute pancreatitis and proposes a more effective alternative.
This Teachable Moment uses the case of a woman in her 30s undergoing chemotherapy for stage 2A breast cancer who was hospitalized for febrile neutropenia to illustrate the need to avoid overtreatment for low-risk patients with this common oncological complication.
This Teachable Moment describes the case of a 56-year-old man who presented to his primary care physician with bleeding gums and was subsequently diagnosed with primary immune thrombocytopenia.
This Teachable Moment describes the case of a 65-year-old man who presented with symptoms of infection but was found to have a misdiagnosed case of stasis dermatitis.
This Teachable Moment examines the danger in overvaluing laboratory test results that contradict clinical findings.
This Teachable Moment examines the case of a woman in her 50s with a history of gastric bypass and iron deficiency anemia who presented for evaluation of fatigue.
This Teachable Moment explores the case of a patient who gained new insight into his own patterns of unhealthy drinking after having a seizure.
This Teachable Moment examines the case of a woman in her 20s with ulcerative colitis, unprovoked deep vein thromboses, and pulmonary embolism who had been taking coumadin and presented with acute-onset left-sided pleuritic chest pain for 3 days.
This Teachable Moment looks at the case of a woman with hypothyroidism and the risks of unnecessary thyroid ultrasonography in the workup of this disorder.
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