JAMA Internal Medicine X
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  • Announcing the Teachable Moment Editorial Fellowship

    Abstract Full Text
    online first
    JAMA Intern Med. 2018; doi: 10.1001/jamainternmed.2018.0780
  • Management of Patients With Febrile Neutropenia: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2018; 178(4):558-559. doi: 10.1001/jamainternmed.2017.8386

    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.

  • Hemoptysis or Hematemesis?—The Importance of Professional Medical Interpretation: A Teachable Moment

    Abstract Full Text
    online first
    JAMA Intern Med. 2018; doi: 10.1001/jamainternmed.2018.0697

    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.

  • Unnecessary Repeat Enzyme Testing in Acute Pancreatitis: A Teachable Moment

    Abstract Full Text
    online first
    JAMA Intern Med. 2018; doi: 10.1001/jamainternmed.2018.0106

    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.

  • Treatment of Immune Thrombocytopenia: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2018; 178(3):406-407. doi: 10.1001/jamainternmed.2017.7614

    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.

  • Overtreatment of Asymptomatic Hypertension—Urgency Is Not an Emergency: A Teachable Moment

    Abstract Full Text
    online first
    JAMA Intern Med. 2018; doi: 10.1001/jamainternmed.2018.0126

    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.

  • Edema and Ulceration of the Lower Extremities—All That’s Red Is Not Infection: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2018; 178(2):277-278. doi: 10.1001/jamainternmed.2017.7194

    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.

  • Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2018; 178(2):279-280. doi: 10.1001/jamainternmed.2017.7104

    This Teachable Moment examines the danger in overvaluing laboratory test results that contradict clinical findings.

  • Evaluation of Polycythemia: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2018; 178(1):128-130. doi: 10.1001/jamainternmed.2017.6213

    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.

  • Treating the “Wake-up Call” of Alcohol Use: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(12):1849-1850. doi: 10.1001/jamainternmed.2017.5502

    This Teachable Moment explores the case of a patient who gained new insight into his own patterns of unhealthy drinking after having a seizure.

  • Unnecessary Use of Inferior Vena Cava Filters: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(12):1847-1848. doi: 10.1001/jamainternmed.2017.3991

    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.

  • Nil per Os Orders for Imaging: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(11):1670-1671. doi: 10.1001/jamainternmed.2017.3943

    This Teachable Moment highlights how the use of nil per os orders can lead to complications.

  • The Harms of Empirical Bowel Regimens: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(10):1518-1519. doi: 10.1001/jamainternmed.2017.3653

    This Teachable Moment describes a hospitalized patient with nosocomial diarrhea caused by unnecessary prescription of laxatives and discusses the potential harms of this routine practice.

  • Unnecessary Staging Imaging in Early-Stage Breast Cancer: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(10):1516-1517. doi: 10.1001/jamainternmed.2017.2785

    This Teachable Moment uses the details of a case report to evaluate the risks and benefits of staging imaging in early-stage breast cancer.

  • Cardiac Resynchronization Therapy—Does One Size Fit All? A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(10):1513-1514. doi: 10.1001/jamainternmed.2017.2778

    This Teachable Moment illustrates the complexity of determining the appropriateness and timing of cardiac resynchronization therapy in the management of heart failure.

  • Recalculating the Costs of Overtriage: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(9):1367-1368. doi: 10.1001/jamainternmed.2017.2782

    This Teachable Moment describes a case of a man with type I diabetes admitted to the emergency department after his insulin pump was not reattached.

  • Antinuclear Antibody and Subserology Testing in the Evaluation of Fibromyalgia: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(9):1369-1370. doi: 10.1001/jamainternmed.2017.2776

    This Teachable Moment highlights that clinical judgement is sufficient to diagnose fibromyalgia, and antinuclear antibody and subserology testing is not essential to rule out autoimmune conditions in the absence of suggestive signs and symptoms.

  • The Troponin Cascade: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(8):1193-1194. doi: 10.1001/jamainternmed.2017.1804

    This case highlights the challenges of treating a patient with elevated troponin levels when noncardiac diagnoses are present.

  • Thrombophilia Testing in Provoked Venous Thromboembolism: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(8):1195-1196. doi: 10.1001/jamainternmed.2017.1815

    This Teachable Moment looks at the value of testing for inherited thrombophilia in patients with provoked venous thrombophilia.

  • Maximizing Benefits and Minimizing Harms of Lung Cancer Screening: A Teachable Moment

    Abstract Full Text
    JAMA Intern Med. 2017; 177(8):1197-1198. doi: 10.1001/jamainternmed.2017.2349

    This Teachable Moment discusses maximizing benefits and minimizing harms of lung cancer screening.