Poorly Controlled Type 3c Diabetes due to Use of Veterinarian Insulin Syringes by Francisco Barrera, Natia Murvelashvili

“…Initiation of insulin therapy can be challenging for patients; proper training should be given by physicians and certified educators to ensure correct and safe use for outpatient population. …”
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Arthrogryposis Multiplex Congenita: Multiple Congenital Joint Contractures by Hamza Sucuoglu, Nurettin Irem Ornek, Cagkan Caglar

“…It is crucial that the diagnosis of AMC should be kept in mind by musculoskeletal physicians in newborns with multiple joint contractures and patients must begin rehabilitation in early stage after accurate diagnosis in terms of functional independence. …”
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Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex Problem by Manfred Harth, Warren R Nielson

“…The authors of the commentary contend that: previously and currently used criteria for the diagnosis of FM are irrelevant to clinical practice; the opinions of family physicians should supersede those of experts; there is little evidence that trauma can cause FM; no formal instruments are necessary to assess disability; and many FM patients on or applying for disability are exaggerating or malingering, and tests of symptoms validity should be used to identify malingerers.…”
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Clozapine-Induced Myocarditis: Is Mandatory Monitoring Warranted for Its Early Recognition? by T. A. Munshi, D. Volochniouk, T. Hassan, N. Mazhar

“…We then aim to review some of the available literature and raise awareness among physicians as this condition can potentially be fatal if not detected early.…”
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Breast Cancer: Making Sense of the Numbers by Martha C. Monroe, Barbara F. Shea, Linda B. Bobroff

“…Includes explanations of the different scoring systems used by physicians and a section on understanding how treatments change survival odds. …”
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An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient by Nadia Solomon, Tom Heller, Tommaso Manciulli, Paola Del Giacomo, Katleen de Gaetano Donati, Enrico Brunetti, Francesco Taccari

“…Gummatous syphilis is rarely described in the literature, and practicing physicians should be aware of its existence and include this manifestation in the differential diagnosis of patients with a positive serology and focal liver lesions.…”
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Exclusion Spirometry: A Good Idea by Nick R. Anthonise

“…In this issue of the Canadian Respiratory Journal, Almirall and Bégin (pages 195 to 196) make a suggestion aimed at increasing the use of spirometry by primary care physicians, as well as family and general practitioners. …”
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Bilateral Paramedian Thalamic Infarction Initially Presenting as a Convulsive Seizure by Jianping Wang, Xiaojie Fu, Chao Jiang, Hengfang Liu, Yuanzheng Zhao, Wei Han

“…Associated with the relationship between seizure and centrencephalic system and reticular formation as previously reported, we suggest that seizure could be the onset symptom of paramedian thalamic infarction. Physicians should recognize this condition, because both seizure control and early ischemic stroke management are required.…”
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Measuring Quality in Emergency Medical Services: A Review of Clinical Performance Indicators by Mazen J. El Sayed

“…This paper aims at introducing emergency physicians and health care providers to quality initiatives in EMS and serves as a reference for tools that EMS medical directors can use to launch new or modify existing quality control programs in their systems.…”
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Exclusion Spirometry: An Initiative to Increase Lung Function Assessment in Primary Care by José Almirall, Paul Bégin

“…As a result, spirometry is rarely performed by primary care physicians. A new approach is proposed: exclusion spirometry. …”
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Highland Park Shooting Anniversary: From Tragedy to Strategy by John Malcolm Hollingsworth, MD, MS, Margaret Gurley, RN, MHA, Sarah Farley, BS, MS, John N. Cram, RN, BSN, EMT-P, CHSE, Bryan P. Hendren, MD

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Structural development of the HIV-1 apex-directed PGT145-PGDM1400 antibody lineage by Rosemarie D. Mason, Baoshan Zhang, Nicholas C. Morano, Chen-Hsiang Shen, Krisha McKee, Ashley Heimann, Renguang Du, Alexandra F. Nazzari, Shelby Hodges, Tapan Kanai, Bob C. Lin, Mark K. Louder, Nicole A. Doria-Rose, Tongqing Zhou, Lawrence Shapiro, Mario Roederer, Peter D. Kwong, Jason Gorman

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Masquerade Syndrome of Multicentre Primary Central Nervous System Lymphoma by Silvana Guerriero, Ermete Giancipoli, Lorenza Ciracì, Giuseppe Ingravallo, Marcella Prete, Elisabetta Di Leo, Antonietta Cimmino, Nicola Cardascia

“…In Italy we say that the most unlucky things can happen to physicians when they get sick, despite the attention of colleagues. …”
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Nonsteroidal Anti-Inflammatory Agents in the Treatment of Asthma in Children by Pierre Gaudreault

“…This evidence has led physicians to focus their treatment on the elimination of inflammation instead of working solely against bronchoconstriction. …”
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A Sizable Aortic Root Paravalvular Mycotic Pseudoaneurysm by Ahmad Saeed Azhar, Noran M. Abu-Ouf

“…With prevalence of 0.7–2.6% of all cases of aortic aneurysms, it is associated with a significant rate of mortality and morbidity. Physicians should be highly cautious, as diagnosis and effective treatment for this condition are difficult. …”
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Spontaneous Hemopericardium Leading to Cardiac Tamponade in a Patient with Essential Thrombocythemia by Anand Deshmukh, Shanmuga P. Subbiah, Sakshi Malhotra, Pooja Deshmukh, Suman Pasupuleti, Syed Mohiuddin

“…ET is characterized by elevated platelet counts that can lead to thrombosis but paradoxically it can also lead to a bleeding diathesis. Physicians should be aware of this complication so that timely life-saving measures can be taken if this complication arises.…”
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A Content Incontinent: Report of Liposomal Bupivacaine Induced Fecal Incontinence by Emanuel A. Shapera, Vinay K. Rai

“…We report a unique case in which temporary incontinence (for less than 4 days) followed injection of liposomal bupivacaine for postoperative pain control after draining seton placement for fistula in ano. Patients and physicians should be aware as it may be mistaken for a more serious anatomical and permanent cause of fecal incontinence.…”
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A 6-year-old boy with a focal lesion of the liver: case description by Sabina Baran, Katarzyna Ptak, Katarzyna Pawińska-Wąsikowska, Szymon Skoczeń, Walentyna Balwierz, Przemko Kwinta

“…Liver abscess is rare in the pediatric population, but it can be a challenge for physicians. The clinical symptoms of liver abscesses are nonspecific, which may lead to a delay in diagnosis and initiation of treatment. …”
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Postanoxic Burst Suppression Electroencephalogram in a Comatose Child Associated with Spontaneous Eyelid Opening by John R. Crawford

“…These electroencephalographic findings are important for intensive care physicians to recognize and may provide further insight into the pathophysiological mechanism of this rare phenomenon.…”
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Engagement of students in care delivery for individuals with intellectual and developmental disabilities through interprofessional education by Jane Jomy, Hillary Chan, Stuart McKinlay, Sebat Mohamed, Ben Caplan, Rachel Cohen, Leigh Caplan, Lily Cohen, Jessica Lynch, Shelby Olesovsky, Brock Reissner

“…A key contributing factor to poor care delivery is the lack of standardized IDD curriculum in Canadian medical education. Many physicians and nurses report they do not feel confident in providing care for patients with IDD. …”
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