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A pars plana vitrectomy was performed to remove the worm that had been found on funduscopy. Read the full case details in the Images in Clinical Medicine article “Ocular Gnathostomiasis”:

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24,880 просмотров • 1 год назад •via X (Twitter)

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The abdominojugular reflux test was performed by applying firm, sustained pressure to the center of the abdomen. A sustained increase in jugular venous pressure (JVP) of more than 3 cm of water for more than 10 seconds, as occurred in this patient, indicates a positive test. (A transient increase in JVP that returns to baseline in 10 seconds or less while abdominal pressure is applied would indicate a negative test.) Read the full case details in the Images in Clinical Medicine article “Abdominojugular Reflux Test” from UC San Francisco and the San Francisco Veterans Affairs Medical Center (Veterans Affairs):
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The abdominojugular reflux test was performed by applying firm, sustained pressure to the center of the abdomen. A sustained increase in jugular venous pressure (JVP) of more than 3 cm of water for more than 10 seconds, as occurred in this patient, indicates a positive test. (A transient increase in JVP that returns to baseline in 10 seconds or less while abdominal pressure is applied would indicate a negative test.) Read the full case details in the Images in Clinical Medicine article “Abdominojugular Reflux Test” from UC San Francisco and the San Francisco Veterans Affairs Medical Center (Veterans Affairs):

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Read "Strategies to Reinvigorate the Bedside Clinical Encounter," the latest Review Article in the Medical Education series: Center for Bedside Medicine
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Read "Strategies to Reinvigorate the Bedside Clinical Encounter," the latest Review Article in the Medical Education series: Center for Bedside Medicine

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Three videos show echocardiography in a woman who presented with acute pain, swelling, and bruising on the upper portion of her left knee after using an electronic massage gun. Read the full case details in the Clinical Problem-Solving article “A Fruitful Workup” by N. Jain et al., from Penn Medicine and the University of Pennsylvania:
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Three videos show echocardiography in a woman who presented with acute pain, swelling, and bruising on the upper portion of her left knee after using an electronic massage gun. Read the full case details in the Clinical Problem-Solving article “A Fruitful Workup” by N. Jain et al., from Penn Medicine and the University of Pennsylvania:

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19,778 просмотров • 11 месяцев назад

Low back pain has the highest global prevalence of all musculoskeletal conditions. A new Video in Clinical Medicine demonstrates how to perform a physical examination of the lumbar spine. Watch the full video and read the accompanying article:
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Low back pain has the highest global prevalence of all musculoskeletal conditions. A new Video in Clinical Medicine demonstrates how to perform a physical examination of the lumbar spine. Watch the full video and read the accompanying article:

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𝗖𝗮𝗹𝗹 𝗳𝗼𝗿 𝗦𝘂𝗯𝗺𝗶𝘀𝘀𝗶𝗼𝗻𝘀: For #EarthMonth (April 2025), the NEJM Images in Clinical Medicine section will feature images sharing the clinical health impacts of the climate crisis. Learn more and submit your images at
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𝗖𝗮𝗹𝗹 𝗳𝗼𝗿 𝗦𝘂𝗯𝗺𝗶𝘀𝘀𝗶𝗼𝗻𝘀: For #EarthMonth (April 2025), the NEJM Images in Clinical Medicine section will feature images sharing the clinical health impacts of the climate crisis. Learn more and submit your images at

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Nasal endoscopy showed necrotic-appearing black eschars within the nasal cavity and perforation of the nasal septum. Read the full clinical case:
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Nasal endoscopy showed necrotic-appearing black eschars within the nasal cavity and perforation of the nasal septum. Read the full clinical case:

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Peripheral artery disease is linked to cardiovascular risk and impaired mobility. Diagnosis relies on ankle–brachial index testing, and management involves cardiovascular risk reduction, exercise, and selective revascularization. Learn more in the Clinical Practice article “Peripheral Artery Disease in the Legs” by Mary M. McDermott, MD, from the Northwestern University Feinberg School of Medicine (Northwestern Feinberg School of Medicine):
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Peripheral artery disease is linked to cardiovascular risk and impaired mobility. Diagnosis relies on ankle–brachial index testing, and management involves cardiovascular risk reduction, exercise, and selective revascularization. Learn more in the Clinical Practice article “Peripheral Artery Disease in the Legs” by Mary M. McDermott, MD, from the Northwestern University Feinberg School of Medicine (Northwestern Feinberg School of Medicine):

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Our latest video in our partnership with Dr. Glaucomflecken summarizes a trial evaluating the clinical efficacy of tecovirimat against human clade II mpox. Read the full study for free:
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Our latest video in our partnership with Dr. Glaucomflecken summarizes a trial evaluating the clinical efficacy of tecovirimat against human clade II mpox. Read the full study for free:

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A video shows the administration of DB-OTO, an adeno-associated virus 1 gene therapy that delivers OTOF cDNA to treat congenital deafness. Watch the full video and read the accompanying article: #Otolaryngology
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A video shows the administration of DB-OTO, an adeno-associated virus 1 gene therapy that delivers OTOF cDNA to treat congenital deafness. Watch the full video and read the accompanying article: #Otolaryngology

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A small clinical trial led by Stanford Medicine found that the metabolic effects of a ketogenic diet may help stabilize the brain. Read more: #bipolar #mentalillness #newtreatment
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A small clinical trial led by Stanford Medicine found that the metabolic effects of a ketogenic diet may help stabilize the brain. Read more: #bipolar #mentalillness #newtreatment

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Monoclonal gammopathy of undetermined significance (MGUS) is a common, asymptomatic plasma-cell disorder in older adults that can progress to cancer or systemic illness. NEJM Editorial Fellow Katerina Lin, MD, shares some key points from a review published in October. Read the full article:
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Monoclonal gammopathy of undetermined significance (MGUS) is a common, asymptomatic plasma-cell disorder in older adults that can progress to cancer or systemic illness. NEJM Editorial Fellow Katerina Lin, MD, shares some key points from a review published in October. Read the full article:

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Internal Medicine rounds are never “aggressively boring” with Dr. G. Watch the latest video in which Dr. Glaucomflecken summarizes the PICNIC trial. Access the article for free:
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Internal Medicine rounds are never “aggressively boring” with Dr. G. Watch the latest video in which Dr. Glaucomflecken summarizes the PICNIC trial. Access the article for free:

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Race-based pulmonary-function test (PFT) guidelines were taught to clinicians for decades, even as questions arose about their validity and the implications of their use. Rohan Khazanchi, MD, MPH (Rohan Khazanchi, MD, MPH), who coauthored a recent Medicine and Society article on race-based PFTs, discusses their financial implications and their adverse consequences. Read the article and watch the full video podcast with host Harleen Marwah, MD (Harleen Marwah, MD, MS):
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Race-based pulmonary-function test (PFT) guidelines were taught to clinicians for decades, even as questions arose about their validity and the implications of their use. Rohan Khazanchi, MD, MPH (Rohan Khazanchi, MD, MPH), who coauthored a recent Medicine and Society article on race-based PFTs, discusses their financial implications and their adverse consequences. Read the article and watch the full video podcast with host Harleen Marwah, MD (Harleen Marwah, MD, MS):

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All he had to do was read the full article #mosque #church #politics #news #funny
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All he had to do was read the full article #mosque #church #politics #news #funny

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40 years ago today, A VIEW TO A KILL was released in the UK. From snowboarding to quiche making, we revisit the 10 most memorable scenes. Read the full article on
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40 years ago today, A VIEW TO A KILL was released in the UK. From snowboarding to quiche making, we revisit the 10 most memorable scenes. Read the full article on

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Does your patient really need that peripheral IV “just in case”? NEJM Clinician Editor-in-Chief Raja-Elie Abdulnour, MD (Raja-Elie Abdulnour), sums up a recent article challenging the routine practice of maintaining idle PIVCs in clinically stable patients. Full summary: Visit for This Week’s Must-Know Medicine, including: • HPV Vaccination — Is It Time to Move to a One-Dose Schedule? • How to Discontinue Antidepressants • Liberal Blood Transfusion for Patients with CV Disease and Postoperative Anemia? • Covid during Pregnancy: Does Vaccination Help?
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Does your patient really need that peripheral IV “just in case”? NEJM Clinician Editor-in-Chief Raja-Elie Abdulnour, MD (Raja-Elie Abdulnour), sums up a recent article challenging the routine practice of maintaining idle PIVCs in clinically stable patients. Full summary: Visit for This Week’s Must-Know Medicine, including: • HPV Vaccination — Is It Time to Move to a One-Dose Schedule? • How to Discontinue Antidepressants • Liberal Blood Transfusion for Patients with CV Disease and Postoperative Anemia? • Covid during Pregnancy: Does Vaccination Help?

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In low-risk patients with MI and early complete revascularization, stopping aspirin after 1 month and continuing P2Y12 monotherapy was noninferior to dual antiplatelet therapy for ischemic outcomes and led to reduced bleeding at 1 year. Read the full TARGET-FIRST trial results in the Original Article “Early Discontinuation of Aspirin after PCI in Low-Risk Acute Myocardial Infarction”:
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In low-risk patients with MI and early complete revascularization, stopping aspirin after 1 month and continuing P2Y12 monotherapy was noninferior to dual antiplatelet therapy for ischemic outcomes and led to reduced bleeding at 1 year. Read the full TARGET-FIRST trial results in the Original Article “Early Discontinuation of Aspirin after PCI in Low-Risk Acute Myocardial Infarction”:

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