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Update on managing acute pericarditis
In a patient with chest pain, differentiating between an MI and pericarditis is critical. Once pericarditis is identified, the management focuses on preventing recurrent pericardial pain.
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Dysthymia
The patient is a 59-year-old woman with a history of hypertension who presents with myalgias and fatigue that have been troubling her "for months." She also reports insomnia and feelings of insecurity. On further questioning, she says that she has "always felt tired and low." Family history is significant for depression (both mother and sister) and alcoholism (father). The patient takes metoprolol (Lopressor) for hypertension.
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Beware these 7 charting pitfalls
An exaggeration? These case histories prove otherwise—and show you how to avoid the same mistakes.
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Transitioning into the "real world"
Uncertain about practice alternatives or whether to accept an internal medicine fellowship, Raj Alagugurusamy, MD, decided locum tenens would be the perfect segue for acquiring experience while honing his skills. "After graduating in June of 2005, I was not sure what I wanted to do. Locum tenens buys me some time because I am not forced to make any long-term commitments, yet I am still able to provide services and gain experience in a variety of practice settings.
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