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Impending Paradoxical Embolus
A 60-year-old woman with breast cancer with brain and bone metastases presented to the emergency department with complaints of cough, progressive dyspnea, and hemoptysis. Initial vitals signs revealed a heart rate of 80 beats/min, respiratory rate of 26 breaths/min, blood pressure of 120/80 mm Hg, and room air pulse oxygenation of 88%. The patient also noted pain and swelling in her right lower extremity. When measured, the right lower extremity had a 4 cm greater diameter compared to the left. Because of the leg swelling, dyspnea, tachypnea, and an electrocardiogram (ECG) showing right heart strain, a transthoracic echoca...
Source: The Journal of Emergency Medicine - January 17, 2015 Category: Emergency Medicine Authors: Antonio Provenzal, Pablo Blanco, Jason T. Nomura Tags: Visual Diagnosis in Emergency Medicine Source Type: research

48-Year-Old Woman with Acute-Onset Cough, Chest Tightness, and Shortness of Breath
A 48-year-old woman presented to the Emergency Department (ED) with complaint of acute-onset shortness of breath, cough, and chest tightness. She denied any fever, chills, hemoptysis, vomiting, or lower extremity edema. Her past medical history was significant for metastatic breast cancer status post bilateral mastectomy and a recently diagnosed right upper lobe lung mass for which bronchoscopic biopsy was performed one day prior to ED evaluation. On presentation, she was mildly tachycardic (heart rate 105 beats/min) and tachypneic (respiratory rate 20 breaths/min).
Source: The Journal of Emergency Medicine - September 6, 2016 Category: Emergency Medicine Authors: Rebecca A. Lowy, Richard Pescatore, Jillian C. Smith, Holly A. Bartimus Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Autoantibody-­mediated encephalitis: Not just paraneoplastic, not just limbic, and not untreatable
A 79-YEAR-OLD WOMAN with a history of breast cancer in remission and hypertension presented to a local emergency department because of subacute memory loss and compulsive shopping. Her serum sodium...
Source: Cleveland Clinic Journal of Medicine - January 4, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Slide-Out CCJM Allergy & Immunology CCJM Emergency Medicine CCJM Neurology CCJM Home Page Slider Source Type: research

Malignant Pleural Effusion with Lung Entrapment
We present a case of a patient with suspected malignant pleural effusion and lung entrapment in the setting of metastatic breast cancer.
Source: The Journal of Emergency Medicine - January 19, 2021 Category: Emergency Medicine Authors: Charles H. Brower, Andrew Eyre Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Low Rates of Lung and Colorectal Cancer Screening Uptake Among a Safety-net Emergency Department Population
Introduction:A suspected diagnosis of cancer through an emergency department (ED) visit is associated with poor clinical outcomes. The purpose of this study was to explore the rate at which ED patients attend cancer screenings for lung, colorectal (CRC), and breast cancers based on national guidelines set forth by the United States Preventive Services Task Force (USPSTF). Methods:This was a prospective cohort study. Patients were randomly approached in the Eskenazi Hospital ED between August 2019 –February 2020 and were surveyed to determine whether they would be eligible and had attended lung, CRC, and breast cance...
Source: Western Journal of Emergency Medicine - August 12, 2022 Category: Emergency Medicine Source Type: research

Meet the Academic Medicine Editorial Board: What experience has had the biggest impact on your career?
We asked the members of the Academic Medicine editorial board about the experience that has had the biggest impact on their career. This is what they said. Colin P. West, MD, PhD, Mayo Clinic I don’t know that I can pick out one single experience. Instead, I think the general principle that has served me well is to ensure that every project I work on offers intentional value: I am passionate about it directly, or it is a conduit to other projects I care about deeply, or I will gain a new skill set by participating. John P. Sánchez, MD, MPH, Rutgers New Jersey Medical School The one experience that had the biggest impac...
Source: Academic Medicine Blog - January 22, 2019 Category: Universities & Medical Training Authors: Journal Staff Tags: Editorial Board Q & A Featured CPD curriculum international medical education MedEdPORTAL mentoring narrative medicine professional development research teaching Source Type: blogs

Top Artificial Intelligence Companies in Healthcare to Keep an Eye On
The field of medical AI is buzzing. More and more companies set the purpose to disrupt healthcare with the help of artificial intelligence. Given how fast these companies come and go, it can prove to be hard to stay up-to-date with the most promising ones. Here, I collected the biggest names currently on the market ranging from start-ups to tech giants to keep an eye on in the future. To further help you keep up with what A.I. brings to medicine, The Medical Futurist team made an easy-to-digest e-book about just that. I highly encourage you to read it and would love to hear about your thoughts! Artificial Intelligence has ...
Source: The Medical Futurist - January 21, 2020 Category: Information Technology Authors: berci.mesko Tags: Artificial Intelligence Healthcare Design AI digital health genetics Innovation Personalized medicine pharma GC1 big data drug development healthcare companies medical imaging Source Type: blogs

The Efficacy of Patient Initiated Follow Up Clinics In Secondary Care: A Systematic Review
ConclusionThere is evidence to suggest that PIFU systems result in fewer overall outpatient appointments in secondary care led services, whilst maintaining equivalent if not better patient satisfaction, QOL and clinical outcomes across a range of chronic conditions.
Source: Internal Medicine Journal - July 15, 2014 Category: Internal Medicine Authors: Ashish Taneja, Bruce Su'a, Andrew G Hill Tags: Review Source Type: research

Efficacy of patient‐initiated follow‐up clinics in secondary care: a systematic review
Abstract Patient‐initiated follow up (PIFU) is an initiative that allows patients to initiate hospital follow‐up appointments on an ‘as required’ basis compared with the traditional ‘physician‐initiated’ model. The main principle is to reduce inappropriate regular follow‐up appointments. In this systematic review, we attempt to address its efficacy for outpatient secondary level care. Using Preferred Reporting Items for Systematic Reviews and Meta‐analyses guidelines, an electronic literature search was performed independently by two authors using pre‐defined search terms across EMBASE, Ovid MedLine, Pu...
Source: Internal Medicine Journal - December 1, 2014 Category: Internal Medicine Authors: A. Taneja, B. Su'a, A. G. Hill Tags: Review Source Type: research

Personalizing Personalized Medicine
What is personalization? Its making things for the individual. This is seen all the time online. If you visit Amazon ' s website and search for toothpicks, you will start seeing ads for toothpicks popping up all the time. Until you search for something else.... Amazon ' s site is responding to your needs by reminding you about your recent search - meeting your needs.Personalizing personalized medicine means not doing the same thing over and over again, and taking into account patient ' s individual needs. However, we talk about personalized medicine and then discuss starting mammogram screening for all women at age 40. Whe...
Source: Caroline's Breast Cancer Blog - December 10, 2017 Category: Cancer & Oncology Tags: breast cancer cancer diagnosis mammogram personalized medicine Source Type: blogs

Prevention of anthracycline-induced cardiotoxicity: a systematic review and meta-analysis
AbstractAnthracyclines are extensively used in oncologic patients, in particular for breast cancer and hematological malignancies. Cardiac injury is a potentially dangerous side effect of these drugs. In this systematic review, we analyzed published randomized controlled trials (RCTs) to assess if potential cardioprotective drugs (i.e., renin –angiotensin–aldosterone system [RAAS] blockers and β-blockers) may prevent heart damage by anthracyclines. Studies were identified by electronic search of MEDLINE and EMBASE database until August 2020. The impact of cardioprotective drugs to prevent anthracyclines-induced cardia...
Source: Internal and Emergency Medicine - October 2, 2020 Category: Emergency Medicine Source Type: research

Feasibility of Feature-based Indexing, Clustering, and Search of Clinical Trials. A Case Study of Breast Cancer Trials from ClinicalTrials.gov.
Conclusions: It is feasible to develop feature-based indexing and clustering methods for clinical trials to identify trials with similar target populations and to improve trial search efficiency. PMID: 23666475 [PubMed - as supplied by publisher]
Source: Methods of Information in Medicine - May 13, 2013 Category: Information Technology Authors: Boland MR, Miotto R, Gao J, Weng C Tags: Methods Inf Med Source Type: research

Breast imaging after dark: patient outcomes following evaluation for breast abscess in the emergency department after hours
Abstract In our study, we sought to report the management, clinical outcomes, and follow-up rates of patients who presented for evaluation of breast abscess in the Emergency Department (ED) after hours. A retrospective search of ultrasound reports at our institution identified all patients from January 1, 2009 to June 30, 2013 who were scanned in the ED after hours to evaluate for breast abscess. Patient demographics, clinical information, imaging findings, follow-up rates, and outcomes were reviewed. One hundred eighty-five patients were included in the study. Forty-four percent (86/185) of the patients were diag...
Source: Emergency Radiology - October 3, 2015 Category: Emergency Medicine Source Type: research

The automaton as a surgeon: the future of artificial intelligence in emergency and general surgery
ConclusionAI has potential for integration across surgical services, from diagnosis to treatment, and aiding the surgeon in key decision-making for risks per patient. Fully automated surgery may be the future, but at present, AI needs human supervision.
Source: European Journal of Trauma and Emergency Surgery - July 25, 2020 Category: Emergency Medicine Source Type: research

Breast MR Imaging in Era of Value-Based Medicine
We live in an era of value-based medicine. While breast cancer remains the most commonly diagnosed nonskin cancer and a major cause of mortality and morbidity worldwide, affecting not only the lives of patients but also those of their families and friends, it is increasingly important that we utilize our finite resources in a cost-efficient and (whenever possible) evidence-based manner. This issue of Magnetic Resonance Imaging Clinics of North America has been constructed with these guiding thoughts.
Source: Magnetic Resonance Imaging Clinics of North America - April 3, 2018 Category: Radiology Authors: Jessica W.T. Leung Tags: Preface Source Type: research

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