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Thoracoabdominal Aneurysm in a Professional Body Builder

To the Editor: A 33-year-old otherwise healthy man presented with worsening epigastric and flank pain for 3 weeks. He denied having vomiting, diarrhea, fever, urinary symptoms, or history of kidney stones. His vital signs were significant for a blood pressure of 140/72 mm Hg and pulse rate of 94 beats/min. Acute coronary syndrome was excluded by electrocardiography. A […]

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The Frequency of Unnecessary Testing in Hospitalized Patients

Testing is an important part of medicine across all specialties and settings. As a result, the volume of testing is enormous, with an estimated 4-5 billion tests performed in the United States each year.1 Unnecessary laboratory testing and diagnostic imaging is believed to be common. Studies looking at testing of patients have found 40%-60% of tests […]

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Different Causes of Death in Patients with Myocardial Infarction Type 1, Type 2, and Myocardial Injury

Data outlining the mortality and the causes of death in patients with type 1 myocardial infarction, type 2 myocardial infarction, and those with myocardial injury are limited. Methods During a 1-year period from January 2010 to January 2011, all hospitalized patients who had cardiac troponin I measured on clinical indication were prospectively studied. Patients with […]

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How Pure is PURE? Dietary Lessons Learned and Not Learned From the PURE Trials

The Prospective Urban Rural Epidemiology (PURE) cohort studies add a new level of understanding of some key environmental components of health.1 The population is diverse, and represents individuals from various socioeconomic levels with a long period of follow-up. The dietary macronutrient analysis of this cohort conducted by the study group2 has yielded interesting findings, undoubtedly warranting additional […]

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