With age or exposure to potential mutagens ranging from environmental factors to chemotherapy or radiotherapy, hematopoietic stem cells in the bone marrow can acquire mutations in certain genes associated with hematologic malignant disease that … Ayaka Ino, MD; et al. Current state of evidence Physical exam showed tachypnea and marked hepatomegaly, as well as small hemangiomas on the skin. Test your knowledge and clinical acumen with JAMA Network Clinical Challenges. Can you make the diagnosis and order the next best test or treatment? A woman in her 70s presents with class III heart failure and preserved left ventricular systolic function. This registry-based cohort study compares the capture of clinically meaningful health status changes between physician-assigned New York Heart Association functional class and patient-reported outcome in Kansas City Cardiomyopathy Questionnaire Overall Summary Score for patients with chronic heart failure with reduced ejection fraction. Instructions for Authors | JAMA Cardiology | JAMA Network Instructions for Authors Contact Monica Mungle for help if edits are needed to the top section. The more LDL-C is reduced on statin therapy, the greater will be subsequent risk reduction. JAMA Neurology. 2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure A 19-year-old man presented with 4 years of facial numbness, 3 years of progressive dysarthria and dysphagia, 18 months of arm weakness and hand atrophy, and 6 months of leg weakness. A Woman in Her 70s With Hypotension, Diffuse ST-Elevation, Murmurs, and an Intracardiac Mass. has active quiz. Abrupt Onset of Dysphagia, Arthritis, Joint Contractures, and Sheets of Monomorphous Waxy Papules. Sections of this page. Can you correctly diagnose and treat cases of dysphagia, vestibular dysfunction, vasculitis, and more? A 16-day-old girl was brought to the emergency department with lethargy. or. Images in Clinical Medicine Jun … CME 1.0. Abrupt Onset of Dysphagia, Arthritis, Joint Contractures, and Sheets of Monomorphous Waxy Papules. A 19-year-old man presented with 4 years of facial numbness, 3 years of progressive dysarthria and dysphagia, 18 months of arm weakness and hand atrophy, and 6 months of leg weakness. Ayaka Ino, MD; et al. All CME/MOC Article CME Search State Requirements for CME Audio/Podcast CME Courses Journal-Based Article CME Clinical Challenge CME Featured CME Courses Recommended for You Clinical Challenges Dermatology Infectious Disease Neurology Oncology Ophthalmology Otolaryngology Pediatrics Radiology Surgery View All Specialties JN Listen See more of JAMA Cardiology on Facebook. Accessibility Help. The Journal of the American Medical Association (JAMA®), JAMA Network Open™ and Specialty Journals offers access to the latest research, author interviews, apps, and CME for the medical community. Every Sunday night the week's output is sent to registered users via the Critical Care Reviews Newsletter.. Register for the free weekly newsletter Strokelike Episodes in a Patient With Chronic Gait Abnormalities. Ge n e r a l Aringer M, Burkhardt H, Burmester GR, Fischer-Betz R, Fleck M, et al. CME 1.0. The American Medical Association, founded in 1847 and incorporated in 1897, is the largest association of physicians—both MDs and DOs—and medical students in the United States. JAMA Cardiology Clinical Challenge. CLINICAL CHALLENGE 1 Credit CME Facial Numbness, Dysarthria, Muscle Atrophy, and Weakness in a Young Patient JAMA Neurology. A common, potent, independent cardiovascular risk factor has recently entered the landscape of preventive medicine: clonal hematopoiesis (CH). Deanna Bellandi, MPH Manager, JAMA Network Media Relations 312-464-2515 Deanna.Bellandi@jamanetwork.org JAMA Neurology. Sections of this page. CLINICAL CHALLENGE 1 Credit CME Postoperative Skin Lesion After Knee Replacement JAMA. Use a … Facebook. Log In. The Clinical Challenge of Clonal Hematopoiesis, a Newly Recognized Cardiovascular Risk Factor. February 23, 2021 — A recent article in the Journal of the American Medical Association (JAMA) Cardiology demonstrated that artificial intelligence software-guided cardiac ultrasound images captured by nurses without prior ultrasound experience and reviewed by experienced cardiologists were shown to be of diagnostic quality. The focus should be an update on current understanding of the physiology of the disease or condition, diagnostic consideration, and treatment. These reviews should address a specific question or issue that is relevant for clinical practice. This journal publishes very few of these types of articles. can exhibit a wide range of clinical manifestations, ranging from an asymptomatic state to severe disease with hypoxia and acute respiratory distress syndrome–type lung injury.7,8 Image Challenge. A woman in her 70s presents with class III heart failure and preserved left ventricular systolic function. CLINICAL CHALLENGE 1 Credit CME Metamorphopsia in a Middle-aged Man JAMA Ophthalmology. Take the Challenge. Lancet . Read the Case. Transcatheter valve repair has emerged as an important therapeutic option for patients with aortic and mitral valve disease. A man in his 50s presented with dysphagia, arthritis, joint contractures, carpal tunnel syndrome, and infiltrated and redundant skin with sheets of 1- to 2-mm-wide waxy, firm, skin-colored papules. Log In. 2020 ; 395:1054–1062. Efficacy and Safety of Revacept, a Novel Lesion-Directed Competitive Antagonist to Platelet Glycoprotein VI, in Patients Undergoing Elective Percutaneous Coronary Intervention for Stable Ischemic Heart Disease: The Randomized, Double-blind, Placebo-Controlled ISAR-PLASTER Phase 2 Trial Current state of evidence Jump to. See more of JAMA Cardiology on Facebook. CLINICAL CHALLENGE 1 Credit CME Nodular Mass in the Earlobe of 18-Month-Old Girl JAMA Otolaryngology–Head & Neck Surgery. CLINICAL CHALLENGE 1 Credit CME Troubleshooting CardioMEMS After Implant—Failure to Read JAMA Cardiology CARDIOLOGY 1 Credit CME Association of Intravenous Tranexamic Acid With Thromboembolic Events and Mortality: A Systematic Review, Meta-analysis, and Meta-regression JAMA … CLINICAL CHALLENGE 1 Credit CME Split Down the Middle of the Fovea JAMA Ophthalmology. Hypertension in older adults is related to adverse cardiovascular outcomes, such as heart failure, stroke, myocardial infarction, and death. The American Heart Association requests that this document be cited as follows: Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, Himmelfarb CD, Khera A, Lloyd-Jones D, McEvoy JW, Michos ED, Miedema MD, Muñoz D, Smith SC Jr, Virani SS, Williams KA Sr, Yeboah J, Ziaeian B. CARDIOLOGY 1 Credit CME A Young Patient With Hives and Chest Pain JAMA Cardiology. Press alt + / to open this menu. JAMA Cardiology Clinical Challenge. Clinical Challenges in Otolaryngology. The American Medical Association, founded in 1847 and incorporated in 1897, is the largest association of physicians—both MDs and DOs—and medical students in the United States. Browse the full JN Learning collection of over 140 Otolaryngology CME activities. Medline Google Scholar; 81. 2018 ESC/ESH Guidelines for the management of arterial hypertension Within 3 weeks, a hurricane hit Havana … Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. Her medical history is remarkable for coronary artery disease, chronic stable angina, severe tricuspid regurgitation, atrial fibrillation, and obesity. doi: 10.1016/S0140-6736(20)30566-3 Crossref Medline Google Scholar JAMA. 2003; 289:2083–93. JAMA Cardiology Clinical Challenge. N Engl J Med. Browse the full JN Learning collection of over 250 Neurology CME activities. Disease A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Maxim Ben-Yakov, MDCM; et al. 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