Acute Eosinophilic Pneumonia Evaluated with High-Resolution Computed Tomography
Koji TSUNEMI, Ichiro KANAYAMA, Tetsuri KONDO, Toshimori TANIGAKI, Yasu ...
1993Volume 32Issue 12 Pages891-894
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Show abstractHide abstract
We describe two cases of acute eosinophilic pneumonia (AEP) presenting with high fever and hypoxia of acute onset with bilateral interstitial infiltrates on chest roentgenograms. Diagnosis was confirmed in each case by bronchoalveolar lavage and transbronchial lung biopsy in which the pathologic process was limited to the lung interstitium. High-resolution computed tomography (HRCT) of the thorax at the height of the disease process revealed peripheral ground-glass opacities along the bronchovascular bundles. Symptoms and radiologic abnormalities resolved spontaneously within two weeks. The HRCT-findings may reflect the pathologic process in AEP and the ground-glass opacities likely indicate spontaneous resolution without corticosteroid therapy.
View full abstract
(Internal Medicine 32: 891-894, 1993)Download PDF (2712K)
Fibromyxoma of the Trachea
Kazuo TAKAOKA, Atsuko SATOH, Mikihito MATSUDA, Yasunori FUJIOKA, Shoic ...
1993Volume 32Issue 12 Pages895-876
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Show abstractHide abstract
A 53-year-old male with a small cell carcinoma of the lung was admitted to the Department of Respiratory Diseases, Nikko Memorial Hospital. During bronchofiberoptic examination of the cancer, a small nodule was discovered on the anterior wall of the trachea, about 8 cm below the vocal cord. Histopathologically, it was diagnosed as fibromyxoma of the trachea. Primary tumors of the trachea are very rare and fibromyxoma of the trachea is extremely rare. This is only the second report of a fibromyxoma on the tracheal wall. In this report its clinical manifestations were compared with those reported in the first case.
View full abstract
(Internal Medicine 32: 895-896, 1993)Download PDF (1086K)
IGF-II Producing Hepatic Fibrosarcoma Associated with Hypoglycemia
Ko KOTANI, Motomu TSUN, Atsushi OKI, Takeshi KASHIHARA, Katsumi YAMADA ...
1993Volume 32Issue 12 Pages897-901
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Show abstractHide abstract
A 67-year-old male was admitted with the complaint of weakness at hunger early in the morning, when blood glucose was less than 40 mg/dl. The abdominal ultrasonogram and computerized tomogram demonstrated a huge tumor in the right liver lobe. Hypoglycemia disappeared after transcatheter arterial embolization. Then hepatic lobectomy was performed. The tumor was histologically shown to be a fibrosarcoma. Insulin-like growth factor-II was intensely stained in the Golgi area of the tumor cells, suggesting its role in the mechanism of hypoglycemia.
View full abstract
(Internal Medicine 32: 897-901, 1993)Download PDF (2201K)
Still's Disease Relapse with Severe Pneumonitis after Prolonged Remission
Haruhiko YOSHINAGA, Ryuji KOIKE, Toshiaki MARUYAMA, Hideki IIZUKA, Hir ...
1993Volume 32Issue 12 Pages902-905
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Show abstractHide abstract
A 20-year-old woman who had suffered from Still's disease was admitted for fever and progressive pneumonitis after long-term remission. High spiking fever, leukocytosis, splenomegaly and an extremely high serum ferritin concentration strongly suggested a relapse of Still's disease. Intensive therapy with high-dose methylprednisolone, cyclophosphamide and gamma globulin was required for the severe pneumonitis, which was thought to be a rare manifestation in Still's disease.
View full abstract
(Internal Medicine 32: 902-905, 1993)Download PDF (1475K)
See AlsoJAMA Internal Medicine—Providing Compelling, Credible, Timely, and Essential Evidenceinternal medicine Impact Factor, Ranking, publication fee, indexingPenn State found 'friction' between coach James Franklin, team doctor; could not determine violationPeer-Reviewed Clinical Journals | Impact Factors Rankings1. Immune Mechanism of Digestive Organ
Hiroshi NAGURA
1993Volume 32Issue 12 Pages906-908
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (258K)
2. The Immunological Aspects of Chronic Gastritis
Toshiro SUGIYAMA, Akira YACHI
1993Volume 32Issue 12 Pages908-909
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (211K)
3. Inflammatory Bowel Disease and Immunology
Kenzo KOBAYASHI
1993Volume 32Issue 12 Pages909-910
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (172K)
4. Immunological Mechanism of Chronic Liver Injury in Viral Hepatitis
Gotaro YAMADA, Takao TSUJI
1993Volume 32Issue 12 Pages911-913
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (984K)
5. Autoimmune Hepatitis
Gotaro TODA, Mikio ZENIYA
1993Volume 32Issue 12 Pages913-916
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (306K)
1. Classification of Amyloid and Amyloidosis
Shukuro ARAKI, Shunsaku HIRAI
1993Volume 32Issue 12 Pages917-919
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (207K)
2. AA Amyloidosis and AL Amyloidosis
Takashi ISOBE
1993Volume 32Issue 12 Pages919-920
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (192K)
3. Transthyretin and Familial Amyloidotic Polyneuropathy
Yukio ANDO, Shukuro ARAKI, Masayuki ANDO
1993Volume 32Issue 12 Pages920-922
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (243K)
4. AmyloidβA/4 Peptide Associated with Alzheimer's Disease and Cerebral Amyloid Angiopathy
Shunsaku HIRAI, Koichi OKAMOTO
1993Volume 32Issue 12 Pages923-925
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (587K)
5. New Type of Amyloidosis a) β2-Microglobulin and Hemodialysis
Fumitake GEJYO, Masaaki ARAKAWA
1993Volume 32Issue 12 Pages925-927
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (612K)
5. New Type of Amyloidosis b) Islet Amyloid Polypeptide (IAPP/Amylin) in Non-Insulin-Dependent Diabetes Mellitus
Masamitsu NAKAZATO, Shigeru MATSUKURA
1993Volume 32Issue 12 Pages928-929
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (178K)
1. Infection in Severe Hematologic Disorders with Special Reference to Its Changing Patterns
Hisashi FUNADA
1993Volume 32Issue 12 Pages930-932
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (249K)
2. Pulmonary Mycosis
Shigeru KOHNO, Hironobu KOLA
1993Volume 32Issue 12 Pages932-934
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (318K)
3. Current Topics of Chlamydial Respiratory Tract Infections - Special Reference to the Epidemiology and Clinical Findings of Chlamydia pneumoniae Infections in Japan
Toshio KISHIMOTO, Rinzo SOEJIMA
1993Volume 32Issue 12 Pages934-937
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (381K)
4. Transfiguration of Rickettsial Diseases: Tsutsugamushi Disease and Spotted Fever Group Rickettsiosis in Japan
Yoshiki TANGE, Yuzuru KOBAYASHI
1993Volume 32Issue 12 Pages937-939
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (287K)
5. Mutations of Hepatitis B Virus Correlate with Liver Disease
Masao OMATA, Toshiki EHATA
1993Volume 32Issue 12 Pages940-943
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (353K)
6. Replicative Level of Hepatitis C Virus (HCV) in Chronic Hepatitis C
Norio HAYASHI, Takenobu KAMADA
1993Volume 32Issue 12 Pages944-945
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (185K)
7. Chronic EB Virus Infection and Cytokine: IL-2, Interferon Gamma, and BCRFl Gene Product (Viral IL-10)
Seiho NAGAFUCHI, Takeshi OTSUKA, Yoshiyuki NIHO
1993Volume 32Issue 12 Pages945-947
Published: 1993
Released on J-STAGE: March 27, 2006
JOURNALFREE ACCESS
Download PDF (266K)
FAQs
Is internal medicine shelf hard? ›
Know that internal medicine, family medicine, general surgery, and pediatrics are the most intense shelf exams because they cover so much ground.
What are the most common chief complaints in internal medicine? ›Some of the most common general presentations you can expect to encounter in internal medicine include abdominal pain, chest pain, dyspnea, fever, and mental status change.
What is the most challenging part of internal medicine? ›In internal medicine, one of the most daunting challenges is diagnosing complex cases involving multi-system diseases.
What is meant by internal medicine? ›Internal Medicine physicians, sometimes known as Internists or Doctors of Internal Medicine, are experts in complexity. They specialize in adult medicine, and are specially trained to solve diagnostic problems, manage severe long-term illnesses, and help patients with multiple, complex chronic conditions.
How to pass internal medicine shelf exam? ›Keep a consistent schedule for studying throughout the entire medicine rotation. This can be a long rotation (up to 12 weeks at some schools) and you shouldn't save your shelf study for the end. Each day, aim to do at least 20-30 UWorld questions, watch 2-3 Online MedEd videos, and at least 50-100 Anki flash cards.
What is a good internal medicine shelf score? ›1) Grades: below 10th percentile you fail the shelf. You must achieve >50th percentile to be considered "high pass" and greater than 70-80th percentile for honors depending on the clerkship.
What is the most competitive internal medicine subspecialty? ›Cardiologists are stereotypically extremely confident in themselves, in part because cardiology is the most competitive fellowship in internal medicine.
What is the most common patient complaint? ›- Long wait times. After patient registration, how long are patients typically expected to wait before seeing doctors at your practice? ...
- Slow office response times. ...
- Lack of provider availability. ...
- Not enough time with the provider. ...
- A subpar checkout experience. ...
- Poor communication.
Many patients of internists struggle with diseases including diabetes, COPD, hypertension, elevated cholesterol, heart disease, kidney issues, endocrine issues, blood disorders and even infectious diseases.
What is the hardest subspecialty in medicine? ›Neurosurgery is often considered one of the most demanding and competitive specialties in medicine.
What is the highest degree in internal medicine? ›
- The highest medical qualification for doctors in India is the Doctor of Medicine (MD) or Master of Surgery (MS) degree.
- These are postgraduate medical degrees that are awarded after completing undergraduate medical education (MBBS) and specialization in a chosen field.
- Look first at the vitals, ins and outs, and labs for the patient. ...
- Read all the notes written on the patient in the last 24 hours.
- Quickly refresh yourself on the last assessment and plan for the patient and think about what needs to be done today to get the patient better and out of the hospital.
Internal medicine doctors
Why choose an internal medicine doctor for primary care? Internal medicine doctors are experts at balancing an adult's regular preventive care needs with specialized care needs. They are well versed in conditions that can pop up in adulthood, like high blood pressure and type 2 diabetes.
“Both family medicine and internal medicine are primary care specialties,” he says. “Family physicians treat patients of all ages, from birth to death, and internal medicine doctors treat adults, 18 years or older.”
What to ask an internal medicine doctor? ›- What preventive care services are right for me? ...
- Does my family history affect me? ...
- How does my family history affect my risk for certain conditions? ...
- How does sleep impact my health?
How hard is the ABIM exam? The ABIM exam is one of the most difficult exams a doctor will take throughout their career. There are 240 case-based, single-best-answer multiple-choice questions that cover a wide range of Internal Medicine topics. The ABIM certification exam consists of single-best-answer questions only.
Is internal medicine a difficult residency? ›Internal medicine residency is a challenging but rewarding path if you're interested in adult patient care but still want a diverse range of career options. The training is rigorous, but the knowledge and experience you gain will lay a strong foundation for your future in medicine.
How hard is a medicine shelf? ›Many students also find that the family medicine rotation itself is not too difficult, but the shelf is particularly demanding because it's so broad and has components from pediatrics, OB/GYN, internal medicine, and psychiatry.
Is it hard to match into internal medicine? ›Are Internal Medicine residency programs competitive? Fortunately no—IM residencies are among the least competitive programs, and are quite accessible to DO students as well, although to a lesser extent than those in Family Medicine.