Figure 1 Quiz of the Week Three days after a coronary artery bypass grafting, a 55-year-old woman presents with dyspnea, fatigue, and heaviness in the chest. 200 mL of milky white fluid is drained by thoracentesis. The fluid has a triglyceride count of 120 mg/dL.   Image Credit: @ILoveICU.   Answer:  Chylothorax Chylothoraces are commonly…

Figure 1 Quiz of the Week A 69-year-old woman with a history of hypertension and irritable bowel syndrome presents with multiple ring-shaped lesions on both hands. The lesions are non-pruritic and developed over the past four days. When she visits for follow-up two weeks later, the lesions remain present.    Original image posted by @osler1982….

By: Nick Tod Health care providers, politicians, and community members at large all agree action needs to be taken to address the opioid crisis. While the conversation around how to handle this crisis is a step towards making progress in our communities, much more is needed to experience meaningful results. Before we can truly address…

By: Siva Sundaram Imagine you’re a primary care doctor seeing a patient one week after his first heart attack. You know the latest evidence, so you tell your patient about a cheap, safe medication that cuts his risk of dying from a second heart attack in half.   But there’s a catch: You were never trained…

Figure 1 Quiz of the Week A 58-year-old woman presents two days after a cardiac catheterization with malaise, fatigue, and new violaceous livedoid lesions on her feet. She is also found to have mild acute renal dysfunction.   Image credit: @hfehmi.   Answer: Cholesterol embolization syndrome When small particles of atheroma embolize during a vascular…

Figure 1 Quiz of the Week A 70-year-old male with a history of hypertension presents with a fever and severe pain in both his hands. Examination reveals swollen, erythematous, and tender nodules on the joints of his fingers. Arthrocentesis demonstrates negatively birefringent urate crystals in the synovial fluid.    Image credit: @drugpiter, @twcc.   Answer: Precocious…