Journal of general internal medicine
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Kawasaki Disease is a small-to-medium-vessel vasculitis that preferentially affects children. Kawasaki Disease can occur in adults, but the presentation may differ from that observed in children. Typical findings in both adults and children include fever, conjunctivitis, pharyngitis, and skin erythema progressing to a desquamating rash on the palms and soles. ⋯ We report a case of acute Kawasaki Disease in a 24-year-old man who presented with rash, fever, and arthritis. He was successfully treated with high-dose aspirin and intravenous immunoglobulin (IVIG). Our case highlights the importance of considering Kawasaki Disease in adults presenting with symptoms commonly encountered in a general medical practice.
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Comparative Study
Recognition of depression in older medical inpatients.
Studies of recognition of depression in older (aged 65 or more) medical inpatients show low rates of recognition of depression by attending physicians. However, few studies have compared different measures of recognition of depression. ⋯ Recognition of depression in elderly medical inpatients depends upon the indicator of recognition used.
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Comparative Study
Screening for domestic violence among adult women in the United States.
Domestic violence is a problem frequently encountered in health care settings and a risk factor for physical and mental health problems. ⋯ Self-reported rates of screening for domestic violence are low even among women at higher risk for abuse. These findings reinforce the importance of developing training and raising awareness of domestic violence and its health implications. This is especially true in primary care and mental health specialty settings.
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Comparative Study
A ten-month program in curriculum development for medical educators: 16 years of experience.
Despite increased demand for new curricula in medical education, most academic medical centers have few faculty with training in curriculum development. ⋯ This model for training in curriculum development has long-term sustainability and is associated with participant satisfaction, improvement in self-rated skills, and implementation of curricula on important topics.
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Comparative Study
Characteristics of nondisabled older patients developing new disability associated with medical illnesses and hospitalization.
To identify demographic, clinical, and biological characteristics of older nondisabled patients who develop new disability in basic activities of daily living (BADL) during medical illnesses requiring hospitalization. ⋯ Several factors might contribute to loss of physical independence in hospitalized older persons. Preexisting conditions associated with the frailty syndrome, including physical and cognitive function, comorbidity, body composition, and inflammatory markers, characterize patients at high risk of functional decline.