A 31-year-old man presented with shortness of breath and abnormal skin changes. Examination of the skin revealed a salt-and-pepper appearance. [ Nej.md Link ]
A 31 year old man presented with shortness of breath and abnormal

Salt-and-Pepper Skin Changes

nej.md
Veronica Giacco
Arthur Melgaço
Leelee McNash
We’ve contacted the authors of a key paper, published by The Lancet in January, to discuss the artificial pancreas, which could give diabetics more freedom from the tedium of their condition. Join us now for our latest NEJM Group Open Forum, "The Prospects for a Bionic Pancreas." [ Nej.md Link ]
We’ve contacted the authors of a key paper published by The Lancet

The Prospects for a Bionic Pancreas | NEJM Group Open Forum

nej.md
Elizabeth Love Mcnab
TMarie Bond
Answer to yesterday’s #MedEd Quiz:

Which one of the following statements about endocervical adenocarcinoma is true?

A. It is associated with a somewhat lower risk of ovarian metastasis than squamous-cell carcinoma.
B. It represents up to 10% of cervical carcinomas that occur in patients in developed countries.
C. Its incidence has increased over the past 20 years.
D. The 5-year survival... View more »
Answer to yesterday’s MedEd Quiz: Which one of the following statements about

A Pregnant Woman with Endocervical Carcinoma | NEJM Resident 360

nej.md
Video of MRI shows four intraaortic thrombi. See the article, “Mobile Aortic Thrombi.” [ Nej.md Link ]
Video of MRI shows four intraaortic thrombi See the article “Mobile Aortic Thrombi ”

Mobile Aortic Thrombi

FACEBOOK.COM
The New England Journal of Medicine
Parvati Nair
Narmin Quliyeva
#MedEd Quiz:

Which one of the following statements about endocervical adenocarcinoma is true?

A. It is associated with a somewhat lower risk of ovarian metastasis than squamous-cell carcinoma.
B. It represents up to 10% of cervical carcinomas that occur in patients in developed countries.
C. Its incidence has increased over the past 20 years.
D. The 5-year survival rate associated with... View more »
MedEd Quiz: Which one of the following statements about endocervical adenocarcinoma

A Pregnant Woman with Endocervical Carcinoma | NEJM Resident 360

nej.md
Pitágoras Alves de Oliveira
Andie Bourdeth
Marubenny Valda
A 28-year-old pregnant woman with Rh isoimmunization and endocervical carcinoma was seen in the maternal–fetal outpatient clinic at 34.1 weeks of gestation. Management decisions were made. NEJM Resident 360 has Clinical Pearls, Morning Report Questions, and free access to the article. [ Nej.md Link ]
A 28 year old pregnant woman with Rh isoimmunization and endocervical carcinoma

A Pregnant Woman with Endocervical Carcinoma | NEJM Resident 360

nej.md
Pitágoras Alves de Oliveira
Job Corteso
Baahmed Azzedine
In a new Perspective Audio Interview, Jeremy Greene discusses a Maryland law that prohibits price gouging on older essential drugs. [ Nej.md Link ]

Targeting Unconscionable Prescription-Drug Prices — Maryland’s Anti–Price-Gouging Law — NEJM

nej.md
Bill Thompson
Rebecca Warner
John Vickery
Answer to yesterday’s #MedEd Quiz: Which statements about amyotrophic lateral sclerosis (ALS) is true?
A. Of persons with ALS, 15 to 20% have progressive cognitive abnormalities marked by behavioral changes, leading to dementia.
B. ALS typically begins with difficulty chewing, speaking, or swallowing.
C. Neurons that innervate the eye muscles are involved early in the disease.
D. The... View more »
Answer to yesterday’s MedEd Quiz: Which statements about amyotrophic lateral scl

Amyotrophic Lateral Sclerosis | NEJM Resident 360

nej.md
Wagil Sanchez
Goldy Arora
Alessandro Garity Mannucci
#MedEd Quiz: Which one of the following statements about amyotrophic lateral sclerosis (ALS) is true?
A. Of persons with ALS, 15 to 20% have progressive cognitive abnormalities marked by behavioral changes, leading to dementia.
B. ALS typically begins with difficulty chewing, speaking, or swallowing.
C. Neurons that innervate the eye muscles are involved early in the disease.
D. The flail-arm... View more »
MedEd Quiz: Which one of the following statements about amyotrophic lateral

Amyotrophic Lateral Sclerosis | NEJM Resident 360

nej.md
Andv Klng
Tamara  Khutornyuk
Michelle Round
Progress has been made in understanding the genetic defects and the pathophysiology of amyotrophic lateral sclerosis, a crippling motor neuron disease that is commonly called Lou Gehrig’s disease. However, this information has not yet led to a successful intervention that alters the course of the disease. NEJM Resident 360 has Clinical Pearls, Morning Report Questions, and free access to the... View more »
Progress has been made in understanding the genetic defects and the pathophysiology

Amyotrophic Lateral Sclerosis | NEJM Resident 360

nej.md
Pitágoras Alves de Oliveira
Antonio Lo Tito
Saddek Khellaf
An 85-year-old woman with essential thrombocytosis and coronary artery disease presented to the ED with abdominal pain. [ Nej.md Link ]
An 85 year old woman with essential thrombocytosis and coronary artery disease

Mobile Aortic Thrombi

nej.md
Pitágoras Alves de Oliveira
Zemeniya Moges
Razi Rabia
Commonwealth Fund reports have consistently rated the performance of the U.S. health care system last among high-income countries, though we spend far more on health care. An understanding of the reasons for that disparity may point the way to essential improvements. [ Nej.md Link ]
Commonwealth Fund reports have consistently rated the performance of the U S

From Last to First — Could the U.S. Health Care System Become the Best in the World

nej.md
Jon Schwartz
Daniel Loren Hamm
Arman Shahriar
Why do so many British surgeons go by "Mr." instead of "Dr."? Can a male nurse be a "Sister"? PA Megan Tetlow sheds some light in her latest blog post for NEJM Journal Watch.
Why do so many British surgeons go by "Mr " instead of

You Might Be an American Physician Assistant in the U.K. if ... - In Practice

jwat.ch
Sijia Zhg
Kristian Bailey
Sally Coleman
This week’s From Pages to Practice post on NEJM Resident 360 looks at diet and total and cause-specific mortality. This study of the relationship between changes in diet quality over 12 years and total and cause-specific mortality showed consistent associations between improved diet quality over time and a decreased risk of death. [ Nej.md Link ]
This week’s From Pages to Practice post on NEJM Resident 360 looks

A Balanced Diet Is Not a Cookie in Each Hand: Are Diet Quality and Mortality Associated? | NEJM Resident 360

nej.md
Lita Serrano
In year 1, residents assigned to flexible duty hours were more likely to report negative effects on their well-being than those assigned to standard duty hours. In year 2, reports of negative effects in the former group decreased but remained more common than in the latter group. [ Nej.md Link ]
In year 1 residents assigned to flexible duty hours were more likely

Surgical Residents’ Work Hours and Well-Being in Year 2 of the FIRST Trial

nej.md
Pnauman Elvy
Nicholas Van Orton
Nordin Hanssen
Recent ransomware attacks have wreaked havoc by disabling organizations worldwide. With the delivery of health care increasingly dependent on information systems, disruptions to these systems result in disruptions in clinical care that can harm patients. #Wannacry #Petya [ Nej.md Link ]
Recent ransomware attacks have wreaked havoc by disabling organizations worldwide With the

Threats to Information Security — Public Health Implications

nej.md
See one of the trials on CAR-T, published in NEJM in October 2014: [ Nej.md Link ]
See one of the trials on CAR T published in NEJM in October 2014:

F.D.A. Panel Recommends Approval for Gene-Altering Leukemia Treatment

nyti.ms
Carol Shoshkes Reiss
Amr Fouad
Rossi Popova
Clonal hematopoiesis of indeterminate potential (or CHIP) increases mortality and coronary heart disease. Could CHIP also cause atherosclerosis? New research findings are summarized in a short video. Full study: [ Nej.md Link ]

Watch more Quick Take videos: [ Nej.md Link ]
Clonal hematopoiesis of indeterminate potential or CHIP increases mortality and

Clonal Hematopoiesis and Atherosclerosis

FACEBOOK.COM
Daniel Aronov
Swati Dharmaraj
Grant Simpson
A 25-year-old woman who had undergone an orthotopic heart transplantation presented with these changes on both feet. What is the diagnosis? Take the new Image Challenge now! [ Nej.md Link ]
A 25 year old woman who had undergone an orthotopic heart transplantation

NEJM - Image Challenge

nej.md
Deka Abdi Ismail
Beth Anne Grocé
Kristi Kisler
Have you taken the new Case Challenge yet? A 21-year-old woman was admitted with fever, headache, and myalgias after a recent trip to Indonesia. What is the most likely diagnosis? Take the Challenge now; we’ll reveal the answer in the July 20 issue. [ Nej.md Link ]
Have you taken the new Case Challenge yet A 21 year old

A 21-Year-Old Woman with Fever, Headache, and Myalgias — NEJM

nej.md
Julien Côté
Heliana Marcela Botello Mojica
Susan Grosser