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Title of Journal: J GEN INTERN MED

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Abbravation: Journal of General Internal Medicine

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Springer US

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DOI

10.1016/0022-2828(92)90325-t

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ISSN

1525-1497

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Retroperitoneal Hemorrhage from Kidney Angiomyolip

Authors: Yoshinosuke Shimamura Yuka Morishita Hideki Takizawa
Publish Date: 2013/11/14
Volume: 29, Issue: 7, Pages: 1070-1071
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Abstract

Kidney angiomyolipomas are benign renal neoplasms usually detected incidentally on imaging Approximately 80  occur spontaneously as in this case while 20  occur in association with tuberous sclerosis complex2 As the lesions increase in size the vascular supply becomes aneurysmal and hemorrhage risk increases In one study the risk of hemorrhage in lesions larger than eight cm was 25–50 3Management is based on the size of the lesion and the presence of symptoms with a shift toward less invasive treatments Arterial embolization is used to reduce the size of angiomyolipomas4 and regrowth does not occur after successful embolization Some authors suggest arterial embolization if the tumor is symptomatic or greater than four cm5

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  2. Health Literacy, Cognitive Abilities, and Mortality Among Elderly Persons
  3. Capsule Commentary on Olchanski et al., Abdominal Aortic Aneurysm Screening: How Many Life Years Lost from Underuse of the Medicare Screening Benefit?
  4. Trends in Primary Care Clinician Perceptions of a New Electronic Health Record
  5. Moving Forward in GME Reform: A 4 + 1 Model of Resident Ambulatory Training
  6. Does Motivation Matter? Analysis of a Randomized Trial of Proactive Outreach to VA Smokers
  7. A Symbol of Our Profession: White Coat Ceremony Address to the Class of 2014
  8. Patient Expectations as Predictors of Outcome In Patients with Acute Low Back Pain
  9. Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial
  10. “Could this Be Something Serious?”
  11. Building a Career as a Delivery Science Researcher in a Changing Health Care Landscape
  12. Failing
  13. Comorbidities, Treatment and Survival
  14. Predictors of Mortality in Patients with Stable COPD
  15. Reflective Practice and Stress: Helpful, Harmful or Uninfluential in Critical Thinking
  16. Pre-Exposure Prophylaxis: A Narrative Review of Provider Behavior and Interventions to Increase PrEP Implementation in Primary Care
  17. Interventions to Improve Outcomes for Minority Adults with Asthma: A Systematic Review
  18. Awareness of Hepatitis C Diagnosis is Associated with Less Alcohol Use Among Persons Co-Infected with HIV
  19. Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home
  20. Providing Patients Web-based Data to Inform Physician Choice: If You Build It, Will They Come?
  21. Extended Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum
  22. The Relationship Between Multimorbidity and Patients’ Ratings of Communication
  23. Symptom Burden, Depression, and Spiritual Well-Being: A Comparison of Heart Failure and Advanced Cancer Patients
  24. Improving Medication Adherence: Keep Your Eyes on the Prize
  25. Improving Quality of US Health Care Hinges on Improving Language Services
  26. Massachusetts Health Disparities: Key Lessons for the Nation
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  30. Capsule Commentary on Al-Khatib et al., Future Research Prioritization: Implantable Cardioverter Defibrillator Therapy in Older Patients
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  33. Patient Perceptions of Electronic Medical Record Use by Faculty and Resident Physicians: A Mixed Methods Study
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  36. A Successful Multifaceted Trial to Improve Hypertension Control in Primary Care: Why Did it Work?
  37. Predictors of Primary Care Management of Depression in the Veterans Affairs Healthcare System
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  40. Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?
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  57. Secondary Symptomatic Parvovirus B19 Infection in a Healthy Adult
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