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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

10.1007/bf00413319

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ISSN

1525-1497

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Clinical Image Clubbed with a Reminder to Test fo

Authors: Mona Siddiqui Michael T Melia
Publish Date: 2014/04/15
Volume: 29, Issue: 9, Pages: 1308-1308
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Abstract

There are many different diseases associated with clubbing Pulmonary diseases are most commonly associated but cardiac conditions gastrointestinal diseases and various infections are also found with clubbing The patient’s evaluation included unremarkable labs for systemic diseases such as malignancy liver disease and inflammatory bowel disease His cardiopulmonary evaluation included echocardiography pulmonary function testing polysomnography and chest computed tomography These were also unrevealing The patient’s PPD test and RPR were nonreactive His HIV antibody test with Western blot returned positive CD4+ lymphocyte count was 401/μL and viral load was 205000 copies/mL1Digital clubbing is associated with HIV Among one convenience sample of 76 HIVinfected patients 28 36  had objectively confirmed clubbing—thus HIV testing is recommended as part of a diagnostic algorithm12 While HIV screening is now recommended for all patients aged 15–65 years this case highlights the need for HIV diagnostic testing in patients with digital clubbing3

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  3. Capsule Commentary on Olchanski et al., Abdominal Aortic Aneurysm Screening: How Many Life Years Lost from Underuse of the Medicare Screening Benefit?
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  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
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  24. Improving Medication Adherence: Keep Your Eyes on the Prize
  25. Improving Quality of US Health Care Hinges on Improving Language Services
  26. Retroperitoneal Hemorrhage from Kidney Angiomyolipoma
  27. Massachusetts Health Disparities: Key Lessons for the Nation
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