Volume 90, Number 10 www.aafp.org/afp American Family Physician 727 A 58-year-old man presented to the family medicine clinic with several months of weight loss and difficulty swallowing. He reported that solid foods were “getting stuck” in his throat. He had no relevant medical history, and physical examination findings were normal. Contrast esophagography was performed as an outpatient (Figur...

Estimated time to complete this activity is 1 hour. CME INFORMATION A n 88-year-old African American man without any significant past medical history presented for evaluation after being “found down” at home. A neighbor alerted Emergency Medical Services after the patient failed to answer his phone for several days. Apparently the patient had passed out while fixing a window. He was unsure how ...

A 64-year-old man presented with several weeks of intermittent irregular palpitations. He had no prior history of cardiac disease, hypertension or syncope. A 12-lead ECG revealed sinus rhythm with premature atrial and ventricular contractions and high QRS voltages consistent with LV-hypertrophy. Cardiac MR revealed asymmetrical septal hypertrophy and marked mid-myocardial hyperenhancement of th...

The title of this Editorial requires some explanation. The main idea of this special issue was to cross two timescales. The one from the plant Cannabis to the cannabinoid receptors started 5,000 years ago – more than five timesMethuselah8s lifespan – and the second one began in 1992, just the time of adolescence. I was thinking also that, in a single life, scientists were lucky to read three im...

Accepted 7 February 1996 A 38-year-old man presenting with progressive blurring of vision was diagnosed to have a pituitary macroadenoma with suprasellar extension. He underwent left frontal craniotomy with subtotal excision of the tumour without a proper pre-operative endocrine work up. He was put on prophylactic anticonvulsant (sodium valproate) after the operation. Dexamethasone and intraven...