Publications by authors named "John Sheagren"

Article Synopsis
  • Patients with skin of color (SOC) often show different symptoms for infectious diseases, but there's limited information on diagnosing these skin issues.
  • A scoping review was conducted to analyze and summarize the clinical presentation of various infectious diseases like HIV, shingles, and Lyme disease in SOC patients.
  • The review highlighted literature gaps, like the absence of visual aids and detailed descriptions, which can hinder effective care, indicating a strong need for more research and improved collaboration between infectious disease and dermatology specialists.
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Article Synopsis
  • - The Institute of Medicine highlights that many diagnostic errors come from flaws in how clinicians think about diagnoses, emphasizing that improved accuracy relies on effectively analyzing patient histories.
  • - Training early-stage medical students to organize patient history data using Bayesian concepts helps them identify likely diagnoses based on relevant risks and medical events.
  • - Trainees find that this new method, called "AIHPI," enhances their verbal case presentations and makes it easier to communicate the most probable disease linked to a patient's chief health concern.
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Article Synopsis
  • Tuberculosis (TB) in the U.S. is mainly found in patients born outside the country, and 20.6% of cases present with complications beyond the lungs, complicating diagnosis, especially in women due to symptoms that mimic ovarian cancer.
  • A case of a 27-year-old woman was initially misdiagnosed with ovarian cancer based on high CA-125 levels but was later found to have TB-related infections in her reproductive organs.
  • The misdiagnosis led to an aggressive surgical approach that was unnecessary, highlighting the need for careful differentiation between conditions like ovarian cancer and TB, using factors such as age, origin, and specific tests.
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Article Synopsis
  • - Cerebral venous and sinus thrombosis (CVST) is a rare condition that can be hard to diagnose and treat due to its variable symptoms.
  • - An 18-year-old woman experienced worsening thrombosis in her jugular veins and dural sinuses even while receiving appropriate anticoagulation.
  • - The case emphasizes the importance for doctors to consider CVST early in their diagnosis process to avoid delays and improve patient outcomes.
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Article Synopsis
  • An undiagnosed HIV infection can lead to serious health issues, highlighted by a case of a 41-year-old woman with HIV-related lymphoid interstitial pneumonitis (LIP).* -
  • LIP is a rare condition that can mimic other chronic lung diseases, emphasizing the complexity of diagnosing untreated HIV.* -
  • This case underscores the importance of HIV screening for adults and suggests that advanced HIV patients may need invasive tests to determine appropriate treatment.*
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