Two hours earlier the patient had vomited to dislodge food stuck in his throat. This had been effective in the past but had never produced blood. Chest and epigastric pain worsened when he lay down.

This rash began as a small red patch about 10 days earlier while the patient was at wrestling camp.

What flu vaccine should you recommend this year for children over age 2? A look at the data . . .

The merging of primary psychiatric care with primary medical care is urgently needed. Here’s why.

Here: a gallery of 5 unusual clinical cases and images from our partner Figure 1.

If we had a vaccine that was as effective at reducing HIV infection as circumcision, it would be a recommended vaccine here in the US, argues this pediatrician.

I recently saw a great cartoon. A patient is surrounded by doctors, all turned away from him viewing their respective computer screens. The caption: patient-centered medicine.

Does this rash look like impetigo? Herpes? Tinea? Cellulitis? Here's a close look and a link to the answer and discussion.

Subungual infection; “raccoon eyes;” bed bug bites. . . a quiz to challenge you.

The verdict is in: there’s not enough evidence to support screening of asymptomatic individuals for low vitamin D. Here: a look behind the curtain.

Radiating chest pain and sweating in a middle-aged man who describes a history of anxiety: looks like classic MI, but is it? Watch the video for clues.

These 2 patients presented with a swollen hand and rapidly proximally progressive edema secondary to a bite. What creature did the biting?

This radiograph from a 53-year-old woman revealed esophageal stricture with proximal dilatation in addition to pneumoperitoneum. Pneumatosis cystoides intestinalis (PCI) was diagnosed.

For this young physician in India, reading an article on physician suicide was “the best thing” in his day. There is one thing, he says, that keeps him moving forward.

Bumps on the face; opioids and alcohol; dysmorphic facial features in 6-month-old boy . . . questions on these and other topics in this quiz.

In the avalanche of articles that came across your desk in 2014, were there one or two that struck you as particularly noteworthy? Cast your vote here.

My friend has lung cancer, writes this physician. I am getting in the habit of joining him at his visits. But you shouldn’t need to bring along a doctor to protect you from your doctors.

A new study found that alcohol was involved in more than 20% of both opioid- and benzodiazepine-related deaths reported to the Drug Abuse Warning Network in 2010.