Ecuador is a country with few resources to spend on health care. Historically, Ecuador has
struggled to find a model for health care that is efficient, effective, and available to all people …

To quantify the number of Border Crossers seen at our hospitals, broken down by diagnoses
and age. We used our electronic medical record to identify the number of patients in …

Splenomegaly can be due to several mechanisms but is almost always a sign of a systemic
condition. Patient habits, travel, and medical conditions can increase risk of splenomegaly …

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with
accompanying illustrations that explore the many dimensions of family medicine, as interpreted …

Problem: Writing for publication is a core activity for many medical school faculty, but faculty
report numerous challenges to publication. To help address these challenges, some medical …

We set up a makeshift clinic in rural Honduras, and a line of patients now stretches down the
street. There are two physicians, separated by a hanging tarp in a small room, trying to see …

Discussion Pyogenic granuloma, also called lobular capillary hemangioma (or, during
pregnancy,“pregnancy tumor” or granuloma gravidarum), is a benign, fast-growing, vascular …

A 65-year-old woman presented on the second day of my week-long volunteer medical brigade
to a migrant camp in Mexico. The patient had a blood pressure of 180/110 mm Hg and a …

Discussion The answer is B: kerion. Kerions are the result of an inflammatory response to
an invasive fungal infection of the hair follicles and scalp. The fungus is usually a …

These six lessons can help practices improve both the quality of care for refugees and
physician satisfaction in caring for them.