Published: 3 January 2019
Author(s): Juan Carlos Cataño, Diana Karina Agredo
Issue: January 2019

A 42-year-old Colombian woman, who has lived her entire life on a farm, has a 12 years history of intermittent episodes of sharp left thoracic pain, associated with cough and hemoptysis, for which she received several empiric antibiotics achieving little improvement. Now she was admitted for two months of fever, chills, malaise and non-specific upper abdominal pain. On physical examination, she was afebrile, anicteric, blood pressure 90/60 mmHg, pulse 90 per minute, no heart murmurs were heard, but in pulmonary auscultation, a decrease in respiratory sounds of the right lung field was found, and the abdominal examination revealed hepatomegaly and mild tenderness in her right upper quadrant.

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What is EFIM?

The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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What is internal medicine?

The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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