Published: 23 May 2019
Author(s): Francesco Melillo, Roberto Spoladore, Alberto Margonato
Issue: May 2019
Section: Internal Medicine Flashcard

A 72-years old woman was admitted to our department for a long lasting (3-hours) thoracic pain episode and increasing palpitations during the last month. At admission clinical examination was unremarkable and laboratory test showed slightly increased urinary as well as plasma levels of catecholamines. Transthoracic echo (Fig. 1, panel A-B) showed a vascularized, hypo-echoic mass with a central hyperechoic region that did not appear to interfere with flow (Online Video 1) in the great vessels. Subsequent CT scan confirmed the presence of a 6 × 7 cm mass with a central necrotic core, located under the aortic arch, over the pulmonary trunk (Fig.

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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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