Volume 47 - Issue 8 - August 2007

Consultant

severe gag reflex
severe gag reflex
An Effective Gag Order
04/28/2011
<div id="article-content-body"><p>The next time you need to perform a routine oral examination in a patient with a severe gag reflex, try this: have the patient use the tongue blade to...
04/28/2011
Ocular Genetic Disease
Ocular Genetic Disease
Ocular Signs of Genetic Disease
04/28/2011

GOLDER N. WILSON, MD, PhD

GOLDER N. WILSON, MD, PhD
A 23-year-old woman is brought to the emergency department after being found unconscious in her apartment.
04/28/2011
Exercise
Exercise
Exercise to Strengthen Weak Reflexes
04/28/2011
<div id="article-content-body"><p>When patients' deep tendon reflexes in the ankle and knee are diminished, have them clasp their hands together and pull outward with both...
04/28/2011
Tea Tree Oil
Tea Tree Oil
Allergic Contact Dermatitis From Tea Tree Oil
04/28/2011

AMBER STONEHOUSE, MD

JAMES STUDDIFORD, MD

AMBER STONEHOUSE, MD JAMES STUDDIFOR...
<div id="article-content-body"> <p>The sudden appearance of a pruritic confluent erythematous rash on the anterior neck and upper back prompted a 30-year-old woman to seek medical...
04/28/2011
Staphylococcal folliculitis
Staphylococcal folliculitis
Are poisonous plants the cause of this itchy rash?
04/28/2011

DAVID L. KAPLAN, MD

Dermclinic
Test Your Dermatologic Skills

DAVID L. KAPLAN, MDDermclinicTest You...
<p><img src="/sites/default/files/old/img_4db964e8564c9.jpg" alt="Figure" width="150" height="150" style="margin-left: 8px; margin-right: 8px; float:...
04/28/2011
Depression
04/28/2011

HANI RAOUL KHOUZAM, MD, MPH

HANI RAOUL KHOUZAM, MD, MPH
<div id="article-content-body"> <p>Depression is a common, recurrent, often debilitating, and potentially lethal disorder. About 1 in 10 outpatients have clinical, or major,...
04/28/2011
Apologies
Apologies
Apologies Are Appreciated
04/28/2011
<div id="article-content-body"><p>Apologies and appreciation can work wonders for both patient and physician. One afternoon at our noon-to-5 clinic, a flood of patients arrived all at...
04/28/2011
Antibiotic Resistance
Antibiotic Resistance
Antibiotic Resistance: A Compelling Reason to Resist Patients’ Requests
04/28/2011

GREGORY W. RUTECKI, MD

GREGORY W. RUTECKI, MD
<p><strong><em><img alt="" src="/sites/default/files/images/Gregory%20W%20Rutecki%2C%20MD.jpg" style="height:176px; margin-left:8px; margin-right:8px;...
04/28/2011
Cryotherapy
Cryotherapy
Kid-Friendly Cryotherapy
04/28/2011
<p>Young children are prone to scrapes and bruises. I recommend to their parents keeping a tray of miniature party-type ice cubes in the freezer.</p>
04/28/2011
acute myocardial infarction
acute myocardial infarction
Ventricular Tachycardia in Acute Myocardial Infarction
04/28/2011

DONALD WICKLINE, MD
JONATHIN SIFF, MD
JANET POPONICK, MD

DONALD WICKLINE, MD JONATHIN SIFF, MD...
A 67-year-old woman arrived via ambulance in ventricular tachycardia. She had been experiencing crushing substernal chest pain and shortness of breath that had worsened over the past several hours. She...
04/28/2011
Lipoprotein(a)
Lipoprotein(a)
Lipoprotein(a): A New Treatment Target?
04/28/2011

PETER P. TOTH, MD, PhD

PETER P. TOTH, MD, PhD
<div id="article-content-body"><p>Should I prescribe niacin for a patient whose lipoprotein(a) (Lp[a]) level is 65 mg/dL?</p></div>
04/28/2011
Percutaneous Endoscopically Placed Gastrostomy
04/28/2011

HENRY SCHNEIDERMAN, MD

HENRY SCHNEIDERMAN, MD
One facet of the rarity of making a diagnosis of penile in situ cancer in the primary care setting is underexamination of the genitalia.
04/28/2011
Melanoma of the Scalp
04/28/2011

Tracey Liakos, DO

Susan Schwartz, DO

Tracey Liakos, DO Susan Schwart...
The incidence of melanoma has risen faster than any other malignancy and is currently the leading cause of death from diseases of the skin.
04/28/2011
Eye Pain
Eye Pain
Man With Severe Eye Pain, Impaired Vision, and Purulent Discharge
04/28/2011

JOHN BOWER, MD, MICHAEL D. SMITH, MD, and DAVID EFFRON, MD

 

JOHN BOWER, MD, MICHAEL D. SMITH, MD,...
<div id="article-content-body"><!-- START FIGURE CODE --> <p>A 42-year-old man presents with severe pain, decreased vision, photophobia, and purulent discharge in his right...
04/28/2011
Virtual Patient
Virtual Patient
The Virtual Patient
04/28/2011

FAITH T. FITZGERALD, MD

FAITH T. FITZGERALD, MD
<div id="article-content-body"><p>As a teacher of medical students and residents in an academic medical center hospital, I am more and more concerned about the increasing distance...
04/28/2011
Tripod Sign
Tripod Sign
Your Observations About the Man With the Tripod Sign
04/28/2011
Dr Henry Schneiderman invited readers to examine the photograph of a man with severe obstructive airways disease and psoriasis and offer additional observations.
04/28/2011
Heart failure
Heart failure
Heart Failure: Part 1, Diagnosis and Staging
04/28/2011

W. H. WILSON TANG, MD

W. H. WILSON TANG, MD
<div id="article-content-body"><p>Heart failure is prevalent in both primary care and cardiology practices. It develops in about 1 in 5 persons during their lifetime and in about 1 in...
04/28/2011
Nail-Patella Syndrome
Nail-Patella Syndrome
Nail-Patella Syndrome
04/28/2011

Chris Buatti, DO

Chris Buatti, DO
<div id="article-content-body"><p>This 33-year-old Guatemalan man presented to a medical mission camp with generalized bilateral knee pain and inability to extend his leg without...
04/28/2011
Paramandibular Abscess
Paramandibular Abscess
Paramandibular Abscess
04/28/2011

FRANCIS CHUIDIAN, MD

FRANCIS CHUIDIAN, MD
<p><img alt="Figure" class="imageBorderBlue" src="/sites/default/files/old/img_4db964da1df94.jpg" style="height:100px; margin-left:8px; margin-right:8px;...
04/28/2011
Labile Blood Pressure
Labile Blood Pressure
Hypertensive Woman With Labile Blood Pressure
04/28/2011

Ronald N. Rubin, MD

Ronald N. Rubin, MD
<div id="article-content-body"> <p>At a routine blood pressure check, a 63-year-old woman has 2 readings of 165/100 mm Hg. The patient has had essential hypertension since age 41...
04/28/2011