Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.
DAVID L. KAPLAN, MD—Series EditorDr K...
<p>Asymmetric hair growth is noted on the back of a 25-year-old man when he seeks treatment of severe sunburn. The patient first noticed this pattern 7 or 8 years earlier.<br> <br> What do...
<p>A 28-year-old man presents with pruritic lesions on his forearms of 4 to 6 weeks’ duration. Over-the-counter hydrocortisone 1% cream has provided some relief.</p>
KIM A. CARMICHAEL, MD—Series Editor Washington University
Dr Carmichael is associate professor of medicine, department of internal medicine, division of endocrinology, diabetes, and lipid research at Washington University School of Medicine in St Louis, Missouri.
The author does not have any disclosures relevant to the content of this manuscript.
KIM A. CARMICHAEL, MD—Series EditorWa...
<p>Many persons with diabetes mellitus, particularly those with type 1, are completely dependent on exogenous insulin to sustain vital&nbsp;functions, even life itself, and without it may rapidly...
CHRISTIAN ROSAS-SALAZAR, MD University of Pittsburgh
PREM ARORA, MD, HAZAR KOBAYAA, MD and JOCELYN Y. ANG. MD Wayne State University
Dr Rosas-Salazar is a pediatric pulmonary fellow in the division of pulmonary medicine, allergy and immunology at Children’s Hospital of Pittsburgh, University of Pittsburgh Medical Center. Dr Arora is a neonatology fellow in the division of neonatology and Dr Kobayaa is an infectious disease fellow and Dr Ang is assistant professor in the division of pediatric infectious diseases at Children’s Hospital of Michigan and Wayne State University in Detroit.
CHRISTIAN ROSAS-SALAZAR, MD
Universit...
<p>A&nbsp;3-year-old girl was hospitalized because of purulent drainage from a right middle finger wound &nbsp;and a tender right axillary mass of 2 days’ duration. She was febrile,...
JIMMY Y. SAADE, MD, ERGENT M. ZHIVA, MD, ANTHONY M. SALIBI, and DAVID EFFRON, MD
Dr Saade is a staff physician in the department of emergency medicine and a resident in radiology at MetroHealth Medical Center, and consultant emergency physician at the Cleveland Clinic. Dr Zhiva is a resident in radiology at MetroHealth Medical Center. Mr Salibi is a B.S. candidate in kinesiology at Arizona State University. Dr Effron is assistant professor at Case Western Reserve University, attending physician in the department of emergency medicine at the MetroHealth Medical Center, and consultant emergency physician at the Cleveland Clinic, all in Cleveland.
JIMMY Y. SAADE, MD, ERGENT M. ZHIVA, ...
<p>A 50-year-old man, who is right hand dominant, presents to the emergency department (ED) with swelling of the left hand and intense pain. He is an intravenous drug user with multiple prior...
Dr Rubin is professor of medicine at Temple University School of Medicine and chief of clinical hematology in the department of medicine at Temple University Hospital in Philadelphia.
RONALD N. RUBIN, MD—Series Editor
Dr...
<p>An 82-year-old woman reports vision changes in her right eye that have developed gradually over the past several months. She needs significantly brighter light when sewing, reading, and doing other...
Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine in Mobile. He is also a member of the editorial board of CONSULTANT.
GREGORY W. RUTECKI, MD—Series Editor
...
Tuberculosis (TB) is uncommon in the United States, especially when rates here are compared with those in endemic locations, such as Cambodia, Thailand, Kenya, Malawi, and Cameroon.1 In fact, in the United...
NOAH S. SCHEINFELD, MD, JD Columbia University Dr Scheinfeld is assistant clinical professor of dermatology at Columbia University and assistant attending physician at St Luke’s–Roosevelt and Beth Israel Hospitals in New York.
NOAH S. SCHEINFELD, MD, JD
Columbia U...
<p>The skin is transformed as we age; its hue and texture evolve with time and with disease. These changes are important to understand so that we can distinguish the pathologic from the normal in the...
<p><span>When a prescription medication is not needed, patients often appreciate&nbsp;</span><span>advice on nonprescription treatments.</span><span>&nbsp;A field...
<p><span>I find it helpful to set a gestation&nbsp;</span><span>wheel to a pregnant patient’s due date</span><span>&nbsp;and then make a copy of the wheel for...
<p>Younger patients are sometimes reluctant to have you use a liquid nitrogen spray gun to freeze their warts, because it can be painful. Try applying the liquid nitrogen&nbsp;<span>with a...
<p>With patients who say that they&nbsp;usually faint when blood is drawn&nbsp;or when given an injection, have them lie down and tell them that&nbsp;they “cannot faint when lying...
BRADLEY M. WRIGHT, PharmD, BCPS, MOLLY ADAMS, PharmD, BCPS, and RAKHI KARWA, PharmD, BCPS Auburn University and University of South Alabama
GLORIA VARELA, MD, JASON NESMITH, MD, and GREGORY W. RUTECKI, MD University of South Alabama
Dr Wright is assistant clinical professor of pharmacy practice at Auburn University Harrison School of Pharmacy in Auburn, Ala. He is also adjunct assistant professor of internal medicine at the University of South Alabama College of Medicine in Mobile. Dr Adams is assistant clinical professor of pharmacy practice at Auburn University Harrison School of Pharmacy and is adjunct assistant professor of internal medicine at the University of South Alabama College of Medicine. Dr Karwa is assistant clinical professor of pharmacy practice at Auburn University Harrison School of Pharmacy and is adjunct assistant professor of internal medicine at the University of South Alabama College of Medicine. Dr Varela is a PGY-2 neurology resident and Dr NeSmith is a PGY-2 internal medicine resident at the University of South Alabama College of Medicine. Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine.
BRADLEY M. WRIGHT, PharmD, BCPS, MOLL...
<p>Acute elevations in blood pressure (also known as hypertensive crises or severe hypertension) can cause significant morbidity and mortality. The key to management of these episodes is to keep in...
GREGORY W. RUTECKI, MD University of South Alabama
Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine in Mobile. He is also a member of the editorial board of CONSULTANT.
GREGORY W. RUTECKI, MD
University of ...
<p>Events in Germany and other European countries during the past several weeks have made me queasy every time I see vegetables. The fallout of the recent Shiga...
BRADLEY M. WRIGHT, PharmD, MOLLY ADAMS, PharmD, BCPS and RAKHI KARWA, PharmD, BCPS Auburn University andUniversity of South Alabama
BCPS GLORIA VARELA, MD, JASON NESMITH, MD, and GREGORY W. RUTECKI, MD University of South Alabama
Dr Wright is assistant clinical professor of pharmacy practice at Auburn University Harrison School of Pharmacy in Auburn, Ala. He is also adjunct assistant professor of internal medicine at the University of South Alabama College of Medicine in Mobile. Dr Adams is assistant clinical professor of pharmacy practice at Auburn University Harrison School of Pharmacy and is adjunct assistant professor of internal medicine at the University of South Alabama College of Medicine. Dr Karwa is assistant clinical professor of pharmacy practice at Auburn University Harrison School of Pharmacy and is adjunct assistant professor of internal medicine at the University of South Alabama College of Medicine. Dr Varela is a PGY-2 neurology resident and Dr NeSmith is a PGY-2 internal medicine resident at the University of South Alabama College of Medicine. Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine.
The authors report that they have no relevant financial relationships to disclose.
BRADLEY M. WRIGHT, PharmD, MOLLY...
<p>Here, we will review the contemporary armamentarium for severe hypertension. The pros and cons of the drugs used to manage hypertensive crises will be highlighted.</p>
Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.
DAVID L. KAPLAN, MDDr Kaplan is clini...
<p>A 53-year-old man reports that the painful growth on his upper chest wall had been rubbed by a seat belt 1 week earlier. The lesion had been asymptomatic for months before becoming...
DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kansas
Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.
DAVID L. KAPLAN, MD—Series EditorUniv...
<p>A 61-year-old woman presents with asymptomatic red spots that appeared on her legs 3 days earlier. The patient is taking warfarin, which was prescribed following artificial mitral valve...
Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.
DAVID L. KAPLAN, MD—Series EditorDr K...
<p><span>A 69-year-old woman has had a red patch on the dorsum of one hand for 5 weeks. She states that the lesion began as a pimple and has grown larger; it is occasionally pruritic but not...
AHMED TARIG AHMED, MD Stroger Hospital of Cook County, Chicago
AHMED TARIG AHMED, MDStroger Hospital...
<p>This painless, hard mass was noted on the palate of a 73-year-old woman with hypertension during a routine follow-up visit. The mass had been present for more than 30 years.</p>
CHRISTIAN R. HALVORSON, MD University of Maryland School of Medicine, College Park
BRIDGET M. BRYER GROFF, MD and BARBARA B. WILSON, MD University of Virginia School of Medicine, Charlottesville
CHRISTIAN R. HALVORSON, MDUniversity ...
<p>For 4 years, a 10-year-old boy had a recurrent rash on his left leg. He had been treated for presumed ringworm with multiple topical antifungal medications, including terbinafine, ciclopirox, and...
GERMAINE L. DEFENDI, MD Olive View-University of California Los Angeles Medical Center
GERMAINE L. DEFENDI, MDOlive View-Uni...
<p>For 2 weeks, this 13-year-old girl felt tired and achy. She had persistent fevers (temperature up to 38.8°C [102°F]) and an erythematous facial rash above her eyebrows that extended to her cheeks...
LEONID SKORIN, Jr, DO Mayo Clinic Health System–Albert Lea, Minnesota
LEONID SKORIN, Jr, DOMayo Clinic Heal...
<p>An 83-year-old woman presented for her annual eye examination. She had a history of previous cataract surgery with pseudophakia and mild dry age-related macular degeneration. She also had a...
