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 44-year-old woman presents with slightly pruritic, purplish papules near the elbows and shins of several weeks’ duration. She has no history of trauma and takes no...
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>Fifteen years after his last outbreak of acne, a 38-year-old man notices an acne-like eruption on his face. The asymptomatic rash appeared 3 days earlier. Last month, the patient had poison ivy...
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>The mother of a 6-year-old girl is concerned about the enlarging bump on her daughter’s chin. The slightly itchy lesion first appeared as a “pimple” 1 week earlier.</p><p>Do you...
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>For several months, a 70-year-old man has experienced patchy hair loss&nbsp;and mild itching on the top of his scalp. Over-the-counter shampoos containing tar or zinc have not been effective....
SIOBHAN MA, MD, PATRICK T. S. MA, MD, ALEXANDER K. C. LEUNG, MD, and ALEXANDER A. C. LEUNG, MD
Dr S. Ma is a resident in internal medicine at the Royal College of Surgeons in Ireland. Dr P. T. S. Ma is clinical assistant professor of medicine and Dr A. K. C. Leung is clinical professor of pediatrics both at the University of Calgary in Alberta. Dr A. A. C. Leung is a clinical scholar in medicine at the University of Calgary in Alberta and a research fellow at the Brigham and Women’s Hospital and Harvard Medical School in Boston, Massachusetts.
SIOBHAN MA, MD, PATRICK T. S. MA, MD,...
A 50-year-old woman has a 6-month history of severe generalized itchiness and fatigability. There is no associated fever, abdominal pain, or joint pain.
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>For several days, a previously healthy 12-year-old girl has had a sore throat. She was given acetaminophen, which provided minimal relief. During the past 24 hours, she has been coughing because of...
<p>Rather than relying on a gag or a wide-mouthed cry after otoscopy to examine a very young child’s posterior pharynx, consider a happier&nbsp;alternative. Ask the parents if they can make their...
<p>To irrigate a contaminated wound quickly, punch 3 holes in the lid of&nbsp;a 500-mL container of normal saline with a 14- or 16-gauge sterile needle.&nbsp;</p>
<p><span style="color: #888888;"><span style="color: #000000;">Patients want and need information about diet. I recommend that they “shop the...
Four patients with very different problems, all have one thing in common: an increased risk of osteoporosis as a result of long-term treatment with glucocorticoids.
<p>I offer the following hypothetical scenario: A patient who is taking dabigatran is referred to the hospital for emergent surgery. The surgeon wants to know whether he can operate. Is there any...
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
...
<p>It would be a mistake to minimize the syndrome of obstructive sleep apnea (OSA). It should not be characterized merely as obesity, a large neck, snoring, and daytime sleepiness; rather, it is a...
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 EditorD...
<p>A&nbsp;cursory search of “bedbugs” on PubMed and “Emerging Infectious Diseases” (from the CDC) resulted in 437 and 386 “hits,”&nbsp;respectively. Now here is a super bug to contend with!...
KAVITA BAPAT, MD, SAMER H. A. ZAID KAYLANI, MD, CURTIS TURNER, MD, and OSVALDO REGUEIRA, MD Texas Tech University Health Sciences Center, Amarillo
At the time this was written, Drs Bapat and Zaid Kaylani were pediatric residents at Texas Tech University Health Sciences Center in Amarillo. Dr Zaid Kaylani is currently a hematology/oncology fellow in the department of pediatrics at University of Alabama School of Medicine in Birmingham. Dr Turner is professor and residency program director and Dr Regueira is associate professor in the department of pediatrics, division of hematology/oncology at Texas Tech University Health Sciences Center, Amarillo.
KAVITA BAPAT, MD, SAMER H. A. ZAID KA...
<p>A&nbsp;13-year-old girl with intermittent episodes of bruising was referred to our hematology clinic after several visits to her private physician. The bruises appeared suddenly on her...
IBRAHIM M. ELALI, MD University of Arizona College of Medicine, Phoenix
JOSE C. MISSRI, MD Temple University School of Medicine, Philadelphia
IBRAHIM M. ELALI, MDUniversity of Ari...
<p>The acute onset of substernal chest pain during vigorous exercise prompted a 70-year-old woman to seek emergency medical attention. She reported chest pressure, left arm numbness, shortness of...
MRUGESH PATEL, MD Orlando Health Internal Medicine Residency, Florida
MARIO J. MADRUGA, MD Florida State University College of Medicine University of Central Florida College of Medicine
MRUGESH PATEL, MDOrlando Health Inter...
<p>An 80-year-old woman presented with difficulty in swallowing, which had gradually worsened over 4 weeks. She complained that food was getting stuck and that she frequently had to sit upright to be...
LEONID SKORIN, Jr, DO Mayo Clinic Health System–Albert Lea, Minnesota
LEONID SKORIN, Jr, DOMayo Clinic Heal...
<p>One month after successful cataract surgery, an 80-year-old man with moderate dementia was brought in for examination. He had recently been fitted with a new hearing aid.</p><p>His wife...
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>A critique of the movie <em>Barbershop</em> was right on target. Calvin, the&nbsp;African American protagonist in the film, learns that the&nbsp;Chicago barbershop he has...
Dr Justin is a retired family physician in Lakewood, Colorado
RENATE G. JUSTIN, MD
Lakewood, Colora...
<p>His parents, professors at the local university, came to see me repeatedly. Their son, John, age 17, a gifted student, had been suspended from high school because of drug abuse.&nbsp;He was not...
CHRISTOPHER JENKINS, MD In His Image Family Medicine Residency Training Program, Tulsa, OK
Dr Heffron is professor and chair emeritus, department of family and community medicine, University of New Mexico, Albuquerque, New Mexico. He is a past president for the Americas of the World Organization of Family Doctors, and the chairman of the board of In His Image International in Tulsa, Oklahoma. Dr Jenkins is a faculty member of In His Image family medicine residency in Tulsa, and is a staff physician at St John Health System, also in Tulsa. He is conference director for Family Medicine Education International.
WARREN HEFFRON, MDUniversity of New M...
<p>Family medicine has become a global movement as a medical specialty. From small beginnings over a half century ago, it has now spread from its Western roots to all continents. The origins of family...
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>Various neoplastic, vascular, inflammatory, physical, and infectious processes can cause cutaneous ulcers. Accurate diagnosis requires close attention to clinical findings, an accurate history, and...
EDWARD J. SHAHADY, MD University of Miami and University of Florida
Dr Shahady is clinical professor of family medicine at the University of Miami and University of Florida in Florida; an associate faculty member in the residency program at St Vincent’s Hospital in Jacksonville, Fla; and medical director of the Diabetes Master Clinician Program of the Florida Academy of Family Physicians Foundation in Jacksonville. He is also a member of the editorial board of CONSULTANT.
Dr Shahady reports that he is a consultant for Merck and is on the speakers bureaus of Merck and Pfizer.
EDWARD J. SHAHADY, MDUniversity of Mi...
<p>The American Diabetes Association now recommends hemoglobin A<sub>1c</sub>&nbsp;(HbA<sub>1c</sub>) as an additional criterion for the diagnosis of diabetes and...
