Volume 53 - Issue 1 - January 2013

Consultant

Coronary Artery Disease
Coronary Artery Disease
01/16/2013

GENTIANA BAKAJ, MD,
RUPALI PRABHUKHOT, MD,
and SUZANNE KRAEMER, MD
East Carolina University/Pitt County Memorial Hospital, Greenville, NC

Photoclinic
Foresee Your Next Patient 

 

GENTIANA BAKAJ, MD, RUPALI PRABHUKHOT...
<p><img alt="hepatotoxicity" height="90" src="/sites/default/files/images/1301Con_PCHepatotox.jpg" style="float:left" title="hepatotoxicity"...
01/16/2013
appendicitis
appendicitis
01/16/2013

DINUSHAN KALUARACHCHI, MD
and MAGDA MENDEZ, MD
Lincoln Medical and Mental Health Center, Bronx, NY
Weill Cornell Medical College, New York

DINUSHAN KALUARACHCHI, MD and MAGDA M...
<p><img alt="appendicitis" height="90" src="/sites/default/files/images/1301Con_PCAppendi.jpg" style="float:left" title="appendicitis"...
01/16/2013
Heart
Heart
01/16/2013

FRANCISCO O. NASCIMENTO, MD, ALEXANDRE BENJO, MD,
and ORLANDO SANTANA, MD
Mount Sinai Medical Center, Miami Beach, Fla

Photo Clinic
Foresee Your Next Patient 

FRANCISCO O. NASCIMENTO, MD, ALEXANDR...
<p><img alt="mitral valve" height="90" src="/sites/default/files/images/1301Con_PCMitral.jpg" style="float:left" title="mitral valve"...
01/16/2013
Granuloma Annulare
Granuloma Annulare
01/16/2013

DAVID L. KAPLAN, MD—Series Editor
University of Missouri Kansas City, University of Kansas 

David L. Kaplan, Md––Series Editor: 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. 
 

Dermclinic
A Photo Quiz to Hone Dermatologic Skills 

DAVID L. KAPLAN, MD—Series Editor Uni...
<p class="p1"><img src="/sites/default/files/images/1301Con_DC_C2.jpg" alt="granuloma annulare" title="granuloma annulare" style="margin: 0px 5px;...
01/16/2013
Nevus
Nevus
01/16/2013

DAVID L. KAPLAN, MD—Series Editor
University of Missouri Kansas City, University of Kansas 

David L. Kaplan, Md––Series Editor: 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. 
 

Dermclinic
A Photo Quiz to Hone Dermatologic Skills 

DAVID L. KAPLAN, MD—Series Editor Uni...
<p><img src="/sites/default/files/images/1301Con_DC_C1.jpg" alt="voigt's lines" title="voigt's lines" width="90" height="90"...
01/16/2013
Exercise
Exercise
01/16/2013

JOHN WHYTE, MD, MPH
Silver Spring, Md

CHRISTOPHER MOHR, PhD, RD
Louisville, Ky

Dr Whyte is a former medical advisor at the US Department of Health and Human Services in Washington, DC, and director of the Secretary’s Council on Private Sector Initiatives. He is currently the chief medical expert and vice president, health and medical education, at Discovery Channel in Silver Spring, Md. Dr Mohr is a nutritionist and exercise physiologist and is co-owner of Mohr Results, Inc. He is also a consulting sports nutritionist for the Cincinnati Bengals.

Primary Care Update
Summaries for Clinical Practice 

 

JOHN WHYTE, MD, MPH Silver Spring, Md...
Physical activity may increase already high levels of glucose and ketone bodies and thereby precipitate ketoacidosis.
01/16/2013
eating disorders
eating disorders
01/16/2013

KRISTA MOUSTED, MSN, NP-C
MetroHealth Medical Center

DAVID EFFRON, MD
Case Western Reserve University

Krista Mousted is a nurse practitioner in the emergency department at MetroHealth Medical Center. Dr Effron is assistant professor of emergency medicine 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 Foundation, all in Cleveland.

What's Your Diagnosis
Sharpen Your Physical Diagnostic Skills 
KRISTA MOUSTED, MSN, NP-C MetroHealth...
<p><strong><img alt="bulimia, eating disorder" height="90" src="/sites/default/files/1301Con_WDEffron_IndxFg.jpg" style="float:left"...
01/16/2013
zoon balanitis
zoon balanitis
01/16/2013

BRIAN N. PARKS, DO
Genesys Regional Medical Center,
Grand Blanc, MI

RYAN STEVENSON, MSIV,
and GUOZHEN LIU, MD
Michigan State University

At the time this case report was written, Dr Parks was a traditional intern at Genesys Regional Medical Center, in Grand Blanc, Michigan.
Mr Stevenson was a fourth-year medical student at Michigan State University College of Osteopathic Medicine, and performed his 3th-year clerkship at Genesys Regional Medical Center. Dr Liu is assistant program director of the family practice residency program at Genesys Regional Medical Center; he is also associate professor of family medicine at Michigan State University School of Human Medicine in East Lansing, Michigan.

Case In Point
An Intriguing Diagnosis 
 
BRIAN N. PARKS, DO Genesys Regional M...
<p><strong><img alt="zoon balanitis" height="90" src="/sites/default/files/1301Con_CPParks_Fg2.jpg" style="float:left" title="zoon balanitis"...
01/16/2013
Hematuria and Dysuria
Hematuria and Dysuria
01/16/2013

Ronald N. Rubin, MD—Series Editor
Temple University

Ronald N. Rubin, MD—Series Editor: 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, both in Philadelphia.

What's The "Take Home"?
Pearls From Clinical Cases 
 
Ronald N. Rubin, MD—Series Editor Tem...
<p>A 21-year-old woman presents with a 3-day history of dysuria and increased urinary frequency and urgency. These symptoms began suddenly but have been worsening over the past few days. On...
01/16/2013
Feature
Feature
01/16/2013

BARRY J. WU, MD, FACP
Yale University

Dr Wu is clinical professor of medicine at Yale School of Medicine. He is also associate program director of internal medicine and internal medicine clerkship director at Yale- New Haven Medical Center (Saint Raphael) Internal Medicine in New Haven, Conn. 

BARRY J. WU, MD, FACP Yale University...
Despite the countless advances in technology and diagnostic imaging and testing, the medical interview is still essential for gathering information, building relationships, and educating patients.
01/16/2013
Feature
Feature
01/16/2013

BARRY J. WU, MD, FACP
Yale University

Dr Wu is clinical professor of medicine at Yale School of Medicine. He is also associate program director of internal medicine and internal medicine clerkship director at Yale- New Haven Medical Center (Saint Raphael) Internal Medicine in New Haven, Conn. 

BARRY J. WU, MD, FACP Yale University...
Despite the countless advances in technology and diagnostic imaging and testing, the medical interview is still essential for gathering information, building relationships, and educating patients.
01/16/2013
Feature
Feature
01/16/2013

BARRY J. WU, MD, FACP
Yale University

Dr Wu is clinical professor of medicine at Yale School of Medicine. He is also associate program director of internal medicine and internal medicine clerkship director at Yale- New Haven Medical Center (Saint Raphael) Internal Medicine in New Haven, Conn. 

BARRY J. WU, MD, FACP Yale University...
Despite the countless advances in technology and diagnostic imaging and testing, the medical interview is still essential for gathering information, building relationships, and educating patients.
01/16/2013
von Recklinghausen Disease
von Recklinghausen Disease
01/16/2013

RAFAEL ILYAYEV, MD and BHAKTI PATEL, PA-C
Wyckoff Medical Center, Brooklyn, NY

Photo Quiz
Self-Test Your Diagnostic Acumen 
RAFAEL ILYAYEV, MD and BHAKTI PATEL, ...
<p>A 46-year-old woman presents to the emergency department (ED) with pain in the left hand after an injury. Radiographs obtained in the ED are normal. On physical examination, however, multiple...
01/16/2013
drug reaction
drug reaction
01/16/2013

 

 

 

Primary Care Update
Brief Summaries for Clinical Practice 

      Primary Care ...
In the United States, adverse drug reactions are a major cause of morbidity and mortality in both the outpatient and inpatient settings.1 Many of these adverse events could have been avoided by timely...
01/16/2013
drug reaction
drug reaction
01/15/2013
<p>Painful, erythematous plaques had erupted 4 to 6 weeks earlier on the left upper arm and lower abdominal wall of a 54-year-old woman. The lesions had since increased in size and become more...
01/15/2013
trauma
trauma
01/15/2013
<p><strong><img alt="winter injuries" height="90" src="/sites/default/files/Screen%20Shot%202013-01-15%20at%203.40.43%20PM.png" style="float:left"...
01/15/2013
Top Papers Of The Month
Top Papers Of The Month
01/15/2013

GREGORY W. RUTECKI, MD—Series Editor
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.

Dr Rutecki reports that he has no relevant financial relationships to disclose.


Top Papers of the Month
Articles You Don't Want to Miss 

GREGORY W. RUTECKI, MD—Series Editor ...
Complaints of knee pain are very common in primary care practice. Osteoarthritis is the cause in many instances, especially in an aging, obese population. A recent “Top Paper” offers practical advice for...
01/15/2013
Cardiometabolic risk
Cardiometabolic risk
01/15/2013

BRADLEY M. WRIGHT, PharmD,BCPS
JESSICA BELLONE, PharmD, BCACP
Auburn University and University of South Alabama

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 Bellone is assistant clinical professor of pharmacy practice at Auburn University Harrison School of Pharmacy at the Mobile campus. She practices at the University of South Alabama Spring Hill Family Medicine Clinic. Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine.


 

BRADLEY M. WRIGHT, PharmD,BCPS JESSIC...
Resistant hypertension is the failure to reach target blood pressure in persons who adhere to an appropriate 3-drug regimen including a diuretic.
01/15/2013
Primary Care
Primary Care
01/15/2013

RICHARD COLGAN, MD

DEBORAH ANN COLGAN, RN, BSN

University of Maryland, Annapolis, Md

Dr Colgan is associate professor and vice chair of medical student education and clinical operations in the department of family and community medicine at the University of Maryland School of Medicine in Baltimore, Maryland. He is the author of Advice to the Healer: On the Art of Caring, released by Springer in November 2012. For more information, go to www.advicetotheyoungphysician.com. Deborah Colgan received her bach- elor of science in nursing from Catholic University of America. She has practiced nursing in multiple settings: critical care units, medical surgical units and in physicians’ offices. She currently serves as a home health nurse in Annapolis, Maryland. 


Guest Commentary

RICHARD COLGAN, MD DEBORAH ANN COLGA...
<p><img alt="florence nightingale" height="90" src="/sites/default/files/1301Con_GCColgan_FNPic.jpg" style="float:left" title="florence...
01/15/2013
CONSULTANT
CONSULTANT
01/15/2013
<p>You may have noticed something different about this latest issue of CONSULTANT. We have redesigned the publication to improve your overall readership experience from page to screen. CONSULTANT is...
01/15/2013