Volume 54 - Issue 8 - August 2014

Consultant

AIDS
AIDS
What is Responsible for This Cauliflower-Like Lesion?
08/06/2014

Annie Yang, MD, Niraj Karki, MD, Jean Henneberry, MD, and Daniel Skiest, MD
Baystate Medical Center, Springfield, MA

Annie Yang, MD, Niraj Karki, MD, Jean...
A 36-year-old female with advanced AIDS presented to our HIV clinic with a 2-month history of new facial skin lesions. The patient is not currently on antiretroviral therapy.
08/06/2014
pruritic
pruritic
What is responsible for her pruritic eruption?
08/06/2014

David L. Kaplan—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan—Series Editor Univers...
A 63-year-old female presented with a outbreak of slightly itchy and slightly tender papular and vesicular eruption on the inner aspect of the left that appears to follow the dermatome of 1-day duration. ...
08/06/2014
Becker Nevus
Becker Nevus
What is causing these 2 pigmented lesions?
08/06/2014

David L. Kaplan—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan—Series Editor Univers...
A 55-year-old female presented for evaluation of pigmented lesion on her thigh and was noted to have a dark area on 1 ankle.
08/06/2014
morphea
morphea
What could be causing this girl’s discoloration?
08/06/2014

David L. Kaplan—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan—Series Editor Univers...
A 12-year-old female presented with a worsening discoloring on her trunk of 6 months duration that was asymptomatic. She is otherwise healthy. She is self-conscious about being in a bathing suit.
08/06/2014
intussusception
intussusception
Intussusception in an Adult
08/06/2014

Betsy Phillip, PA-C, and Ishak Mansi, MD

Betsy Phillip, PA-C, and Ishak Mansi,...
A 52-year old white woman with past medical history of right lower extremity deep venous thrombosis, hypertension, asthma, and degenerative joint diseases in both knees and cervical spines, presented to...
08/06/2014
Chilaiditi Sign
Chilaiditi Sign
Chilaiditi Sign
08/06/2014

Sophie Lin, MD, and Judit Osvath, MD
New York Medical College, Metropolitan Hospital Center,
New York, NY

Sophie Lin, MD, and Judit Osvath, MD ...
A 94-year-old woman with a history of moderate dementia and chronic pancreatitis with loose stools was admitted to the inpatient medicine service for 1 day of generalized malaise, low-grade fever, and...
08/06/2014
Photoclinic
Photoclinic
Acute Diverticulitis
08/06/2014

James Gendernalik, DO, and Michael Flicker, MD

James Gendernalik, DO, and Michael Fl...
A 38-year-old woman, who was 28 weeks pregnant, presented with a 2-day history of worsening left lower quadrant abdominal pain.
08/06/2014
Foreign-Body Ingestion
Foreign-Body Ingestion
A Magnetic Pull: The Case Against Buckyballs
08/06/2014

Lawrence M. Wyner, MD

Lawrence M. Wyner, MD
A 17-year-old young man presented to the emergency department shortly after inserting several dozen Buckyballs into his urethra, presumably for self-stimulation purposes.
08/06/2014
cardiovascular disease
cardiovascular disease
A Collection of Cardiovascular Events
08/06/2014
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 breath, and...
08/06/2014
COPD
COPD
Diagnosing Asthma-COPD Overlap Syndrome
08/06/2014

Amir A. Zeki, MD, MAS, and Samuel Louie, MD

Amir A. Zeki, MD, MAS, and Samuel Lou...
A patient with a history of hay fever and cigarette use presents with wheezing, a cough, and dyspnea. Is it asthma or COPD?
08/06/2014
coumadin
coumadin
Periprocedural Coumadin Management
08/06/2014

Eric A. Dietrich, PharmD, BCPS, and Louis Kuritzky, MD

Eric A. Dietrich, PharmD, BCPS, and L...
We have recently been following KD, a 58-year-old male who was diagnosed with a first unprovoked deep vein thrombosis (DVT). After completing 3 months of treatment with warfarin, KD elected to continue...
08/06/2014
Autoimmune diseases
Autoimmune diseases
A Young Woman with Lightening of Skin
08/06/2014

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor
A 29-year-old woman presents for evaluation of changes in her skin. Several months ago, in the spring, she had noticed lightening of her skin in both elbow areas as well as her forehead area where the band...
08/06/2014
Top Papers of the Month
Top Papers of the Month
A Timely Update on Skin and Soft Tissue Infections
08/05/2014

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
Skin and soft tissue infections are frequent problems in primary care offices.
08/05/2014
mastocytoma
mastocytoma
Solitary Cutaneous Mastocytoma on an Infant’s Eyebrow
08/05/2014

Cameron Rosenthal, MD, Maria N. Kelly, MD, Sanjeev Y. Tuli, MD, and Sonal S. Tuli, MD

Cameron Rosenthal, MD, Maria N. Kelly...
A mother brought in her 11-month-old daughter for evaluation of a mark on her left lateral eyebrow.
08/05/2014
What's Your Diagnosis?
What's Your Diagnosis?
A Pregnant Woman Presents With a Red Nodule on Her Finger
08/04/2014

Alexander K.C. Leung, MD, and Benjamin Barankin, MD

Alexander K.C. Leung, MD, and Benjami...
A 28-year-old Caucasian woman, who at 28 weeks gestation, presented with a red nodule on the left index finger. The lesion was asymptomatic and was first noted 6 weeks ago.
08/04/2014
echocardiagram
echocardiagram
The Role of Echocardiography in Heart Failure
08/04/2014

Kamel Sadat, MD, Masood Ahmad, MD, Qiangjun Cai, MD, Mohamed Morsy, MD, Navin Nanda, MD, Alejandro Barbagelata, MD, Wissam Khalife, MD,

Kamel Sadat, MD, Masood Ahmad, M...
This first part of a 2-part series will describe the findings of echocardiography in patients with systolic and diastolic HF.
08/04/2014
Vision Loss
Vision Loss
Sudden Vision Loss: A Case Report and Overview of Conversion Disorder
08/04/2014

Abdul Ahad Qazizada, MD

James C. Higgins, DO, CAPT, MC, USN, Ret.,

Abdul Ahad Qazizada, MD James C. Hig...
This article reports a case of CD in a patient who suddenly lost vision following a series of stressful situations.
08/04/2014
aphasia
aphasia
A Case of Primary Progressive Aphasia Progressing to Severe Dementia and Death
08/04/2014

Jonathan Obert, MD

Christian Davis Furman, MD, MSPH

Jonathan Obert, MD Christian Davis F...
This case study describes a 70-year-old male who was diagnosed with progressive nonfluent aphasia in 2003.
08/04/2014
aphasia
aphasia
A Case of Primary Progressive Aphasia Progressing to Severe Dementia and Death
08/04/2014

Jonathan Obert, MD

Christian Davis Furman, MD, MSPH

Jonathan Obert, MD Christian Davis F...
This case study describes a 70-year-old male who was diagnosed with progressive nonfluent aphasia in 2003.
08/04/2014
aphasia
aphasia
A Case of Primary Progressive Aphasia Progressing to Severe Dementia and Death
08/04/2014

Jonathan Obert, MD

Christian Davis Furman, MD, MSPH

Jonathan Obert, MD Christian Davis F...
This case study describes a 70-year-old male who was diagnosed with progressive nonfluent aphasia in 2003.
08/04/2014
Primary Care
Primary Care
The Virtuous Physician
08/04/2014

Richard Colgan, MD

Richard Colgan, MD
While not defining the virtuous physician in specific detail, Edmund D. Pellegrino, MD gives us some hints as to how he or she may be recognized.
08/04/2014
Psoriasis
Psoriasis
Editor’s Note - August 2014
08/04/2014
August is Psoriasis Awareness Month. About 7.5 million Americans suffer from psoriasis; of which, 80% have a condition known as plaque psoriasis—characterized by patches of raised, reddish skin covered with...
08/04/2014