Volume 54 - Issue 11 - November 2014

Consultant

churgstraus syndrome
churgstraus syndrome
Progressive Dyspnea in a 65-Year-Old Woman
01/19/2017

Michael Langan, MD, Andrew Schreiner, MD, and Essa Essa, MBBS

Michael Langan, MD, Andrew Schreiner,...
A 65-year-old Caucasian female with a history of refractory asthma complains of progressive dyspnea, arthralgias, and bilateral lower extremity rash.
01/19/2017
deformity
deformity
What is Responsible for This Man’s Popeye Deformity?
12/11/2014

Aazib Khan, MD, and Sayed K. Ali, MD

Aazib Khan, MD, and Sayed K. Ali, MD ...
A 78-year-old male came into the clinic for a routine follow-up visit. He has a history of vertigo that has been associated with unsteadiness and multiple falls.
12/11/2014
Pfeiffer Syndrome
Pfeiffer Syndrome
Pfeiffer Syndrome Type 2: Cloverleaf-Shaped Skull in a Newborn
11/20/2014

Hannah Lee, DO, and Emma A. Omoruyi, MD, MPH

Hannah Lee, DO, and Emma A. Omoruyi, ...
A girl was born at 37 weeks of gestation to a 40-year-old gravida 3, para 2 mother via cesarean delivery at a county hospital.
11/20/2014
Vasculitis
Vasculitis
What is responsible for the asymptomatic eruption on her legs?
11/20/2014

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

David L. Kaplan—Series Editor Univers...
A 54-year-old female presents with an asymptomatic eruption on her legs.
11/20/2014
Eczema
Eczema
How would you diagnose this woman's eczema?
11/20/2014

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

David L. Kaplan—Series Editor Univers...
A 46-year-old female with a history of eczema presents with a 2-month history over the summer of itching on her arms, mostly in a sun distributed pattern.
11/20/2014
Psoriasis
Psoriasis
What is the cause of this man's itchy leg rash?
11/20/2014

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

David L. Kaplan—Series Editor Univers...
A 21-year-old male presented for evaluation of a rash that started on his legs 1 month prior following a sunburn earlier in the summer.
11/20/2014
cyst
cyst
Pericardial Cyst
11/19/2014

Diego P. Peralta, MD, and Aymara Y. Chang, MD

Diego P. Peralta, MD, and Aymara Y. C...
A 28-year-old Caucasian male presented to our hospital for evaluation of hematuria.
11/19/2014
tumor
tumor
Large Asymptomatic Cardiac Tumor
11/19/2014

Pankajkumar Shah, MD, Rao Velaga, MD,
and Rinkesh Patel, MBBS

Pankajkumar Shah, MD, Rao Velaga, MD,...
A 69-year-old Caucasian male with known history of hypertension, peripheral vascular disease, and smoking presented to the surgeon with a neck mass.
11/19/2014
Breast cancer
Breast cancer
Baleful Diaphragm Elevation
11/19/2014

Neeraj Saini, MD, Vishesh Kumar, MD, and Vivek Saini, MD

Neeraj Saini, MD, Vishesh Kumar, MD, ...
A 55-year-old female with history of triple negative breast cancer stage IIA status presents with pleuritic right-sided pain in the infrascapular region with progressive dyspnea on exertion over the past 2...
11/19/2014
Preeclampsia
Preeclampsia
Late Postpartum Eclampsia Presenting as Posterior Reversible Encephalopathy Syndrome
11/19/2014

Carlito Arenas, Jr, MD, Vincent Bryan Salvador, MD, Sabaa Joad, MD, Arunakumari Penumadu, MD, and Valeriy Vilensky, MD 

Carlito Arenas, Jr, MD, Vincent Bryan...
A 25-year-old African American, G2P2, without prior known comorbidities presented to the emergency department with 2 episodes of seizures, 8 days after an uncomplicated full-term normal spontaneous vaginal...
11/19/2014
HIV
HIV
A Collection of Aids/HIV Related Infections
11/19/2014
This article features a collection of HIV/AIDS related infections, including histoplasmosis, Karposi sarcoma, and oral hairy leukoplakia.
11/19/2014
cholecystitis
cholecystitis
An Older Woman with Acute Calculus Cholecystitis
11/18/2014

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor
A 64-year-old woman is admitted with acute calculus cholecystitis. Over the last 48 hours, she has had steadily increasing pain in the right upper quadrant.
11/18/2014
xanthelasma
xanthelasma
What is Responsible for the Skin Lesions on This Patient’s Eyelids?
11/18/2014

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

Alexander K.C. Leung, MD, and Benjami...
A 47-year-old Caucasian man presented with bilateral yellowish skin lesions on the upper eyelids.
11/18/2014
xanthelasma
xanthelasma
What is Responsible for the Skin Lesions on This Patient’s Eyelids?
11/18/2014

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

Alexander K.C. Leung, MD, and Benjami...
A 47-year-old Caucasian man presented with bilateral yellowish skin lesions on the upper eyelids.
11/18/2014
xanthelasma
xanthelasma
What is Responsible for the Skin Lesions on This Patient’s Eyelids?
11/18/2014

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

Alexander K.C. Leung, MD, and Benjami...
A 47-year-old Caucasian man presented with bilateral yellowish skin lesions on the upper eyelids.
11/18/2014
Diabetes Q&A
Diabetes Q&A
When Can Intervals Between INR Checks Be Extended?
11/18/2014

Eric Dietrich, PharmD, BCPS

Eric Dietrich, PharmD, BCPS
The CHEST guidelines recommend monitoring the INR every 4 weeks in most patients. However, in those patients who have been stable on warfarin therapy for at least 3 months, CHEST suggests that it is...
11/18/2014
venous thromboembolism
venous thromboembolism
Pitfalls of Venous Thromboembolism
11/18/2014

Narin Sriratanaviriyakul, MD, Susan Murin, MD, and Samuel Louie, MD

Narin Sriratanaviriyakul, MD, Susan M...
This column highlights pitfalls during the diagnostic evaluation for PE and discusses how to avoid them to minimize morbidity and mortality.
11/18/2014
spleen
spleen
So You’ve Lost a Spleen: What is a Primary Care Doc to Do?
11/13/2014

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
A 23-year-old had a splenectomy after a motorcycle accident. He received the 23-valent pneumococcal vaccine (PCV23) after surgery and now, 6 months later, he is calling because he has a fever. What should...
11/13/2014
Mental Health Disorders
Mental Health Disorders
What Do We Know About Electroconvulsive Therapy?
11/11/2014

Hani Raoul Khouzam, MD, MPH

Hani Raoul Khouzam, MD, MPH
In this first half of a 2-part series, the authors summarize the history of electroconvulsive therapy (ECT), the proposed mechanisms of action, and its clinical indications.
11/11/2014
Dermatology
Dermatology
Geriatric Dermatology: A Generational Approach
11/11/2014

Wendy E. Roberts, MD

Wendy E. Roberts, MD
This article discusses the risk factors for skin disorders and offers treatment pearls when treating the geriatric population.
11/11/2014
anemia
anemia
Increasing Cost Sensitivity in the Diagnostic Evaluation of Microcytic Anemia
11/11/2014

Danielle L. Heidemann, MD, Kimberly Baker-Genaw, MD, Nicholas A. Joseph, MD, Philip Kuriakose, MD

Danielle L. Heidemann, MD, Kimbe...
This article outlines an algorithm that can potentially lead to significant cost savings per diagnosis of microcytic anemia.
11/11/2014
Primary Care
Primary Care
Advice To The Young Clinician: Practice Makes for Better Practice
11/11/2014

Richard Colgan, MD

Richard Colgan, MD
Even the best-seasoned clinicians start out young, green, naïve, and with little clinical experience.
11/11/2014
Diabetes Q&A
Diabetes Q&A
Editor’s Note - November 2014
11/11/2014
“Obesity is an issue, but it is not the only issue,” said Timothy Harlan, MD, keynote speaker at Consultant’s 2014 Cardiometabolic Risk Summit (October 10-12, 2014, Las Vegas). “Weight loss is only half the...
11/11/2014