Volume 55 - Issue 3 - March 2015

Consultant

Photo Quiz
Photo Quiz
What is Causing this Woman's Dermal Nodules and Clubbing?
09/29/2015

Mackenzie Gwynne, AB, MD candidate, 2015, and Barbara B. Wilson, MD

Mackenzie Gwynne, AB, MD candidate, 2...
A 58-year-old woman with Graves disease complained of a 4-year history of asymptomatic nodules on her toes and thickening of her shins.
09/29/2015
lupus
lupus
A Lupus-like Eruption During Gemcitabine Therapy for Metastatic Breast Carcinoma
03/26/2015

Christina Y.B. Wong, Dylan R. Conroy, and Thomas N. Helm, MD

Christina Y.B. Wong, Dylan R. Conroy,...
A 69-year-old Caucasian woman with metastatic breast carcinoma demonstrated good clinical response to gemcitabine therapy with reduction in her metastatic load. She developed a widespread papulosquamous...
03/26/2015
venous lake
venous lake
Venous Lake of the Lip
03/26/2015

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

Alexander K.C. Leung, MD, and Benjami...
A 46-year-old Caucasian male presented with an asymptomatic, solitary, dark blue, soft papule on his upper lip. The lesion was first noted 2 years ago and was slowly growing.
03/26/2015
carcinoma
carcinoma
A Rare Cutaneous Tumor
03/26/2015

Charles Haddad MD, Judella Haddad-Lacle MD, Christopher Scuderi, DO, Nauman Nisar MD

Charles Haddad MD, Judella Haddad-Lac...
Trichilemmal carcinoma is a rare cutaneous malignancy.
03/26/2015
Melanoma
Melanoma
How would you diagnose this mystery lesion?
03/26/2015

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

David L. Kaplan, MD—Series Editor Uni...
A 55-year-old male presented for his annual skin examination, which revealed an asymptomatic lesion on his back.
03/26/2015
pityriasis rosea
pityriasis rosea
To what would you attribute this new skin eruption?
03/26/2015

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

David L. Kaplan, MD—Series Editor Uni...
This 35-year-old male presents with a slightly itchy eruption in his groin and axillae of 1 month duration. He is an insulin-dependent diabetic and had a case of pityriasis rosea 2 years prior that resolved...
03/26/2015
pityriasis rosea
pityriasis rosea
What could be causing her rash?
03/26/2015

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

David L. Kaplan, MD—Series Editor Uni...
This 23-year-old female presented for evaluation of an asymptomatic sparse eruption on her trunk of 2 months duration. She takes no medications and has had her dog for 1 year.
03/26/2015
Kidney Disease
Kidney Disease
A Collection of Kidney-Related Issues
03/26/2015
A photo-based collection of clinical cases demonstrating conditions related to kidney disease, including elevated hematocrit, acute glomerulonephritis, and kidney stones.
03/26/2015
Thyroid disease
Thyroid disease
To Screen or not to Screen for Subclinical Thyroid Disorders?
03/23/2015

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
What are subclinical thyroid disorders? As expected there are 2, subclinical hypothyroidism and subclinical hyperthyroidism. They are defined as elevated or decreased thyroid-stimulating hormone (TSH)...
03/23/2015
salmonella
salmonella
Is It My Chicken?
03/23/2015

Joseph My, DO, Irfan Haider, MS3, and Sayed K. Ali, MD

Joseph My, DO, Irfan Haider, MS3, and...
A 69-year-old Mexican-American female with past medical history significant for hypertension, rheumatoid arthritis, fibromyalgia, and irritable bowel syndrome presented to the emergency room with the acute...
03/23/2015
Pain
Pain
Hand Discomfort in a Middle-aged Woman
03/23/2015

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor
A 47-year-old otherwise healthy woman presents with symptoms of hand discomfort of at least one year’s duration.
03/23/2015
hepatoxicity
hepatoxicity
Herbal-induced Hepatotoxicity: Increasing our Index of Suspicion
03/23/2015

Benjamin Duhart, Jr., MS, PharmD, and Timothy Self, PharmD

Benjamin Duhart, Jr., MS, PharmD, and...
The purpose of this review is to increase awareness of selected common herbal products with reports of hepatotoxicity in order to increase vigilance in documenting complete medication histories that may...
03/23/2015
Diabetes Q&A
Diabetes Q&A
Of Diabetes and the Whale
03/23/2015

Peter Vash, MD

Peter Vash, MD
Mr. Goldman was the last patient of a long and taxing day. He came in complaining of a painful foot, along with his ever present and smoldering, chronic diabetes. His right foot, which was red and swollen...
03/23/2015
Blood Pressure
Blood Pressure
A Timely Update on Ambulatory Blood Pressure Monitoring
03/23/2015

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
From the get-go, it struck me that a series of blood pressures measured throughout the day and night would be more valuable than a random snapshot taken in my exam room.
03/23/2015
coarctation
coarctation
Coarctation of the Aorta A Neonate with a Systolic Murmur but with No Other Symptoms
03/23/2015

Sheela Madipelli, MD 

Sheela Madipelli, MD 
Coarctation of the aorta (CoA) constitutes approximately 7% of all (CHDs). It is the most commonly missed CHD, and many cases are not diagnosed until adulthood, or death is incorrectly attributed to...
03/23/2015
Hypothermia
Hypothermia
A Chilling Case
03/23/2015

Andrew S. Wright MD, and David Effron, MD—Series Editor

Andrew S. Wright MD, and David Effron...
A 65-year-old woman was brought to the emergency department EMS after being found down and unresponsive in the snow.
03/23/2015
Practice management
Practice management
Honing Your Aesthetic Practice
03/23/2015

Bonnie Marting, DNP, ARNP, has been in aesthetic practice for nearly 20 years, and has written manuals and programs for training medical professionals. She is a speaker and trainer for Galderma Aesthetic and Allergan Aesthetics, and has a busy practice in West Palm Beach, FL.

Bonnie Marting, DNP, ARNP, has been i...
This article provides a brief overview of how to successfully offer medical aesthetic procedures and ensure a positive outcome for patients.
03/23/2015
Addiction
Addiction
Marijuana Cessation Screening and Counseling for Young Adults in the Primary Care Office
03/23/2015
This article provides PCPs with valuable insights on adolescent marijuana use, as well as results from a pilot study that discussed strategies for conducting brief in-office screenings and cessation...
03/23/2015
surgery
surgery
Optimizing Post-Resuscitation Care in the Emergency Department: Key Interventions for Reversing the Pathophysiological Manifestations of Post-Resuscitation Syndrome
03/23/2015

John P. Benner, DO, NREMT-P, David R. Burt, MD, James E. Powers, DO, and William J. Brady, MD, 

John P. Benner, DO, NREMT-P, Dav...
Individuals who experience sudden out-of-hospital cardiac arrest require prompt and aggressive treatment.
03/23/2015
FDA
FDA
The FDA and Doctors: Why We Need to Pay Attention
03/23/2015

William H. Eaglstein, MD

William H. Eaglstein, MD
I am often surprised that any doctors and medical students miss the mark on what FDA stands for.
03/23/2015
Nutrition
Nutrition
Editor’s Note - March 2015
03/23/2015
March is National Nutrition Month. According to the National Health and Nutrition Examination Survey study on dietary intake, 90% of adults consume more sodium than recommended.
03/23/2015