Volume 56 - Issue 2 - February 2016

Consultant

Asthma
Asthma
Omalizumab in Difficult-to-Control Asthma: Allergic or Not?
01/17/2017

Celeste Kivler, RCP, RRT, AE-C, CCRC, Nicholas J. Kenyon, MD, and Samuel Louie, MD

Celeste Kivler, RCP, RRT, AE-C, CCRC,...
Two pitfalls in everyday asthma care are that omalizumab is a new asthma treatment, and that it is not recommended by the 2007 NAEPP treatment guidelines.
01/17/2017
Multiple Myeloma
02/17/2016

Kelsey A. Musgrove, BS, Nicholas V. Mendez, BS, Syed A. A. Rizvi, PhD, Jasmin Ahmed, BS, and Sultan S. Ahmed, MD

Kelsey A. Musgrove, BS, Nicholas V. M...
A 42-year-old African American man with no past medical history presented with isolated worsening back pain at the lumbosacral spine with no radiation for 6 to 7 months.
02/17/2016
Lyme Disease
02/17/2016

Steven Luger, MD, and Randall H. Suslick, MD

Steven Luger, MD, and Randall H. Susl...
A 44-year-old man presented to an urgent care clinic in Western Iowa with a complaint of generalized fatigue, malaise, and subjective fevers of 3 weeks’ duration.
02/17/2016
Acute Copper Sulfate Poisoning
02/17/2016

Michael Sternberg, MD, and David G. Nesbitt, MD

Michael Sternberg, MD, and David G. N...
A 61-year-old man presented to the emergency department with a 1-day history of burning abdominal pain, nausea, and 11 episodes of nonbloody emesis.
02/17/2016
Photoclinic
Photoclinic
Epiploic Appendagitis Mimicking Diverticulitis
02/17/2016

Mohammed Hassan-Ali, MD, MSc, Mohemmad Abbas, MD, and Ahmed Raziuddin, MD

Mohammed Hassan-Ali, MD, MSc, Mohemma...
A 25-year-old man presented with a 4-day history of sudden pain in the left lower quadrant, leading to the primary care provider's initial diagnosis of diverticulitis.
02/17/2016
A Summer of Ethics: 3 Cases Presenting 3 Ethical Challenges in Medicine
02/17/2016

Michael Gordon, MD, MSc

Michael Gordon, MD, MSc
In modern health care facilities, medical ethics are embedded into the complexities of the clinical decision-making process.
02/17/2016
Critical Care
Critical Care
Is It Pneumonia, Heart Failure, or Both? Biomarkers Can Help Diagnose Dyspnea
02/17/2016

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
Acutely ill patients tend to have similar complaints.
02/17/2016
“Crystals in the Mud”: Cefepime-Induced Crystalluria
02/17/2016

Poorva Bindal, MBBS, and Padmashri Rastogi, MD

Poorva Bindal, MBBS, and Padmashri Ra...
A 68-year-old man presented to the emergency department (ED) with a 2-day history of nausea, watery diarrhea, loss of appetite, weakness, and dizziness.
02/17/2016
Warfarin and Venous Thromboembolism Prevention in Patients With Active Cancer
02/17/2016

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS

Eric A. Dietrich, PharmD, BCPS, and K...
Patients with active cancer are at an increased risk for venous thromboembolism (VTE), which is a cause of significant morbidity and mortality.
02/17/2016
A Woman With a Longstanding Rash on the Tip of Her Nose
02/17/2016

William Scharpf, BS, Laura F. Sandoval, DO, and Jonathan S. Crane, DO

William Scharpf, BS, Laura F. Sandova...
Lupus pernio is a disease in which abnormal groupings of inflammatory cells can form in multiple organs of the body.
02/17/2016
A Collection of Foreign Body Ingestions and Insertions
02/17/2016
A 7-year-old girl was brought to the emergency department because of moderate pain on swallowing and mild upper abdominal discomfort.
02/17/2016
Peer Reviewed
Peer Reviewed
A 79-Year-Old Woman With a Known Heart Murmur and New Cardiac Symptoms
02/17/2016

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor ...
A woman with a known heart murmur was diagnosed with stage C1 aortic stenosis (AS).
02/17/2016
What could be causing this man’s blisters?
02/17/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor ...
A 75-year-old man presented with a sudden onset of blisters on his anterior proximal thighs and on his left arm but not on his right arm.
02/17/2016
How would you diagnose these lesions?
02/17/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor ...
A 48-year-old woman presented with a 2-month history of small pruritic blisters on her palms and soles.
02/17/2016
What explains this man’s bullae?
02/17/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor ...
After having been outdoors in July, a 35-year-old man presented with a sudden onset of itchy blisters confined to both feet and lower legs.
02/17/2016
Hair Loss
Hair Loss
What’s Causing Scalp Lesions and Hair Loss in a Pair of Young Patients?
02/17/2016

Jennifer Rabjohns, MS-IV, Aditi Jayanth, MD, and David Effron, MD

Jennifer Rabjohns, MS-IV, Aditi Jayan...
In case 1, a 16-year-old, otherwise healthy African American adolescent presented to the emergency department (ED) with her grandmother.
02/17/2016
Allergic Angioedema
Allergic Angioedema
Treatment of Severe ACE Inhibitor Angioedema: Current and Future Therapies
02/17/2016

Dhafer Salem, MD, MPH, and Abdulrazak Alchakaki, MD

Dhafer Salem, MD, MPH, and Abdulrazak...
For many years, corticosteroids, antihistamines, and epinephrine have been used to treat severe angioedema related to therapy with angiotensin-converting enzyme inhibitors (ACEIs).
02/17/2016
Reducing the Inappropriate Prescribing of Antibiotics for Rhinosinusitis
02/17/2016

Meagan Soltwisch, DNP, FNP-C, and Nancy Beckham, PhD, FNP-C

Meagan Soltwisch, DNP, FNP-C, and Nan...
The inappropriate prescribing of antibiotics for symptoms of rhinosinusitis is prevalent in the United States.
02/17/2016
Psoriasis
Psoriasis
Psoriasis: A Review of Diagnosis and Treatment in the Primary Care Setting
02/17/2016

Simona Bartos, MPH, BS, Dane Hill, MD, Steven R. Feldman, MD, PhD

Simona Bartos, MPH, BS, Dane Hill, MD...
Psoriasis is a ubiquitous chronic inflammatory skin disease that occurs most often in adults, with men and women affected with equal prevalence.
02/17/2016
Invasive Care Can Still Be Palliative Care in Patients With Advanced Cancer
02/17/2016

Gabriel Aisenberg, MD, and Gabriela Sánchez Petitto, MD

Gabriel Aisenberg, MD, and Gabriela S...
Some patients with advanced cancer experience symptoms for which pharmacologic management, including cancer therapies, offers little or no relief.
02/17/2016
Letters to the Editor
Letters to the Editor
Letters to the Editor - February 2016
02/17/2016
Having worked as a primary care nurse practitioner (NP) for the past 20 years, as well as having just completed my doctoral work on advanced care planning, I was dismayed upon reading Drs Weinberg and...
02/17/2016
Editor's Note - February 2016
02/17/2016
In this space in last month’s issue, I mentioned how we at Consultant have been hard at work behind the scenes at Consultant360.com, and that exciting new enhancements were coming soon.
02/17/2016