Volume 56 - Issue 3 - March 2016

Consultant

What explains this woman’s lesion?
04/10/2017

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor ...
This 40-year-old woman presented for evaluation of an itchy spot on her forearm that had suddenly turned black.
04/10/2017
How would you diagnose these lesions?
10/15/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor ...
This 37-year-old man presented for evaluation of an asymptomatic purpuric eruption on both lower shins of a few days’ duration.
10/15/2016
A Middle-Aged Man With a Unilateral Neck Mass: What’s the Next Step?
03/10/2016

Chethan Ramamurthy, MD, and Ronald Rubin, MD—Series Editor

Chethan Ramamurthy, MD, and Ronald Ru...
A 45-year-old man presented to the office of a primary care provider (PCP) with a 2-month history of a noticeable lump in his right neck.
03/10/2016
Hereditary Hemorrhagic Telangiectasia
03/10/2016

By Drs K. Rauhilla, Mamta Verma, and Sonia Arunabh

By Drs K. Rauhilla, Mamta Verma, and ...
A 42-year-old woman with no known relevant past medical history presented with a sudden onset of slurred speech and right-arm weakness.
03/10/2016
Psoriasis
Psoriasis
Koebner Phenomenon Associated With Guttate Psoriasis
03/10/2016

Nathan G. Miller, DO
Lieutenant (Fleet Marine Force), Medical Corps, US Navy

Nathan G. Miller, DO Lieutenant (Flee...
The Koebner phenomenon is the appearance of lesions at the site of physical trauma such as sunburn, scratching, or as in this case, a tattoo.
03/10/2016
Lymphoma
Lymphoma
Lymphoma-Associated Gastrosplenic Fistula
03/10/2016

J. Drew Payne, DO, Ebtesam Islam, MD, PhD, and Kenneth Nugent, MD
Texas Tech University Health Sciences Center, Lubbock

J. Drew Payne, DO, Ebtesam Islam, MD,...
Diffuse large B-cell lymphoma is the most common type of non-Hodgkin lymphoma and can occur almost anywhere in the body.
03/10/2016
Photoclinic
Photoclinic
Congenital Cataracts
03/10/2016

Michelle Leff, MD, and Shira L. Robbins, MD
University of California, San Diego

Michelle Leff, MD, and Shira L. Robbi...
A 4559-g boy was born postterm, at 42 weeks and 3 days’ gestation, to a primiparous 26-year-old mother via cesarean delivery secondary to failure to progress after postdates induction.
03/10/2016
Tumoral Calcinosis
03/10/2016

Arielle Gire-Dumas, MD, Mamta Parikh, MD, Jeremy DiMartini, MD, and Paul Aronowitz, MD
UC Davis Medical Center, Sacramento, California

Arielle Gire-Dumas, MD, Mamta Parikh,...
A 62-year-old man with a history of stage 5 chronic kidney disease, type 2 diabetes mellitus, gout, and hypertension presented to the emergency department after having run out of peritoneal dialysate...
03/10/2016
Photoclinic
Acne
Photoclinic
Postradiation Acneiform Eruption
03/10/2016

Krista N. Larson, BS, and Barbara B. Wilson, MD University of Virginia School of Medicine, Charlottesville

Krista N. Larson, BS, and Barbara B. ...
The patient received a diagnosis of postradiation acneiform eruption, also known as comedo reaction.
03/10/2016
The Importance of Accurately Estimating Renal Function When Determining Dosing
03/10/2016

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

Eric A. Dietrich, PharmD, BCPS, and K...
Renal function plays a significant role in the selection and dosing of numerous medications, including antibiotics.
03/10/2016
What could be causing this man’s dermatitis?
03/10/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor ...
This 77-year-old man presented for evaluation of painful erosive dermatitis on his penis. He initially was believed to have an infection and was given cephalexin.
03/10/2016
Oncology
Oncology
A Patient’s Painless Testicular Lump: Is It Cancer?
03/10/2016

Mustafa Kinaan, MD, and Sayed K. Ali, MD

Mustafa Kinaan, MD, and Sayed K. Ali,...
Urgent ultrasonography and urologic evaluation are recommended when testicular lumps do not transilluminate or when the body of the testis cannot be palpated.
03/10/2016
Photo Quiz
Photo Quiz
What’s Causing This Intensely Itchy Rash on a Woman’s Lower Extremities?
03/10/2016

Christopher Tournade, BS, Syed A. A. Rizvi, PhD, Jasmin Ahmed, BS, Ayman M. Saleh, PhD, and Sultan S. Ahmed, MD

Christopher Tournade, BS, Syed A. A. ...
Uremic pruritus is a complex condition of uncertain etiology with a number of hypothesized contributing factors.
03/10/2016
It Was Never “An Apple a Day”: Grapefruit Juice and Statins
03/10/2016

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
<p>Gregory W. Rutecki, MD, discusses the history of controversy over grapefruit-statin interactions, and how recent research affects traditional outlooks.</p>
03/10/2016
Oral Health
Oral Health
A Collection of Conditions Affecting the Mouth
03/10/2016
A collection of different conditions that affect the lips, tongue, and other parts of the mouth.
03/10/2016
Pitfalls in Prescribing
Pitfalls in Prescribing
Proton Pump Inhibitor–Induced Kidney Injury: Increasing Our Index of Suspicion
03/10/2016

 Benjamin Duhart Jr, MS, PharmD, and Timothy Self, PharmD—Series Editor

 Benjamin Duhart Jr, MS, PharmD,...
Proton pump inhibitors (PPIs) are one of the most prescribed classes of medications in the United States.
03/10/2016
Ophthalmology
Ophthalmology
Can You Identify the Papules Below This Woman’s Eyes?
03/10/2016

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

Alexander K. C. Leung, MD, and Benjam...
A 25-year-old woman presented with multiple flesh-colored papules in the infraorbital areas.
03/10/2016
Mental Health
Mental Health
Substance Use Disorder in Primary Care: Which Drugs Are Used and How to Intervene
03/10/2016

Philip J. Gyura, MS, FNP-BC, AAHIVS

Philip J. Gyura, MS, FNP-BC, AAHIVS ...
This article discusses the goals of substance use disorder intervention, including building a relationship with patients, identifying the substance being used, and employing patient-centered methods to help...
03/10/2016
Hypertension
Hypertension
Acute Hypertension: Hypertensive Urgency and Hypertensive Emergency
03/10/2016

Gregary D. Marhefka, MD

Gregary D. Marhefka, MD
This review summarizes what is known about managing hypertensive urgency and emergency, with an emphasis on guideline-directed therapy.
03/10/2016
Review Article
Review Article
Second-Generation Antipsychotics for Treatment-Resistant Major Depressive Disorder in Primary Care
03/10/2016

Hani Raoul Khouzam, MD, MPH

Hani Raoul Khouzam, MD, MPH
This review summarizes the second-generation antipsychotics used as augmenting agents for the treatment of resistant major depressive disorder and the pharmacologic mechanisms involved in this combined...
03/10/2016
Civility in Medicine: 6 Habits of Highly Respectful Physicians
03/10/2016

Richard Colgan, MD

Richard Colgan, MD
Tips on how to practice etiquette-based medicine, as advanced by Michael W. Kahn, MD,are presented here in the first part of this guest commentary.
03/10/2016
Editor's Note - March 2016
03/10/2016
Readers of Consultant tell me they appreciate articles that describe a particular condition and offer practical guidance about the best approach to its management, including diagnostic tests,...
03/10/2016