Volume 45 - Issue 11 - October 2005

A 14-year-old girl presented with concerns about a "deformed" right shoulder.

Following a complicated vaginal delivery 4 months earlier, a 22-year-old mother of a healthy 9.5-lb infant girl experienced stool incontinence and leakage.

For 3 days, a 10-year-old girl had redness and vesicles on her right volar wrist.

Erythema dyschromicum perstans consists of ash-colored or brown macules and papules that measure a few millimeters to several centimeters.

The health benefits of smoking cessation are impressive—even in those who have smoked for many years.

A 4-year-old boy is admitted with a 2-week history of high fever with rigors; profuse night sweats; progressive upper quadrant pain; and diarrhea.

More than 60% of male adolescents will experience gynecomastia—a physiologic increase in stromal and glandular breast tissue.

Extensive ecchymoses following a fall, palmar hyperpigmentation, unusual pigmentation pattern on thigh

A 17-year-old girl presents, on crutches, with left knee pain from an injury she sustained during a flag football game the previous night.

A 20-year-old woman presents with lower abdominal pain of 9 months’ duration. The pain is bilateral in the lower quadrants, dull, constant, and nonradiating.

Becker nevus, solitary and multiple café au lait macules, Fanconi anemia, urticaria pigmentosa, McCune-Albright syndrome, segmental café au lait macule, pigmentary mosaicism, Proteus syndrome

An 85-year-old woman who resides on the dementia unit of a nursing home is seen for routine care.

Have you seen these particular manifestations of sarcoidosis, rheumatoid arthritis, colon and other cancers, diabetic vasculopathy, hyperlipidemia, and zinc deficiency?

A 14-year-old African American boy presented during the winter months with a painless, nonpruritic, periumbilical rash that had been present for approximately 1 month.

Long believed to be a relatively obscure disease, interstitial cystitis (IC) is more prevalent than previously thought.

In patients with underlying disease, a preoperative evaluation and targeted management strategies can minimize complications and maximize healing.

Which clues on the ECG point to the cause?

For patients with cardiovascular risk factors, the most serious complication of noncardiac surgery is a perioperative cardiac event.

An acneiform rash, pruritic papules on the extremities, pustular scalp lesions—can you identify the disorders pictured here?

Woman receives a spider bite, but what spider was it?

When is cranial CT required? How can you predict whether postconcussive syndrome will develop? Insights here.

These authors describe effective—but often overlooked or underused—treatment strategies that help control pain and improve function.