Volume 49 - Issue 3 - March 2009

Consultant

Photoclinic
Photoclinic
04/26/2011
Erich G. Hanel, MD; Ali A. Sovari, MD, FACC, FHRS; Lalitha Yekkiralla, MD
Right upper quadrant pain of 24 hours’ duration prompted a 20-year-old man with a history of gastritis to seek medical attention. The pain was sharp and nonradiating, with no alleviating or aggravating...
04/26/2011
Subacute Cutaneous Lupus Erythematosus
Subacute Cutaneous Lupus Erythematosus
04/26/2011
Neal W. Burkhalter, MEd; Joshua T. McKenzie, BS ; Joshua E. Lane, MD, MBA
<p>This rash erupted on the upper body of a 58-year-old woman in late August. It was mildly pruritic and nontender.</p>
04/26/2011
Bilateral Leg Ulcers
Bilateral Leg Ulcers
04/26/2011
Brett White, MD; Ronald N. Rubin, MD; Katrina Miller, MD; Yuko McColgan, MD; Heather Paladine, MD
<p>A 51-year-old man is admitted to the hospital with painful ulcers on both lower extremities, severe anemia, and a 45-kg (100-lb) weight loss over the past year. Pain from the ulcers prevents him...
04/26/2011
Disfigured Penis
Disfigured Penis
04/26/2011
Henry Schneiderman, MD
<p><strong></strong><span class="article-text"><span><img...
04/26/2011
tips and tricks
tips and tricks
04/26/2011
<p>In a patient receiving antifungal therapy for onychomycosis, it can be difficult to tell how much change has occurred in a treated nail from one visit to the next.</p>
04/26/2011
tips and tricks
tips and tricks
04/26/2011
<p>Painful cracks in the fingertips are a common problem, especially during cold weather.</p>
04/26/2011
tips and tricks
tips and tricks
04/25/2011
<p>During a review of systems, I find it helpful and timesaving to ask the patient if he or she experiences symptoms that are out of the ordinary for the typical person....
04/25/2011
HIV-Related Oral Lesions
HIV-Related Oral Lesions
04/25/2011
Victor Diaz, MD; Amber Stonehouse Tully, MD; James Studdiford, MD
Oral lesions are often the harbingers of early HIV infection. Common oral manifestations include HPV-associated warts and hairy leukoplakia.
04/25/2011
Anxiety Disorders
Anxiety Disorders
04/25/2011
Hani Raoul Khouzam, MD, MPH
In this 2-part series, the author reviews the diagnosis and treatment of anxiety disorders in the primary care setting. Here he discusses the clinical presentation, the relevant diagnostic studies, and the...
04/25/2011
Vaginal Estrogen
Vaginal Estrogen
04/25/2011
<div id="article-content-body"><p>My patient is a 52-year-old woman who is premenopausal but who experiences dyspareunia as a result of vaginal dryness. She has tried over-the-counter...
04/25/2011
Skin
Skin
04/25/2011
<p>I applaud Dr Henry Schneiderman for his remarks in a recent “What’s Your Diagnosis?” column regarding the proper way to perform auscultation and percussion of the chest. I am a family practitioner,...
04/25/2011