<p>Asymmetric hair growth is noted on the back of a 25-year-old man when he seeks treatment of severe sunburn. The patient first noticed this pattern 7 or 8 years earlier.<br> <br> What do...
<p>A 28-year-old man presents with pruritic lesions on his forearms of 4 to 6 weeks’ duration. Over-the-counter hydrocortisone 1% cream has provided some relief.</p>
<p>Many persons with diabetes mellitus, particularly those with type 1, are completely dependent on exogenous insulin to sustain vital&nbsp;functions, even life itself, and without it may rapidly...
Jocelyn Y. Ang, MD; Christian Rosas-Salazar, MD; Prem Arora, MD; Hazar Kobayaa, MD
<p>A&nbsp;3-year-old girl was hospitalized because of purulent drainage from a right middle finger wound &nbsp;and a tender right axillary mass of 2 days’ duration. She was febrile,...
David Effron, MD; Jimmy Y. Saade, MD, FACEP; Ergent M. Zhiva, MD; Anthony M. Salibi, MSc
<p>A 50-year-old man, who is right hand dominant, presents to the emergency department (ED) with swelling of the left hand and intense pain. He is an intravenous drug user with multiple prior...
<p>An 82-year-old woman reports vision changes in her right eye that have developed gradually over the past several months. She needs significantly brighter light when sewing, reading, and doing other...
Tuberculosis (TB) is uncommon in the United States, especially when rates here are compared with those in endemic locations, such as Cambodia, Thailand, Kenya, Malawi, and Cameroon.1 In fact, in the United...
<p>The skin is transformed as we age; its hue and texture evolve with time and with disease. These changes are important to understand so that we can distinguish the pathologic from the normal in the...
<p><span>When a prescription medication is not needed, patients often appreciate&nbsp;</span><span>advice on nonprescription treatments.</span><span>&nbsp;A field...
<p><span>I find it helpful to set a gestation&nbsp;</span><span>wheel to a pregnant patient’s due date</span><span>&nbsp;and then make a copy of the wheel for...
<p>Younger patients are sometimes reluctant to have you use a liquid nitrogen spray gun to freeze their warts, because it can be painful. Try applying the liquid nitrogen&nbsp;<span>with a...
<p>With patients who say that they&nbsp;usually faint when blood is drawn&nbsp;or when given an injection, have them lie down and tell them that&nbsp;they “cannot faint when lying...
Jason Nesmith, MD; Gregory W. Rutecki, MD; Bradley M. Wright, PharmD, BCPS; Molly Adams, PharmD, BCPS; Rakhi Karwa, PharmD, BCPS; Gloria Varela, MD
<p>Acute elevations in blood pressure (also known as hypertensive crises or severe hypertension) can cause significant morbidity and mortality. The key to management of these episodes is to keep in...
<p>Events in Germany and other European countries during the past several weeks have made me queasy every time I see vegetables. The fallout of the recent Shiga...
Bradley M. Wright, PharmD, BCPS; Molly Adams, PharmD, BCPS; Rakhi Karwa, PharmD, BCPS; Gloria Varela, MD; Jason Nesmith, MD; Gregory W. Rutecki, MD
<p>Here, we will review the contemporary armamentarium for severe hypertension. The pros and cons of the drugs used to manage hypertensive crises will be highlighted.</p>
<p>A 53-year-old man reports that the painful growth on his upper chest wall had been rubbed by a seat belt 1 week earlier. The lesion had been asymptomatic for months before becoming...
<p>A 61-year-old woman presents with asymptomatic red spots that appeared on her legs 3 days earlier. The patient is taking warfarin, which was prescribed following artificial mitral valve...
<p><span>A 69-year-old woman has had a red patch on the dorsum of one hand for 5 weeks. She states that the lesion began as a pimple and has grown larger; it is occasionally pruritic but not...
<p>This painless, hard mass was noted on the palate of a 73-year-old woman with hypertension during a routine follow-up visit. The mass had been present for more than 30 years.</p>
Barbara B. Wilson, MD; Bridget M. Bryer Groff, MD; Christian R. Halvorson, MD
<p>For 4 years, a 10-year-old boy had a recurrent rash on his left leg. He had been treated for presumed ringworm with multiple topical antifungal medications, including terbinafine, ciclopirox, and...
<p>For 2 weeks, this 13-year-old girl felt tired and achy. She had persistent fevers (temperature up to 38.8°C [102°F]) and an erythematous facial rash above her eyebrows that extended to her cheeks...
<p>An 83-year-old woman presented for her annual eye examination. She had a history of previous cataract surgery with pseudophakia and mild dry age-related macular degeneration. She also had a...
