This 62-year-old female presented for evaluation of an asymptomatic rash on her back following a 6-month episode of herpes zoster that resolved uneventfully. She is otherwise healthy.
This 57-year-old female presented for evaluation of mouth sores and fingernail problems of a few months duration. She had been treated with an oral antifungal antibiotic without improvement.
This 36-year-old female presents with a sore on the inner lip of 2 days duration. She thinks she had 1 years ago. She has been under a lot of stress, but has no medication exposure. She is otherwise...
An 80-year-old female presented to the emergency room with constipation, a 50 lb weight loss over 3 months, and difficulty ambulating secondary to 2 large inguinal hernias.
A 56-year-old woman with a history of diabetes mellitus type 2 controlled on insulin and end-stage renal disease on peritoneal dialysis was transferred from an outside hospital. She presented with abdominal...
Eric A. Dietrich, PharmD, BCPS; Louis Kuritzky, MD
An 85-year-old hypertensive woman with noted atrial fibrillation is starting antithrombotic therapy with warfarin. Here's a breakdown of the treatment protocol.
Laila Wilbur Powers, MD; Nazha Abughali, MD; Frits van der Kuyp, MD, MPH; David Effron, MD
An 18-month-old black male, native-born American infant residing in the inner city was brought to the emergency department complaining of a swollen right shoulder.
A middle-aged man came to the ambulatory clinic with left side chest discomfort and painless increase in girth of his left shoulder for last decade. He reported no similar swelling of the other limbs nor...
Shanise J. Patterson, PharmD, BCPS; Carrie S. Oliphant, PharmD, BCPS; Timothy H. Self, PharmD
The purpose of this brief summary is to focus attention on amiodarone-induced lung disease so that clinicians will be vigilant in monitoring for this serious and potentially fatal adverse drug reaction. ...
Surasak Puvabanditsin, MD; Imteyaz Khan, MD; Syed-Saif Abbas Rizvi, MBBS; Imran Malik, MD; Barry Weinberger, MD; Thomas Hegyi, MD
An infant was born via cesarean delivery to a 29-year-old, gravida 3, para 2 mother at 31 weeks’ gestation. The pregnancy had been complicated by preterm labor and preeclampsia.
Last month the American Heart Association and the American Stroke Association released the first set of guidelines focused solely on stroke risk factors for women.
Debra L. Bynum, MD; Anna Conterato, MD; C. Adrian Austin, MD
The authors review types of ANCA-associated vasculitides, with a focus on eosinophilic granulomatosis with polyangiitis and their clinical presentation in older adults.
Steven R. Gambert, MD, AGSF, MACP; Shailendra Singh, MD
This article reviews vitamin D and calcium recommendations and provides strategies healthcare practitioners can use to ensure their patients obtain optimal amounts and prevent both deficiencies and...
Insomnia and disrupted sleep is a complex condition and should be evaluated by taking comorbidity, lifestyle, environment, and personal preferences into account.
It is the primary care physician who is best positioned to achieve the triple aims of healthcare reform but only if we take and active leadership stance in shaping the landscape.
Primary care physicians need to continue promoting good nutrition and better eating habits at every patient visit. Consultant360 recently highlighted a few new studies reinforcing this mission.
Laura A. Robinson, MD; Lee E. Connor, BS; Andrew Rosenthal, MD, MBA
A sexually active 45-year-old Hispanic male presented after falling out of a moving vehicle. The patient appeared to be in no acute distress, had a Glasgow Coma Score of 14, and smelled of alcohol. The...
