Volume 54 - Issue 9 - September 2014

Consultant

10/07/2014
For patients with type 2 diabetes mellitus, weight management is paramount for the optimal management of symptoms.
10/07/2014
10/07/2014
When a patient with diabetes has become comfortable with oral medications, the idea of initiating insulin therapy can be a little intimidating.
10/07/2014
10/07/2014
During medical visits, healthcare providers should gauge the physical activity of their patients and counsel and encourage exercising initiatives.
10/07/2014
10/06/2014
Exercise is a vital health intervention for individuals, yet it can be difficult for primary care clinicians to address its importance.
10/06/2014
10/06/2014
Statistics show that 3 years ago only 7% of patients with prediabetes knew they had it, yet diabetes affects more than 85 million Americans.
10/06/2014
10/06/2014
Physicians who are looking to kick patient care up a notch may want to consider adding a registered dietitian to the mix.
10/06/2014
10/06/2014
Data indicates that more than one-third of adults are obese and the economic burden of treating obesity is significant.
10/06/2014
Cardiometabolic risk
Cardiometabolic risk
10/06/2014
When treating mental health patients, practitioners need to be mindful of untreated cardiometabolic co-morbidities, and prescribe treatment regimens accordingly.
10/06/2014
Photo Quiz
Photo Quiz
09/11/2014
A 61-year-old Caucasian male with a past medical history of diabetes mellitus type 2, hyperlipidemia, obstructive sleep apnea, and poor dentition, presented to the emergency room with fevers, malaise, and...
09/11/2014
parapsoriasis
parapsoriasis
09/10/2014
David L. Kaplan, MD
A 33-year-old male presented with an over 5-year history of a slightly itchy eruption confined to the trunk that had failed topical corticosteroid therapy years earlier.
09/10/2014
Lichen planus
Lichen planus
09/10/2014
David L. Kaplan, MD
A 44-year-old female presented for evaluation of an itchy eruption on the shins of 4 months duration. She is otherwise healthy.
09/10/2014
Crohn disease
Crohn disease
09/10/2014
David L. Kaplan, MD
A 48-year-old female presents with a history of sores on her lips that coincide with flares of her Crohn’s disease, which she treats with an antitumor necrosis factor (TNF) biologic medication.
09/10/2014
Papulosquamous and Bullous Diseases
Papulosquamous and Bullous Diseases
09/10/2014
Kalpana Panigrahi, MD; Rajat Mukherji, MD; Jerry Jomi; Javad Hazeghi, MD; Bisrat Haile, MD; Frantz Louis, MD
A 61-year-old white male presented to the hospital with progressively worsening shortness of breath.
09/10/2014
platypnea
platypnea
09/10/2014
Christopher Donatelli, MD
A 70-year-old man presented with shortness of breath for 2 days.
09/10/2014
Photoclinic
Photoclinic
09/09/2014
Paul Aronowitz, MD; Brian Apter, MD; Saba Lahsaeizadeh, MD
A 19-year-old woman without history of previous medical problems presented to the emergency department complaining of dry cough and dyspnea.
09/09/2014
Myalgia
Myalgia
09/09/2014
Ronald N. Rubin, MD
A 67-year-old female was admitted for a several day history of fevers, myalgias, and fatigue.
09/09/2014
Rashes
Rashes
09/09/2014
Several asymptomatic, erythematous papules and plaques had appeared on the hands of an otherwise healthy 11-year-old girl.
09/09/2014
Wound Care
Wound Care
09/08/2014
Barbara Zeiger
Patients diagnosed with diabetes mellitus have a higher likelihood of developing a diabetic foot ulcer, which also puts them at risk for amputation.
09/08/2014
Melanoma
Melanoma
09/05/2014
David Effron, MD; Boris Garber, DO
A 48-year-old African American male with no past medical history noted a hyperpigmented lesion under his right middle fingernail and another one to his right index proximal interphalangeal joint 7 months...
09/05/2014
deep venous thrombosis
deep venous thrombosis
09/05/2014
Eric A. Dietrich, PharmD, BCPS; Louis Kuritzky, MD
As with the decision to initiate or continue warfarin therapy, decisions surrounding bridge therapy are patient-specific and should be evaluated on a case-by-case basis.
09/05/2014
Case in Point
Case in Point
09/04/2014
Marie L. Borum, MD, EdD, MPH; Gayatri Patel, MD
Elderly patients with inflammatory bowel disease (IBD) can have normal age-related alterations of the GI tract, which can obscure identification of IBD extraintestinal manifestations.
09/04/2014
Eczema
Eczema
09/04/2014
Mairelys Gonzalez, MD; Joanne Holliman, MD; Betzi Teran, MD; David Effron, MD; Magda Mendez, MD, FAAP
A 12-year-old obese African American boy with a history of atopic dermatitis presented to the emergency department with a history of increasing lower extremity pruritus and edema.
09/04/2014
somatic dysfunction
somatic dysfunction
09/04/2014
Mark Bauer, MD; Derek Hersey, MPAS, PA-C; Daniel Kasuba, PA-C; Jane Lauridsen, ANP, BSN, MS; Ann Stewart, MSN, NP; Arthur Barsky, MD
This article provides an overview of SSD, focusing on diagnosis and techniques that can help effectively manage this complex condition, including relaxation training and cognitive–behavioral therapy. ...
09/04/2014
Heart failure
Heart failure
09/04/2014
Wissam Khalife, MD, FACC; Alejandro Barbagelata, MD; Kamel Sadat, MD; Masood Ahmad, MD; Qiangiun Cai, MD; Mohamed Morsy, MD; Navin Nanda, MD
ABSTRACT: Echocardiography is the most comprehensive imaging test in the diagnosis of heart failure (HF).
09/04/2014
Diet
Diet
09/04/2014
Judella Haddad-Lacle, MD; Christopher Scuderi, DO; Lori A. Bilello, PhD; Nipa R. Shah, MD; Charles Haddad, MD; Gretchen Kuntz, MSW, MSLIS
This article will review the benefits of plant-based diets on all-cause mortality and common chronic diseases, as well as the potential nutritional deficits in protein, vitamins, minerals, and fatty acids. ...
09/04/2014
Hypertension
Hypertension
09/04/2014
Gregory W. Rutecki, MD
Let me be upfront: I avoid both clonidine and hydralazine when treating hypertension. In the case of hydralazine, I qualify that decision by explicitly stating that it has been an evidence-based therapy for...
09/04/2014
Primary Care
Primary Care
09/04/2014
Richard Colgan, MD
History shows that most of humankind has been cared for by ordinary, local clinicians who are not in the spotlight.
09/04/2014
Suicide Prevention
Suicide Prevention
09/04/2014
September is National Suicide Prevention Month. Nearly 30,000 Americans commit suicide every year, which translates to 1 suicide every 13.3 minutes.
09/04/2014