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Volume 53 - Issue 11 - November 2013

Consultant

Editor's Note - November 2013
02/11/2016
It’s that time of year again! The holidays are around the corner and soon your patients will be faced with temptation in the form of pumpkin pie, deep-fried turkey, and eggnog.
02/11/2016
Photo Essay
Photo Essay
Can You Identify These Knee Problems?
11/21/2013
A collection of cases of disorders involving the knees.
11/21/2013
DermClinic
DermClinic
Why the onset of an itchy eruption on her neck?
11/13/2013
This 56-year-old female presented with a sudden onset of an itchy eruption on her neck of two days duration. She denies any exposure history.
11/13/2013
drug reaction
drug reaction
What is responsible for a two-day rash on his hands and arms?
11/13/2013
This 57-year-old male presented with a two-day history of rash on his hands and arms after being treated with a sinus infection with doxycycline.
11/13/2013
Phytophotodermatitis
Phytophotodermatitis
What could cause this pigmentation on her wrist?
11/12/2013

David L. Kaplan, MD—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan, MD—Series Editor University of Missouri Kansas City, University of Kan...
This 47-year-old female presented for evaluation of an asymptomatic pigmented eruption on her volar right wrist of only a 4 week duration. She denies any new exposure history.
11/12/2013
Mycosis Fungoides
Mycosis Fungoides
Recurrent Painful Patches
11/12/2013

Nathan G. Miller, DO LT MC USN, GMO HQBN, 2D MARDIV, FMF,
Camp Lejeune, NC

Nathan G. Miller, DO LT MC USN, GMO HQBN, 2D MARDIV, FMF, Camp Lejeune, NC
A 20-year-old Caucasian male presents to the clinic with a 1 year history of recurrent pruritic irritable patches.
11/12/2013
Photoclinic
Photoclinic
Vasculitis Masquerading as an Infection
11/12/2013

Clara Kwan, MD, Svetlana Rabinovich, PhD, Alexander Zaslavsky, MD, Vijay Shetty, MD
Brooklyn, NY

Clara Kwan, MD, Svetlana Rabinovich, PhD, Alexander Zaslavsky, MD, Vijay Shetty, MD Bro...
A 74-year-old female with a history of polymyalgia rheumatica and hypertension presented with bilateral foot and hand rash that developed over two days.
11/12/2013
Photoclinic
Bacterial Toe Web Infection
Photoclinic
Bacterial Toe Web Infection
11/12/2013
A 44-year-old male presents to the emergency department with a 3-week history of rash on his left foot.
11/12/2013
Primary Care
Primary Care
Letters to the Editor - November 2013
11/12/2013
Our November 2013 Letters to the Editor, and responses.
11/12/2013
Primary Care
Primary Care
How Will Obamacare Impact Primary Care?
11/12/2013

Edward Shahady, MD

Edward Shahady, MD
As practitioners, the reality is that after the dusts settles and the next political issue pushes this topic off the front burner, the primary care field will be responsible for implementing many of the...
11/12/2013
Chronic Fatigue
Chronic Fatigue
"Why Do I Always Feel Tired?” Evaluating Older Patients Reporting Fatigue
11/12/2013
Here, the authors present an algorithm that can be used to help identify the cause of a patient’s fatigue.
11/12/2013
Psoriasis
Psoriasis
Examining the Link: Systemic Manifestations Associated with Psoriasis
11/12/2013
Today there is growing evidence about the different systemic manifestations associated with psoriasis that causes an increase in morbidity but also mortality.
11/12/2013
Diabetes Q&A
Diabetes Q&A
Risk Factors for Diabetic Foot Ulcers: The First Step in Prevention
11/12/2013
Approximately one-third of diabetes treatment costs in the United States are spent on treating diabetic foot ulcers.
11/12/2013
Pneumomediastinum
Pneumomediastinum
Pneumomediastinum in Children
11/12/2013

John Bishara, DO, Thomas O’Donnell, MD, Catherine Caronia, MD, and Rajesh Savargaonkar, MD
Good Samaritan Hospital Medical Center, West Islip, New York

John Bishara, DO, Thomas O’Donnell, MD, Catherine Caronia, MD, and Rajesh Savargaonkar,...
A 16-year-old boy presented to the pediatric emergency department with a 1-day history of progressively worsening neck and chest pain.
11/12/2013
Pericarditis
Pericarditis
Purulent Pericarditis
11/11/2013

Souheil Abdel Nour, MD, Holly Abdel Nour, PharmD, Jonathan Buress, DO, Jay B. Mehta, MD, Ryland Byrd, MD, and Thomas Roy, MD

Souheil Abdel Nour, MD, Holly Abdel Nour, PharmD, Jonathan Buress, DO, Jay B. Mehta, MD...
A 46 year-old white male patient presented to the hospital with fatigue and dyspnea.
11/11/2013
Cardiometabolic risk
Cardiometabolic risk
Cardiometabolic Risk Summit
11/11/2013
This event brought together a mix of physicians, nurse practitioners, and physician assistants for a look at the four pillars of cardiometabolic risk—diabetes, obesity, dyslipidemia, and hypertension. For...
11/11/2013
Iron Therapy
Iron Therapy
More to the Story: When Oral Iron is not an Effective Therapy
11/11/2013

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
Physicians today have several options when selecting the best iron supplements for their patients. In the past, oral iron was considered the gold standard, but with new safer parenteral iron supplements on...
11/11/2013
septicemia
septicemia
Fatal Septicemia due to Vibrio vulnificus following Hurricane Fay
11/11/2013

Anju Bhagavan MD , Latha Srinath MD, and Sarah Haessler MD

Anju Bhagavan MD , Latha Srinath MD, and Sarah Haessler MD
A 64-year-old white male was admitted to the hospital with right leg swelling, severe pain, fevers, and chills.
11/11/2013
Chest X-rays
Chest X-rays
A 62-Year-Old Male with Nocturia
11/11/2013

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor
A 62-year-old man presents with lower urinary tract symptoms. In the past year he has progressed from nocturia once nightly to 3-4 times currently.
11/11/2013
Primary Care
Primary Care
A Patient’s Wish or New Technology—Who Wins?
11/11/2013

Mark Ault, MD

Mark Ault, MD
I found the name of the patient, my accuser at the top of the document. After what seemed like forever, I found the accusation buried in the letter’s legal lexicon. The claim was that, in the course of...
11/11/2013
Melanoma
Melanoma
What do you suspect is the cause of the ulcer?
11/07/2013

Dustin Marks and Kristina Paley, MD

Dustin Marks and Kristina Paley, MD
A 57-year-old white male with a history of diabetes and hypertension presents with a 3-month ulcer on his left, plantar foot.
11/07/2013
stuff
stuff
Pituitary Apoplexy
04/27/2011

MICAH R. CHAN, MD, MPH
PENNAPA S. CHAN, MD

MICAH R. CHAN, MD, MPH PENNAPA S. CHAN, MD
Pituitary Apoplexy
04/27/2011