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Volume 53 - Issue 5 - May 2013

Consultant

tumor
tumor
05/30/2013

DAVID B. SOMA, MD
University of Colorado

DAVID B. JONES JR, MD, and PHILIP R. FISCHER, MD
Mayo Clinic, Rochester, Minnesota

DAVID B. SOMA, MD University of Colorado DAVID B. JONES JR, MD, and PHILIP R. FISCHER,...
Uncertainty about the significance of bony lesions found on radiographs, either incidentally or during specific investigation, can lead to confusion and anxiety.
05/30/2013
Lichen planus
Lichen planus
05/28/2013

GAUTAM AGGARWAL, MD, 

AIMEE OSTICK, MD, 
and MARK GURALNICK, MD
Woodland Hills Medical Center, Woodland Hills, CA

GAUTAM AGGARWAL, MD, AIMEE OSTICK, MD, and MARK GURALNICK, MDWoodland Hills M...
<p class="p3"><img src="/sites/default/files/Screen%20Shot%202013-05-28%20at%202.35.31%20PM.png" alt="lichen planus" title="lichen planus"...
05/28/2013
drug reaction
drug reaction
05/28/2013

MRUGESH PATEL, MD

Orlando Health Internal Medicine Residency Program, Florida

UMANG SHAH, MD, MPH
South Texas Cardiovascular Consultants, San Antonio

C. RICHARD CONTI, MD, MACC, Dr HC, FCP(SA), 
FESC, FAHA
University of Florida College of Medicine, Gainesville

MRUGESH PATEL, MDOrlando Health Internal Medicine Residency Program, FloridaUMANG SHAH,...
For several days, a 48-year-old woman had complained of chest pain. She also reported a syncopal episode of a few seconds’ duration, followed by consciousness without any associated confusion. She admitted...
05/28/2013
Dermatoheliosis
Dermatoheliosis
05/28/2013

JOE R. MONROE, PA, MPAS
Dawkins Dermatology, Oklahoma City, Oklahoma

JOE R. MONROE, PA, MPASDawkins Dermatology, Oklahoma City, Oklahoma
<p class="p1"><img src="/sites/default/files/Screen%20Shot%202013-05-28%20at%202.26.01%20PM.png" alt="Dermatoheliosis" title="Dermatoheliosis"...
05/28/2013
parotitis
parotitis
05/28/2013

NATALIA USOLTSEVA, MD, 
MATTHEW D’COSTA, MD, AMANDA CARLSON, 
and ROMEL J. GARCIA-MONTILLA, MD, PhD
Marshfield Clinic, Marshfield, Wisconsin

NATALIA USOLTSEVA, MD, MATTHEW D’COSTA, MD, AMANDA CARLSON, and ROMEL J. GARC...
<p class="p1"><img src="/sites/default/files/Screen%20Shot%202013-05-28%20at%202.21.49%20PM.png" alt="parotitis" title="parotitis" style="margin-left:...
05/28/2013
Sacroiliitis
Sacroiliitis
05/28/2013

NATASHA SIDHU, MD, and AMAZIAH COLEMAN, MD
University of Arkansas for Medical Sciences, Little Rock

NATASHA SIDHU, MD, and AMAZIAH COLEMAN, MD University of Arkansas for Medical Sciences,...
<p class="p5"><span class="s2"><img src="/sites/default/files/Screen%20Shot%202013-05-28%20at%202.17.08%20PM.png" alt="sacroiliitis"...
05/28/2013
acne
acne
05/28/2013

AMRA A. CHAUDHRI, MD
Greenville Hospital System University Medical Center/University of
South Carolina School of Medicine, Greenville, South Carolina

AMRA A. CHAUDHRI, MD Greenville Hospital System University Medical Center/University of...
<p><span class="s2"><img src="/sites/default/files/Screen%20Shot%202013-05-28%20at%202.09.43%20PM.png" alt="acne keloidalis" title="acne keloidalis"...
05/28/2013
Spitz nevus
Spitz nevus
05/28/2013

DAVID L. KAPLAN, MD—Series Editor

University of Missouri Kansas City, University of Kansas

David L. Kaplan, MD––Series Editor: Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.

DAVID L. KAPLAN, MD—Series EditorUniversity of Missouri Kansas City, University of Kans...
spitz nevusThe mother of an 8-year-old boy is concerned about the shape and color of a mole that has developed on her son’s arm during the last few months. The lesion is asymptomatic.
05/28/2013
Subacute Cutaneous Lupus Erythematosus
Subacute Cutaneous Lupus Erythematosus
05/28/2013

DAVID L. KAPLAN, MD—Series Editor

University of Missouri Kansas City, University of Kansas

David L. Kaplan, MD––Series Editor: Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.

DAVID L. KAPLAN, MD—Series EditorUniversity of Missouri Kansas City, University of Kans...
lupusSince the onset of spring several weeks earlier, pruritic, annular plaques have developed on the sun-exposed areas of a 46-year-old woman’s arms, legs, upper chest, and upper back. Applications of SPF...
05/28/2013
Sebaceous Hyperplasia
Sebaceous Hyperplasia
05/28/2013
DAVID L. KAPLAN, MD—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan, MD––Series Editor: Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Ka...
A 49-year-old man seeks evaluation of asymptomatic, yellowish papules on his forehead of several months’ duration. He is worried about skin cancer.
05/28/2013
Dermclinic
Dermclinic
05/28/2013

DAVID L. KAPLAN, MD—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan, MD––Series Editor: Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.

 

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kan...
Three days after the acute onset of pain and swelling of the second toe of his right foot, a 63-year-old man seeks medical care. He denies any trauma.
05/28/2013
Exercise
Exercise
05/28/2013

CHRISTOPHER R. MOHR, PhD, RD
Louisville, Ky 

JOHN WHYTE, MD, MPH
Silver Spring, Md

CHRISTOPHER R. MOHR, PhD, RD Louisville, Ky  JOHN WHYTE, MD, MPH Silver Spring, M...
Exercise has consistently been shown to improve the quality of life and psychological well-being of the general population. Despite these well-documented health benefits of regular exercise, more than 50%...
05/28/2013
Knee pain
Knee pain
05/28/2013

JEFFREY E. BUDOFF, MD, and ROBERT P. NIRSCHL, MD, MS
Arlington Hospital Medical Center, Arlington, Virginia

At the time this article was written, Dr Budoff was an orthopedic sports medicine fellow at the Nirschl Orthopedic & Sportsmedicine Clinic, Arlington Hospital Medical Center, Arlington, Virginia. Dr Nirschl is director of the Nirschl Clinic and of the Arlington Hospital Orthopedic and Family Practice Sports Medicine Fellowship programs. He is also associate professor of orthopedic surgery at Georgetown University Medical Center, Washington, DC.

JEFFREY E. BUDOFF, MD, and ROBERT P. NIRSCHL, MD, MS Arlington Hospital Medical Center,...
<p><strong><img alt="cystic mass knee" height="115" src="/sites/default/files/Screen%20Shot%202013-05-28%20at%2012.01.35%20PM.png" style="float:left"...
05/28/2013
acute otitis media
acute otitis media
05/28/2013
<p><img alt="otitis media" src="/sites/default/files/Screen%20Shot%202013-05-28%20at%2011.49.37%20AM.png" style="height:115px; width:115px; float:left"...
05/28/2013
Dermatitis
Dermatitis
05/28/2013

ALEXANDER K. C. LEUNG, MD
University of Calgary

BENJAMIN BARANKIN, MD
Toronto Dermatology Centre

ALEXANDER K. C. LEUNG, MD University of Calgary BENJAMIN BARANKIN, MD Toronto Dermatol...
Boy with a persistent rash on his feet is diagnosed with juvenile plantar dermatosis.
05/28/2013
travel history
travel history
05/28/2013

GREGORY W. RUTECKI, MD—Series Editor
University of South Alabama

Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine in Mobile. He is also a member of the editorial board of CONSULTANT.

Dr Rutecki reports that he has no relevant financial relationships to disclose.

GREGORY W. RUTECKI, MD—Series Editor University of South Alabama Dr Rutecki is profess...
<p><img alt="" height="115" src="/sites/default/files/Screen%20Shot%202013-05-28%20at%203.02.10%20PM.png" style="float:left" width="115" />Four...
05/28/2013
celiac disease
celiac disease
05/23/2013

ROBBYN SOCKOLOW, MD
Weill Cornell Medical College

BRIAN R. LANDZBERG, MD, AGAF
Weill Cornell Medical College

ELAINE BARFIELD, MD
New York Presbyterian/Weill Cornell Medical Center

Dr Sockolow is the director of pediatric gastroenterology and nutrition and an associate attending physician at New York-Presbyterian Phyllis and David Komansky/Weill Cornell Medical Center and associate professor of clinical pediatrics at Weill Cornell Medical College in New York. She is board certified in pediatrics and pediatric gastroenterology and is also a certified physician nutrition specialist. Dr Barfield is a fellow in pediatric gastroenterology and nutrition at New York Presbyterian/Weill Cornell Medical Center. She is board certified in pediatrics.
Dr Landzberg is a clinical assistant professor of medicine in the division of gastroenterology and hepatology, department of medicine, at Weill Medical College of Cornell University/New York Presbyterian Hospital in New York.

ROBBYN SOCKOLOW, MD Weill Cornell Medical College BRIAN R. LANDZBERG, MD, AGAF Weill C...
Celiac disease is a life-long autoimmune disorder of the small intestine caused by exposure to gluten.
05/23/2013
brain injury
brain injury
05/23/2013

SUZY MASCARO-WALTER, MSN, CFNP and ATIYA KHAN, MD, MRCP
West Virginia University

At the time this Photo Essay was prepared, Ms Mascaro-Walter and Dr Khan were with the department of neurology, West Virginia University School of Medicine, Morgantown.

SUZY MASCARO-WALTER, MSN, CFNP and ATIYA KHAN, MD, MRCP West Virginia University At th...
<p><img alt="Holoprosencephaly" height="115" src="/sites/default/files/Screen%20Shot%202013-05-23%20at%209.17.57%20AM_1.png" style="float:left"...
05/23/2013
Transplantation
Transplantation
05/23/2013

GREGORY W. RUTECKI, MD—Series Editor
University of South Alabama

Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine in Mobile. He is also a member of the editorial board of CONSULTANT.

GREGORY W. RUTECKI, MD—Series Editor University of South Alabama Dr Rutecki is profess...
<p><img alt="" height="115" src="/sites/default/files/generic%20icon3_3.jpg" style="float:left" width="115" />Before proceeding, be forewarned:...
05/23/2013
Pneumonia
Pneumonia
05/22/2013

Timothy H. Self, PharmD—Series Editor, and Sami Sakaan, PharmD
University of Tennessee Health Science Center, Memphis, and Methodist University Hospital

Nabil Abou-Shala, MD, FACP, FCCP
King Faisal Hospital and Research Center, Riyadh, Saudi Arabia

Dr Sakaan is a PGY2 pharmacy internal medicine resident at Methodist University Hospital and University of Tennessee Health Science Center.
Dr Abou-Shala is a pulmonary and ICU consultant in the department of adult critical care medicine and medical director of Med-Surg ICU at King Faisal Hospital and Research Center in Riyadh, Saudi Arabia.

Timothy H. Self, PharmD––Series Editor: Dr Self is professor of clinical pharmacy at the University of Tennessee Health Science Center and Methodist University Hospital in Memphis.

Timothy H. Self, PharmD—Series Editor, and Sami Sakaan, PharmD University of Tennessee ...
<p><img alt="" height="115" src="/sites/default/files/generic%20icon2_2.jpg" style="float:left" width="115" />Exogenous lipoid pneumonia is...
05/22/2013
Pneumonia
Pneumonia
05/22/2013

BURKE A. CUNHA, MD
State University of New York School of Medicine, Stony Brook

Dr Cunha is chief of the infectious disease division at Winthrop University Hospital, Mineola, NY, and is professor of medicine at the State University of New York School of Medicine, Stony Brook, New York.

BURKE A. CUNHA, MD State University of New York School of Medicine, Stony Brook Dr Cun...
<p><img alt="" height="115" src="/sites/default/files/cough.png" style="float:left" width="115" />Pneumonia is one of the most common medical...
05/22/2013
Idiopathic Localized Hypertrichosis
Idiopathic Localized Hypertrichosis
05/22/2013

GEOFFREY F. S. LIM, BS
Drexel University College of Medicine 

SCOTT J. M. LIM, DO
Lake Erie College of Osteopathic Medicine

GEOFFREY F. S. LIM, BS Drexel University College of Medicine  SCOTT J. M. LIM, DO...
This 60-year-old man presents for a routine dermatologic exam. An incidental finding is bilateral hypertrichosis of the eyelashes and eyebrows.
05/22/2013
Neurology
Neurology
05/22/2013

RUSHANG PATEL, MD, PhD, and RONALD RUBIN, MD—Series Editor
Temple University

Dr Patel is a fellow in the department of hematology and oncology at Temple University in Philadelphia.

Ronald N. Rubin, MD—Series Editor: Dr Rubin is professor of medicine at Temple University School of Medicine and chief of clinical hematology in the department of medicine at Temple University Hospital, both in Philadelphia.

RUSHANG PATEL, MD, PhD, and RONALD RUBIN, MD—Series EditorTemple UniversityDr Patel is ...
<p class="p1"><strong><img src="/sites/default/files/Screen%20Shot%202013-05-22%20at%201.35.03%20PM.png" alt="MRI, infarcts, edema" title="MRI, infarcts,...
05/22/2013
bacterial infection
bacterial infection
05/21/2013
candidal paronychiaAn assortment of cases in which infectious diseases have caused cutaneous reactions in patients.
05/21/2013
Thrombocytopenia
Thrombocytopenia
05/21/2013

ADITYA M. SHARMA, MD
University of Virginia School of Medicine, Cardiovascular Division

JOHN WAITES, MD
Ferrell-Duncan Clinic, Wheeler Heart and Vascular Center

Dr Sharma is an assistant professor of medicine specializing in vascular medicine at the University of Virginia School of Medicine in Charlottesville. Dr Waites is a vascular medicine physician at the Ferrell-Duncan, Wheeler Heart and Vascular Center in Springfield, Missouri.

Drs Sharma and Waites report that they have no relevant financial relationships to disclose or conflicts of interest.

ADITYA M. SHARMA, MD University of Virginia School of Medicine, Cardiovascular Division...
<p><img alt="" src="/sites/default/files/generic%20icon2_1.jpg" style="height:115px; width:115px; float:left" />Unfractionated heparin (UFH) and low molecular...
05/21/2013
Lipoprotein
Lipoprotein
05/21/2013

YINN KHURN OOI, MD, MICHELE MIETUS-SNYDER, MD, CLARIVET TORRES, MD,
PARVATHI MOHAN, MD, and ASHRAF HARAHSHEH, MD
The George Washington University

The authors are affiliated with the Children’s National Medical Center and The George Washington University School of Medicine in Washington, DC. Dr Ooi is a pediatric resident and Dr Mietus-Synder is associate professor in the department of pediatrics, division of cardiology and codirector of the obesity institute. Dr Torres is assistant professor and Dr Mohan is associate professor in the department of pediatrics, division of gastroenterology, hepatology, and nutrition. Dr Harahsheh is assistant professor in the department of pediatrics, division of cardiology.

YINN KHURN OOI, MD, MICHELE MIETUS-SNYDER, MD, CLARIVET TORRES, MD, PARVATHI MOHAN, MD,...
<p><strong><strong><img alt="Chart - lipid profile" src="/sites/default/files/Screen%20Shot%202013-05-21%20at%2010.48.18%20AM.png" style="height:115px;...
05/21/2013
Guest Commentary
Guest Commentary
05/21/2013

EDWARD J. SHAHADY, MD, ABCL
Fernandina Beach, Fla

Dr Shahady is clinical professor of family medicine at the University of Miami and University of Florida, associate faculty in the Residency Program at St Vincent’s Hospital in Jacksonville, and medical director, Diabetes Master Clinicians Program of the Florida Academy of Family Physicians Foundation in Jacksonville.

 

EDWARD J. SHAHADY, MD, ABCL Fernandina Beach, Fla Dr Shahady is clinical professor of ...
<p><img alt="Chart - LDL risk factors" src="/sites/default/files/Screen%20Shot%202013-05-21%20at%2010.34.59%20AM.png" style="height:115px; width:115px; float:left"...
05/21/2013