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Volume 53 - Issue 7 - July 2013

Consultant

Nail disease
Nail disease
07/24/2013

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...
<p><img src="/sites/default/files/Screen%20Shot%202013-07-24%20at%209.49.04%20AM.png" alt="paraneoplastic nail changes" title="paraneoplastic nail changes"...
07/24/2013
07/24/2013

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...
<p class="p1"><img src="/sites/default/files/Screen%20Shot%202013-07-24%20at%209.41.39%20AM.png" alt="tinea" title="tinea" width="115"...
07/24/2013
polychondritis
polychondritis
07/24/2013

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...
<p><span class="s1"><img src="/sites/default/files/Screen%20Shot%202013-07-24%20at%209.32.29%20AM.png" alt="polychondritis" title="polychondritis"...
07/24/2013
keloid
keloid
07/23/2013

JOE R. MONROE, PA, MPAS

Dawkins Dermatology, Oklahoma City, Oklahoma

JOE R. MONROE, PA, MPASDawkins Dermatology, Oklahoma City, Oklahoma
<p class="p4"><img src="/sites/default/files/Screen%20Shot%202013-07-23%20at%204.01.45%20PM.png" alt="keloid" title="keloid" style="float: left;...
07/23/2013
renal angiomyolipoma
renal angiomyolipoma
07/23/2013

SAPHWAT ESKAROS, MD
CYNTHIA PRABAHAR, MD
MOHAMMED ALADDIN, MD
DAVID ORBACH, MS
Wyckoff Heights Medical Center, Brooklyn, NY

SAPHWAT ESKAROS, MDCYNTHIA PRABAHAR, MDMOHAMMED ALADDIN, MDDAVID ORBACH, MSWyckoff Heig...
<p><span class="s2"><img src="/sites/default/files/Screen%20Shot%202013-07-23%20at%203.50.50%20PM_0.png" alt="renal angiomyolipoma" title="renal...
07/23/2013
cyst
cyst
07/23/2013

ROBERT P. BLEREAU, MD
TIMOTHY J. HALEY, MD

Morgan City, Louisiana

ROBERT P. BLEREAU, MD TIMOTHY J. HALEY, MDMorgan City, Louisiana
<p><span class="s2"><span class="s2"><img src="/sites/default/files/Screen%20Shot%202013-07-23%20at%203.50.37%20PM.png" alt="arachnoid cyst"...
07/23/2013
eating disorders
eating disorders
07/23/2013
Eating disorders, such as bulimia nervosa and anorexia nervosa, are a growing problem and must be identified and treated as early as possible.
07/23/2013
COPD
COPD
07/23/2013

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...
What is an optimum steroid dose, route of administration, and duration that provides positive therapeutic responses with a minimum of side effects?
07/23/2013
Heat
Heat
07/23/2013

S. BRENT BARNES, MD
JAMES S. WALKER, DO
University of Oklahoma

At the time this article was written, Dr Barnes was assistant professor of emergency medicine and associate residency program director in the department of medicine at University of Oklahoma Health Sciences Center in Oklahoma City. Dr Walker was associate professor of emergency medicine and medical student coordinator in the same department.

S. BRENT BARNES, MD JAMES S. WALKER, DO University of OklahomaAt the time this article ...
Discussing the risk factors, clinical presentation, and management of heat-related edema, rash, cramps, tetany, syncope, exhaustion, and heat stroke.
07/23/2013
Sun Exposure
Sun Exposure
07/23/2013

ROBERT P. BLEREAU, MD
Morgan City, Louisiana

Dr Blereau is a family physician in Morgan City, Louisiana.

ROBERT P. BLEREAU, MD Morgan City, Louisiana Dr Blereau is a family physician in Morga...
<p><strong><img alt="keratosis" height="115" src="/sites/default/files/Screen%20Shot%202013-07-23%20at%202.30.19%20PM.png" style="float:left"...
07/23/2013
carcinoma
carcinoma
07/23/2013

NYNKE C. DEN HOLLANDER, MD
Katy, Texas

ELIZABETH HSU, MD
LINDSAY K. SONSTEIN, MD
University of Texas Medical Branch, Galveston

Dr den Hollander is a hospitalist with Total Inpatient Services in Katy, Texas. Dr Hsu is an internal medicine resident and Dr Sonstein is assistant professor at the University of Texas Medical Branch, Galveston

The authors report no external sources of funding for this report and no conflicts of interest.

NYNKE C. DEN HOLLANDER, MD Katy, TexasELIZABETH HSU, MD LINDSAY K. SONSTEIN, MDUniversi...
A 46-year-old man presented with a 6-month history of a progressively enlarging mass on his left temple that was associated with proptosis of the left eye and blurry vision.
07/23/2013
What's the Take Home?
What's the Take Home?
07/23/2013

RONALD RUBIN, MD—Series Editor
Temple University

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.

 

RONALD RUBIN, MD—Series Editor Temple UniversityDr Rubin is professor of medicine at Te...
A 62-year-old man is admitted for left foot pain. He has had pain in the left lower leg and foot for several months, but now the pain in the left foot has become constant, including at night when it keeps...
07/23/2013
Iron Therapy
Iron Therapy
07/23/2013

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

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="pills" height="115" src="/sites/default/files/pills%20week.png" style="float:left" title="pills" width="115" />Physicians...
07/23/2013
Knee pain
Knee pain
07/23/2013

JEFFREY E. BUDOFF, MD
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 ROBERT P. NIRSCHL, MD, MS Arlington Hospital Medical Center, Arl...
<p><img alt="knee radiograph" height="115" src="/sites/default/files/Screen%20Shot%202013-07-23%20at%2010.27.06%20AM.png" style="float:left" title="knee...
07/23/2013
torus palantinus
torus palantinus
07/23/2013

DAVID EFFRON, MD
Case Western Reserve University

Dr Effron is assistant professor of emergency medicine at Case Western Reserve University, attending physician in the department of emergency medicine at the MetroHealth Medical Center, and consultant emergency physician at the Cleveland Clinic Foundation, all in Cleveland.

DAVID EFFRON, MDCase Western Reserve UniversityDr Effron is assistant professor of emer...
A 50-year-old woman presents to your office with a sore throat of 2 days’ duration. She denies any fever, chills, dysphagia, chest pain, or shortness of breath, and she has had no recent ill contacts.
07/23/2013
Human gastrointestinal tract
Human gastrointestinal tract
07/23/2013
During a laparotomy for perforated sigmoid colon diverticulitis, an older woman was found to have peritonitis and underwent sigmoid colon resection and colostomy.
07/23/2013
07/22/2013

W. DAVID ROBINSON, PhD
Utah State University

A. CATALINA TRIANA, MD, and MICHAEL OLSON, PhD
University of Texas Medical Branch, Galveston

Dr Robinson is an Associate Professor and Director of the Marriage and Family Therapy Program in the Department of Family, Consumer, and Human Development at Utah State University, Logan, Utah. Dr Triana is an Assistant Professor and Associate Residency Program Director and Dr Olson is an Associate Professor and Director of Behavioral Medicine in the Department of Family Medicine at the University of Texas Medical Branch, Galveston, Texas.

The authors have no conflicts of interest.

W. DAVID ROBINSON, PhD Utah State University A. CATALINA TRIANA, MD, and MICHAEL OLSON...
Depression is the most common mental health disorder seen in primary care, and numerous treatment options are available.
07/22/2013
rhinosinusitis
rhinosinusitis
07/22/2013

KAREN H. CALHOUN, MD, FACS
MINKA L. SCHOFIELD, MD

Ohio State University

Dr Calhoun is professor in the department of otolaryngology–head and neck surgery at Ohio State University College of Medicine in Columbus, Ohio. Dr Schofield is assistant professor in the department of otolaryngology–head and neck surgery at Ohio State University College of Medicine.

KAREN H. CALHOUN, MD, FACS MINKA L. SCHOFIELD, MD Ohio State University Dr Calhoun is ...
<p><img alt="sinus ct" src="/sites/default/files/Screen%20Shot%202013-07-22%20at%202.12.51%20PM.png" style="height:115px; width:115px; float:left" title="sinus...
07/22/2013
Gun Control
Gun Control
07/22/2013

GREGORY W. RUTECKI, MD
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, MDUniversity of South AlabamaDr Rutecki is professor of medicine at...
Would our opinions differ if we considered the implications of gun control as physicians and not as American citizens?
07/22/2013
Autoimmune diseases
Autoimmune diseases
07/08/2013

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

Joe R. Monroe is a physician assistant who is affiliated with Dawkins Dermatology in Oklahoma City, Oklahoma. He is also the founder and former president of the Society of Dermatology Physician Assistants, and he teaches and writes extensively about dermatologic topics.

JOE R. MONROE, PA, MPAS Dawkins Dermatology, Oklahoma City, Oklahoma Joe R. Monroe is ...
<p><img alt="scleroderma" height="115" src="/sites/default/files/Screen%20Shot%202013-07-23%20at%2011.42.58%20AM.png" style="float:left"...
07/08/2013