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Volume 55 - Issue 4 - April 2015

Consultant

Radiology Quiz
Radiology Quiz
What Is Causing This Woman’s Chronic Knee Pain?
03/12/2021

William Yaakob, MD—Series Editor

William Yaakob, MD—Series Editor
A 26-year-old female comes to your office complaining of chronic left knee pain that has worsened over the last one to two weeks. She describes the pain as, “throbbing and aching.”
03/12/2021
Diabetes Q&A
Diabetes Q&A
Ocular Manifestations of Diabetes
06/01/2016

Leonid Skorin Jr, DO, OD, MS
Kirsten Krein, BS

Leonid Skorin Jr, DO, OD, MS Kirsten Krein, BS
This article reviews the risk factors and ocular signs of diabetic retinopathy. Current concepts in therapy of diabetic retinopathy are also presented.
06/01/2016
nodules
nodules
What is the Cause of this Man's Erosive Nodule?
05/06/2015

Julia Accetta, Dylan Conroy, and Thomas Helm, MD

Julia Accetta, Dylan Conroy, and Thomas Helm, MD
A 77-year-old white man presented for evaluation of an erythematous and erosive nodule of the umbilicus.
05/06/2015
Erysipelas
Erysipelas
What is causing this edematous facial deformity?
05/04/2015

Michael Felz, MD

Michael Felz, MD
A 63-year-old physician (the author) noted 3 days of dark nasal discharge and obstructive crusting, followed by an abrupt illness with fever of 101ºF, chills, malaise, and asthenia.
05/04/2015
Actinic Keratosis
Actinic Keratosis
Hypertrophic Actinic Keratosis
05/04/2015

Alexander K.C. Leung, MD, and Benjamin Barankin, MD

Alexander K.C. Leung, MD, and Benjamin Barankin, MD
A 67-year-old Caucasian male presented with a red scaly plaque on his left cheek. The patient reported that the lesion was first noted about 2 years ago and slowly increased in size with time.
05/04/2015
Lymphoma
Lymphoma
Can You Identify This Asymptomatic Nodule
04/27/2015

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...
An 80-year-old female presented for evaluation of an asymptomatic nodule on her back of at least 3 months duration.
04/27/2015
Folliculitis
Folliculitis
How Should These Itchy Bumps Be Identified?
04/27/2015

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...
A 79-year-old male presented with a 2-week history of itchy bumps on his chest. He denies any recent exposure, new medications, or recent illnesses.
04/27/2015
How Would you Handle This Presumed Pilonidal Cyst?
04/27/2015

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...
A 28-year-old female presented for evaluation of presumed pilonidal cyst of several years duration to discuss treatment options.
04/27/2015
Bone fractures
Bone fractures
A Collection of Fraction-Related Issues
04/27/2015
This article features a collection of photo-based cases demonstrating fracture-related issues, including Barton fractures, Psoas avulsion fractures, and orbital floor fractures.
04/27/2015
leprosy
leprosy
Lepromatous Leprosy With Erythema Nodosum Leprosum
04/24/2015
One of the oldest-known infectious diseases in history, leprosy is caused by Mycobacterium leprae, the same family as the bacteria that cause tuberculosis.
04/24/2015
Diabetes Q&A
Diabetes Q&A
How Important is Glucagon in the Pathophysiology of Diabetes?
04/24/2015

Kim A. Carmichael, MD, FACP—Series Editor

Kim A. Carmichael, MD, FACP—Series Editor
This Q&A discusses glucagon, a hormone produced by the alpha cell of the pancreas, and its impact on glucose metabolism in type 2 diabetes..
04/24/2015
tarlov cyst
tarlov cyst
What's Causing This Man's Low Back Pain?
04/23/2015

Samia Holman, MSN, FNP-C, Michael J. Kim, MD, and Farrukh Merchant, MD, MHSA

Samia Holman, MSN, FNP-C, Michael J. Kim, MD, and Farrukh Merchant, MD, MHSA
A 66-year-old man with history of chronic low back pain presents with worsening pain and right-sided sciatic symptoms. Symptoms were partially relieved by anti-inflammatories, muscle relaxers, and...
04/23/2015
vaccination
vaccination
The Cause of the Measles Outbreak: It’s Not Vaccine Failure—It’s a Failure to Vaccinate
04/23/2015

Amy L. Wrentmore, MD, and Gregory F. Hayden, MD

Amy L. Wrentmore, MD, and Gregory F. Hayden, MD
The widespread availability and use of the measles vaccine in the United States has been immensely successful and has resulted in a greater than 99% reduction in reported measles cases compared with the...
04/23/2015
Urinary Tract Infections
Urinary Tract Infections
Urinalysis has Pyuria, Leucocyte Esterase­—and is Growing Bacteria; Can You Resist the Urge to Treat?
04/22/2015

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
The medical community has repeatedly been cautioned about the negative impact of unrestrained script-writing, particularly when it comes to antibiotics. Yet over and over again, stories surface about too...
04/22/2015
Pitfalls in Prescribing
Pitfalls in Prescribing
Primary Prevention of Cardiovascular Disease: Aspirin or Statin?
04/22/2015

Eric Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS

Eric Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
This article presents a hypothetical case and supporting information on the impact of both aspirin and statins on patients in order to help primary care and other healthcare providers gain a better...
04/22/2015
Pressure Ulcers
Pressure Ulcers
A Butterfly That May Herald End of Life
04/22/2015

Barbara Zeiger
Editor, Ostomy Wound Management

Barbara Zeiger Editor, Ostomy Wound Management
The primary care provider may be in the position to diagnose and subsequently direct management of skin failure/KTUs.
04/22/2015
Flu
Flu
A Family with a Variety of “Flu” Symptoms
04/22/2015
A 34-year-old female patient requests an office visit after experiencing flu-like symptons for the last few days.
04/22/2015
Chronic Heart Failure
Chronic Heart Failure
Congestive Heart Failure Hospital Readmissions: Preventable or Inevitable? A Literary Review
04/22/2015

Roberta O’Brien, APRN, FNP-C, Angela Paima, APRN, FNP-C, Naomi Abaga, MSN, BSN, RN

Roberta O’Brien, APRN, FNP-C, Angela Paima, APRN, FNP-C, Naomi Abaga, MSN, BS...
This feature examines the prevalence of, and obstacles in, CHF management, and introduces new strategies for improving continuity of care while also reducing associated costs.
04/22/2015
Pulmonary Fibrosis
Pulmonary Fibrosis
Pulmonary Fibrosis: Diagnosis and Treatment
04/22/2015

Girish B. Nair, MD, FACP, FCCP, Jonathan Ilowite, MD, FCCP

Girish B. Nair, MD, FACP, FCCP, Jonathan Ilowite, MD, FCCP
This article summarizes the clinical approach to diagnosis and treatment in a patient with IPF.
04/22/2015
Primary Care
Primary Care
Medical Scribes: Red Ink or Revenue-sustainable Innovation?
04/22/2015

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
Summer 2014 was an anniversary I prefer to minimize. The year marked my 40-year rite of passage since medical school graduation.
04/22/2015
IBS
IBS
Editor’s Note - April 2015
04/22/2015
By nature of its symptoms, Irritable Bowel Syndrome (IBS) isn’t a topic that gets a lot of play in conversations outside the medical setting.
04/22/2015