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Volume 55 - Issue 5 - May 2015

Consultant

How Would You Diagnose this Infection?
05/21/2015

Mubeen Cheema, MD, John Vizuete, MD, and Sayed K. Ali, MD

Mubeen Cheema, MD, John Vizuete, MD, and Sayed K. Ali, MD
The parasitic infection Strongyloidiasis is a disease commonly found in tropical and sub-tropical countries, where climate and poor hygienic conditions run rampant.
05/21/2015
Photoclinic
Photoclinic
Sarcoidosis
05/21/2015

By Drs N. K. Akritidis, C. Kanioglou, D. Eftaxias, and I. Takalou

By Drs N. K. Akritidis, C. Kanioglou, D. Eftaxias, and I. Takalou
A 55-year-old man with a history of pulmonary sarcoidosis presents to the dermatology clinic with “spots” on his neck that started in 1991.
05/21/2015
leser-trelat
leser-trelat
Eruptive Verrucous Papules: The Sign of Leser-Trelat
05/21/2015

Michael Centilli, DO

Michael Centilli, DO
A 57-year-old white female presented with an 8-month history of a generalized eruption of hyperkeratotic, verrucous papules beginning in her left axilla with subsequent spread to her back, trunk, face, and...
05/21/2015
Photoclinic
Photoclinic
Herpes Zoster
05/21/2015

Dee Wee Lim, MD

Dee Wee Lim, MD
A 63-year-old woman presented with severe pain on the right side of her back for about 3 to 4 days duration. She described the pain as “burning and stabbing,” which is localized in right lower thoracic and...
05/21/2015
Allergies
Allergies
How old is this wrinkled hand?
05/21/2015

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
The hand on the right belongs to a 61-year-old male. The hand on the left also has similar wrinkles.
05/21/2015
fixed drug eruption
fixed drug eruption
What is responsible for her tender rash?
05/21/2015

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
A 40-year-old female developed a rash on one hand that was tender to touch. She had started on doxycycline the day prior to treat an upper respiratory infection. There is no history of trauma or exposure...
05/21/2015
neuroma
neuroma
What could be causing this tender subcutaneous nodule?
05/21/2015

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
A 45-year-old female presented with a painful nodule on her finger that has been slowly growing over the last several months. There is no history of trauma or foreign body.
05/21/2015
lupus
lupus
A Collection of Lupus Manifestations
05/21/2015
This article collects a selection of photo-based cases of conditions related to lupus.
05/21/2015
Pneumonia
Pneumonia
A Rare Instance of Hospital Acquired Pneumonia Caused by Coinfection with Raoultella planticola
05/21/2015

George Clements, BS, Rezwan Ahmed, MD, Larry Dial, MD, and Darshana Shah, PhD

George Clements, BS, Rezwan Ahmed, MD, Larry Dial, MD, and Darshana Shah, PhD
R planticola, a gram-negative bacterium closely related to Klebsiella species, is a rare cause of disease in humans.
05/21/2015
COPD
COPD
Pulmonary Rehabilitation: To Refer or Not to Refer?
05/21/2015

Karina M. Berge, MSN, RN, FNP, Kimberly A. Hardin, MD, Angela Coburn, RRT, and Aimee Kizziar, MHAL, RRT-NPS 

Karina M. Berge, MSN, RN, FNP, Kimberly A. Hardin, MD, Angela Coburn, RRT, and Aimee Ki...
Pulmonary rehabilitation can transform the lives of patients who suffer from COPD, and is an essential component of comprehensive COPD care.
05/21/2015
c difficile
c difficile
A Bad, Bad Bug: An Update on C Difficile
05/21/2015

Gregory W. Rutecki, MD 

Gregory W. Rutecki, MD 
In 2011, the number of serious healthcare-associated infections caused by the germ Clostridium difficile was estimated to be nearly 1.5 million.
05/21/2015
Epidermoid cyst
Epidermoid cyst
A Ruptured Erythematous Mass on a Teen’s Cheek
05/21/2015

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

Alexander K. C. Leung, MD, and Benjamin Barankin, MD
A 17-year-old boy developed a mass on the right cheek at the site of a mole that had grown slowly for a year.
05/21/2015
Skin Cancer
Skin Cancer
Multiple Cutaneous Nodules in a Previously Healthy Male
05/21/2015

Alix Mitchell, MD, and David Effron, MD—Series Editor

Alix Mitchell, MD, and David Effron, MD—Series Editor
A 42-year-old male presented to the emergency department with multiple complaints that had developed over the past month.
05/21/2015
Osteoporosis
Osteoporosis
What is the Best Treatment for Osteoporosis?
05/20/2015

Eric A. Dietrich, PharmD, BCPS

Eric A. Dietrich, PharmD, BCPS
Bisphosphonates have become mainstays in the treatment and prevention of osteoporosis, most commonly in post-menopausal women.
05/20/2015
Splenectomy
Splenectomy
A Healthy 18-Year-Old with a History of Remote Splenectomy
05/20/2015

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor
An 18-year-old woman presents to the office for a precollege medical evaluation in advance of matriculation at her state university the upcoming fall.
05/20/2015
Pulmonary embolism
Pulmonary embolism
Treatment Options in Pulmonary Embolism with a Focus on Anticoagulation
05/20/2015
This article will discuss the treatment options available for venous thromboembolism, focusing mainly on the different types of oral anticoagulants and the duration of treatment.
05/20/2015
FDA
FDA
Safe Use Initiative: How the FDA is Reducing Preventable Harm Through Nonregulatory Partnerships
05/20/2015
Since its inception in 2009, the FDA’s Safe Use Initiative has collaborated with these stakeholders to investigate new threats to patient safety and develop innovative programs to combat them.
05/20/2015
Diabetes Q&A
Diabetes Q&A
Beyond Basal Insulin: How Glucagon-Like Peptide-1 Receptor Agonists Fit in the Spectrum of Therapeutic Options
05/19/2015
This article will discuss potential clinical strategies for adding a GLP-1 RA to basal insulin, using demonstrative case studies to illustrate circumstances in which a patient may benefit from this...
05/19/2015
Olfactory Illusions
Olfactory Illusions
Two Through Twelve, Something Smells Fishy
05/19/2015

Gabriel Aisenberg, MD

Gabriel Aisenberg, MD
Measuring the exploration of the olfactory nerve’s function consists of letting examinees sniff nonirritating substances.
05/19/2015
allergy
allergy
Editor’s Note - May 2015
05/19/2015
Primary care practitioners are often the first stop for allergy and asthma sufferers. In honor of National Allergy and Asthma Month, Consultant360 has highlighted several recent studies.
05/19/2015