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Volume 56 - Issue 9 - September 2016

Consultant

Photoclinic
Wilson Disease
Photoclinic
Acute Deep Venous Thrombosis Unmasking Wilson Disease
12/26/2019

Marwan Saad, MD, PhD; Upamanyu Rampal, MD; FNU Jaydev, MD; and Jill Butler, MD
Seton Hall University School of Health and Medical Sciences, Trinitas Regional Medical Center, Elizabeth, New Jersey

Marwan Saad, MD, PhD; Upamanyu Rampal, MD; FNU Jaydev, MD; and Jill Butler, MD Seton Ha...
A 32-year-old man had received a diagnosis of type 2 diabetes mellitus 6 months before he presented with pain and swelling of his right lower extremity.
12/26/2019
Case In Point
Case In Point
A Girl With Streptococcus dysgalactiae Brain Abscess and Meningitis
12/03/2019

  Farah Khan, MD; Richard H. Schwartz, MD; and Rebecca Levorson, MD

  Farah Khan, MD; Richard H. Schwartz, MD; and Rebecca Levorson, MD
A 2-year-old girl was diagnosed with S dysgalactiae brain abscess, meningitis, and cerebritis, possibly from a recent middle ear infection.
12/03/2019
Photoclinic
Photoclinic
Herpes Simplex Virus Encephalitis
11/29/2019

Michael Lienhard, MS-IV
University of Central Florida, Orlando

Zhigang Yuan, MD
Tallahassee Memorial Hospital, Tallahassee, Florida

Spencer Knox, MD, and Jorge Parellada, MD
Orlando Regional Medical Center, Orlando, Florida

Michael Lienhard, MS-IV University of Central Florida, Orlando Zhigang Yuan, MD Tallah...
A 44-year-old woman presented to the emergency department with a 1-day history of acute mental status changes, headache, neck pain, and fever.
11/29/2019
Photo Quiz
Photo Quiz
New Rash and Fever in a Woman With Inflammatory Bowel Disease
11/25/2019

Katherine G. Garlo, MD; Nicholas Perros, MD; Robert Smith, MD; and Katy Linskey, MD

Katherine G. Garlo, MD; Nicholas Perros, MD; Robert Smith, MD; and Katy Linskey, MD ...
A 45-year-old woman was admitted to the hospital with a 5-day history of a papular-pustular rash on her face, trunk, and legs.
11/25/2019
Diabetes
Diabetes
A Case of SAPHO Syndrome: Clues in the Palm of the Hand
08/01/2018

Kevin Davidson, MD, and Rebecca Bialas, MD, MPH

Kevin Davidson, MD, and Rebecca Bialas, MD, MPH
A woman with history of pustular psoriasis, type 2 diabetes mellitus, and hypertension presented to the hospital with sternal swelling and pain.
08/01/2018
Diabetes
Diabetes
Cutaneous Xanthosis as a Manifestation of Diabetes Mellitus
10/23/2017

Sumeet Sekhon, MD, and Mohsen Saadat, DO
San Joaquin General Hospital, French Camp, California

Sumeet Sekhon, MD, and Mohsen Saadat, DO San Joaquin General Hospital, French Camp, Cal...
A 47-year-old man visited an outpatient clinic for a routine follow-up visit for his chronic health conditions, including a recent ischemic cardiovascular accident, systolic congestive heart failure,...
10/23/2017
What is the cause of this boy’s annular lesions?
03/01/2017

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
This 15-year-old boy presented for evaluation of 3 similar-appearing lesions on his thigh and upper arm that were asymptomatic.
03/01/2017
Fahr Syndrome
10/12/2016

Syed A. A. Rizvi, PhD, and Sultan S. Ahmed, MD
Nova Southeastern University, Fort Lauderdale, Florida

Franck Papillon, MD
Immokalee, Florida

Rolando Branly, MBBS
Broward College, Fort Lauderdale, Florida

Ayman M. Salah, PhD
King Abdullah International Medical Research Center,
Jeddah, Saudi Arabia

Jasmin Ahmed, BS
Spartan Health Sciences University, Vieux Fort, St Lucia

Syed A. A. Rizvi, PhD, and Sultan S. Ahmed, MD Nova Southeastern University, Fort Laude...
A 57-year-old man presented with an insidious onset of balance difficulties, including dizziness and vertigo, for some time.
10/12/2016
Photoclinic
Photoclinic
A Deeper Look at a Woman’s Persistent Hip Pain Uncovers a Case of Osteomyelitis
09/09/2016
A 49-year-old woman with uncontrolled diabetes mellitus and hypertension presented with chronic right hip and leg pain.
09/09/2016
Photoclinic
Photoclinic
Disseminated Cutaneous Herpes Zoster in an Immunocompetent Woman With Diabetes
09/09/2016
A previously healthy 39-year-old woman presented with a 2-day history of severe pain, fever, and a vesicular eruption that had initially developed over her right forehead and right middle thumb but had...
09/09/2016
Gout
Gout
Top 10 Treatment Principles to Quell the Pain of Gout
09/09/2016

Helen Paulson, MD, and Ellison L. Smith, MD

Helen Paulson, MD, and Ellison L. Smith, MD
Gout is a common condition, and proper management can greatly relieve patients’ pain and progressive deforming arthritis.
09/09/2016
Managing the Many Presentations of Pain
09/09/2016
Pain is the primary reason for which most patients seek treatment in the primary care setting.
09/09/2016
Hidrocystoma
09/07/2016

Alexander K. C. Leung, MD
University of Calgary, Alberta, Canada

Benjamin Barankin, MD
Toronto Dermatology Centre, Toronto, Ontario, Canada

Alexander K. C. Leung, MD University of Calgary, Alberta, Canada Benjamin Barankin, MD...
A 47-year-old white woman presented with an asymptomatic cystic lesion in the periorbital area of approximately 4 years’ duration.
09/07/2016
Exclusive
Exclusive
When Is Aortic Stenosis Severe Enough to Warrant Surgical Intervention?
09/07/2016

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
Aortic stenosis the most common valvular abnormality in the developed world.
09/07/2016
What is the cause of this woman’s tender rash?
09/07/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
This 51-year-old woman presented with a 2-day onset of a tender rash on her arms, legs, and hands.
09/07/2016
What is the cause of this woman’s cuplike lesions?
09/07/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
This 50-year-old woman presented with a several-year history of annoying but painless lesions on the insteps of the soles, wrists, and creases of her palms.
09/07/2016
Can You Identify These Asymptomatic Hypopigmented Macular Lesions?
09/07/2016

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

Alexander K. C. Leung, MD, and Benjamin Barankin, MD
A 55-year-old white man presented with multiple hypopigmented macules, mainly on both forearms and shins, which had been present for several years.
09/07/2016
What's the Take Home?
What's the Take Home?
What Is the Best Approach to Lung Cancer Screening of High-Risk Smokers?
09/07/2016

Ronald Rubin, MD—Series Editor, and Trent Wang, DO

Ronald Rubin, MD—Series Editor, and Trent Wang, DO
Lung cancer screening with low-dose helical CT scanning should be conducted in high-risk individuals after an informed discussion of benefits and risks.
09/07/2016
Endocrinology
Endocrinology
Levothyroxine for Hypothyroidism: Can Bedtime Administration Be a Viable Option?
09/07/2016

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

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
Hypothyroidism is most commonly treated with thyroid-replacement medications such as levothyroxine or liothyronine.
09/07/2016
Endocrinology
Endocrinology
Levothyroxine for Hypothyroidism: Can Bedtime Administration Be a Viable Option?
09/07/2016

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

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
Hypothyroidism is most commonly treated with thyroid-replacement medications such as levothyroxine or liothyronine.
09/07/2016
Endocrinology
Endocrinology
Levothyroxine for Hypothyroidism: Can Bedtime Administration Be a Viable Option?
09/07/2016

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

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
Hypothyroidism is most commonly treated with thyroid-replacement medications such as levothyroxine or liothyronine.
09/07/2016
A Collection of Conditions of the Vasculature
09/07/2016
Here are 4 case reports that pertain to conditions of the vasculature.
09/07/2016
Hepatology
Hepatology
Hyperammonemic Encephalopathy Induced by Valproic Acid: Don’t Blame the Liver This Time
09/07/2016

Brian Dinh, MD; Kyle Ball, DO; and Sangeeta Agrawal, MD

Brian Dinh, MD; Kyle Ball, DO; and Sangeeta Agrawal, MD
VPA-induced hyperammonemic encephalopathy (VHE) is a rare adverse effect and therefore is commonly overlooked.
09/07/2016
Phenytoin Interactions With Fluconazole and Itraconazole: Risk of Toxicity to Treatment Failure
09/07/2016

Katherine L. March, PharmD, and Timothy H. Self, PharmD—Series Editor

Katherine L. March, PharmD, and Timothy H. Self, PharmD—Series Editor
Phenytoin has numerous clinically relevant drug-drug interactions that have been well-documented since its introduction...
09/07/2016
Vaccines
Vaccines
Hepatitis B Virus Immunity 15 Years After Vaccination: Implications for Young Adults
09/07/2016

Theresa M. Smith, MSN, FNP-BC; Kathy McGovern, MSN, FNP-BC; Alexa Mojica, BA, MPH; and Anand Bhattacharya, MHS

Theresa M. Smith, MSN, FNP-BC; Kathy McGovern, MSN, FNP-BC; Alexa Mojica, BA, MPH; and ...
In this retrospective chart review, 256 graduate students entering a physician assistant program had their hepatitis B surface antibody levels evaluated for positive immune responses. The resulting data...
09/07/2016
Cardiometabolic Risk
Cardiometabolic Risk
Dyslipidemia Screening and Management in Primary Care Practice: A Look Beyond the Numbers
09/07/2016
One-third of US adults have elevated low-density lipoprotein cholesterol levels, a condition that is most often diagnosed and treated in primary care. Appropriate screening helps identify these patients...
09/07/2016
Feature
Feature
Why Do People With Addictions Seek to Escape Rather Than Connect? A Look at the Approach to Addiction Treatment
09/07/2016

Robert Weiss, LCSW, CSAT-S

Robert Weiss, LCSW, CSAT-S
This article discusses the belief that addictions are less about the pleasurable effects of addictive substances and behaviors and more about the need to “not feel” the emotional discomfort that arises in...
09/07/2016
September Is World Alzheimer Month
09/07/2016
Alzheimer’s Disease International has designated September as the 5th annual World Alzheimer’s Month, an international effort to raise awareness and challenge stigma.
09/07/2016