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Volume 56 - Issue 10 - October 2016

Consultant

Photoclinic
Photoclinic
Multiple Infectious Complications in a Patient With Influenza Infection
12/06/2019

Christopher Roman, MA, MMS, PA-C, and Emily R. Jones, MPAS, PA-C
Indianapolis, Indiana

Christopher Roman, MA, MMS, PA-C, and Emily R. Jones, MPAS, PA-C Indianapolis, Indiana ...
A 55-year-old woman was admitted to her local hospital and immediately intubated after 5 days of worsening fever, malaise, cough, and dyspnea.
12/06/2019
Review Article
Review Article
When You Can’t Identify the Cause of a Stroke: Advanced and Specialized Tests
11/28/2019

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
The evaluation of strokes includes MRI, echocardiography, transesophageal echocardiography, Holter monitoring, and hematologic studies.
11/28/2019
Case in Point
Case in Point
Abrupt-Onset Low Back Pain With Fever and Elevated Inflammatory Markers
11/10/2019

Aristides C. Avgeris, MD, and Morgan C. Jordan, OMS-IV

Aristides C. Avgeris, MD, and Morgan C. Jordan, OMS-IV
A 73-year-old man with a history of hypertension, type 2 diabetes, aortic stenosis, and coronary artery disease presented with left flank pain.
11/10/2019
Radiology Quiz
Radiology Quiz
Large Bowel Obstruction With Cecal Perforation: What’s the Cause?
08/25/2018

Claire Wunker, MS-IV; Stephen Winfield, MD; Sharon Sukhdeo, MS-IV; Jeremy Young, MS-IV; and Andrew Rosenthal, MD

Claire Wunker, MS-IV; Stephen Winfield, MD; Sharon Sukhdeo, MS-IV; Jeremy Young, M...
A 58-year-old man presented to the emergency department with a 1-month history of abdominal pain.
08/25/2018
Supplements
Supplements
How Should Lipid Levels Be Managed for Persons With Diabetes?
08/27/2017

Kim A. Carmichael, MD—Series Editor

Kim A. Carmichael, MD—Series Editor
This Diabetes Q&A discusses common lipid disorders in patients with diabetes.
08/27/2017
Photoclinic
Photoclinic
Giant Hepatic Hemangioma
12/08/2016

Adam-Mahdi Jaffer
University of Central Florida, Orlando, Florida

Hammad Bhatti, MD, and Sayed K. Ali, MD
Orlando Veterans Affairs Medical Center, Orlando, Florida

Adam-Mahdi Jaffer University of Central Florida, Orlando, Florida Hammad Bhatti, MD, a...
A 62-year-old man with a history of hypertension, hyperlipidemia, and obesity presented to our clinic for a regular follow-up appointment.
12/08/2016
Dermclinic
Dermclinic
What Is the Cause of This Woman’s Perioral Rash?
10/22/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
This 40-year-old woman presented with a 2-month history of a rash around the mouth that she described as slightly itchy.
10/22/2016
Photoclinic
Photoclinic
The Sign of Leser-Trélat in Advanced Extrapulmonary Small Cell Carcinoma
10/15/2016

Qian Wang, MD; Adriana Olariu, MD; Olumuyiwa Idowu, MD; and Allan Tachauer, MD
Weiss Memorial Hospital, Chicago, Illinois

Miao Hua
Rosalind Franklin University, North Chicago, Illinois

Qian Wang, MD; Adriana Olariu, MD; Olumuyiwa Idowu, MD; and Allan Tachauer, MD Weiss Me...
A 70-year-old man presented to the emergency department with a history of right-sided chest pain of several weeks’ duration.
10/15/2016
Dermclinic
Dermclinic
What Is the Cause of This Woman’s Hand Rash?
10/08/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
This 51-year-old woman presented with a 1-year history of an itchy, tender rash in the webs and on the palms of both hands that had appeared on and off.
10/08/2016
Supplements
Supplements
Application of ACC/AHA Cholesterol Treatment Guidelines on a Community Health Center Population
10/07/2016
Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of mortality and morbidity in United States.
10/07/2016
Supplements
Supplements
A Man With Chest Tightness and Syncope: What’s the Best Approach?
10/07/2016

Sarika Desai, DO

Sarika Desai, DO
A man with a history of obesity, hypertension, and hyperlipidemia presented to the clinic with intermittent chest tightness upon exertion.
10/07/2016
Supplements
Supplements
Aspirin for Cardiovascular Disease Prevention: Indications, Contraindications, and the Type of Aspirin to Use
10/07/2016

Jennifer L. Currin, PhD, ARNP, and Edward Shahady, MD, ABCL

Jennifer L. Currin, PhD, ARNP, and Edward Shahady, MD, ABCL
The guidelines for the use of aspirin can lead to confusion about prescribing or recommending it for cardiovascular disease.
10/07/2016
Supplements
Supplements
Reducing Cardiometabolic Risk: New Questions About an Ancient Therapy
10/07/2016
Welcome to this supplement to Consultant devoted to the diagnosis, management, and prevention of cardiometabolic disorders.
10/07/2016
Photoclinic
Photoclinic
Spontaneous Pneumomediastinum
10/07/2016

LISA M. CLEWNER, MD
Dell Children’s Medical Center
of Central Texas, Austin

LISA M. CLEWNER, MD Dell Children’s Medical Center of Central Texas, Austin
A 26-year-old healthy man presented with 3 days of increasing shortness of breath, chest tightness, and a mild, nonproductive cough.
10/07/2016
Case In Point
Case In Point
Serotonin Syndrome: A Commonly Missed, Potentially Fatal Condition
10/04/2016

Oscar J. Garza Ovalle, MD; Mazyar Malakouti, MD; and Sayed K. Ali, MD

Oscar J. Garza Ovalle, MD; Mazyar Malakouti, MD; and Sayed K. Ali, MD
A 30-year-old man with a past medical history significant for anxiety, depression, and chronic low back pain presented to the emergency department with a 24-hour history of altered mental status, along with...
10/04/2016
Case In Point
Case In Point
An Atypical Presentation of Henoch-Schönlein Purpura With Intussusception
10/04/2016

Alicia Morrison, MS-IV; Heidi Cohen, MD; Randi Sperling, DO; Liora Adler, MD; and Sarah Wood, MD

Alicia Morrison, MS-IV; Heidi Cohen, MD; Randi Sperling, DO; Liora Adler, MD; and Sarah...
A 9-year-year old girl presented with her grandparents to the ED for intermittent crampy abdominal pain and daily nonbloody, nonbilious...
10/04/2016
What's the Take Home?
What's the Take Home?
Determining the Malignancy of a Thyroid Nodule: When Is Total Thyroidectomy Indicated?
10/04/2016

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor
The epidemiology of thyroid nodules reveals clinical findings that are linked to a statistically increased cancer risk.
10/04/2016
Photo Essay
Photo Essay
A Collection of Complications Related to Drugs or Devices
10/04/2016
This article collects 4 case reports dealing with conditions related to the use of drugs or devices.
10/04/2016
Controversies in Clinical Care
Controversies in Clinical Care
Probiotics for the Prevention of Antibiotic-Associated Diarrhea and Clostridium difficile
10/04/2016

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

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
JS is a 53-year-old man with a history of hypertension and dyslipidemia who presents with community-acquired pneumonia. Upon discussion, he asks whether he should also take a probiotic while also taking his...
10/04/2016
Photo Quiz
Photo Quiz
What’s Causing the Malodorous, Painful Rash on This Marine’s Heels?
10/04/2016

Robert J. Long, MD, and Johannah Valentine, MD

Robert J. Long, MD, and Johannah Valentine, MD
Pitted Keratolysis is a common bacterial skin disorder characterized by crateriform pitting on the plantar surfaces in pressure-bearing locations.
10/04/2016
What's Your Diagnosis?
What's Your Diagnosis?
What’s Causing This Woman’s Painful, Itchy, Fissured Fingers and Palms?
10/04/2016

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

Alexander K. C. Leung, MD, and Benjamin Barankin, MD
A 34-year-old woman presented with mildly pruritic and somewhat painful hands of approximately 6 months’ duration. She had a history of childhood atopic dermatitis.
10/04/2016
Dermclinic
Dermclinic
What Are the Lesions on This Woman’s Chin?
10/04/2016

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
This 62-year-old woman presented for evaluation of lesions confined to her chin that had only appeared over the past 8 months.
10/04/2016
Review
Review
Rosacea: Diagnosis and Management of a Complex and Significant Disorder
10/04/2016

John E. Wolf Jr, MD, MA

John E. Wolf Jr, MD, MA
Rosacea is a common chronic cutaneous disorder of the central face. In addition to its physical discomfort, patients report a negative impact on quality of life socially, professionally, and emotionally...
10/04/2016
Review
Review
Ocular Emergencies in Primary Care: Diagnosis, Treatment, and Referral
10/04/2016

Neil Patel, MD; Gonzalo Ortiz, MS; Norberto Mancera, MD; and Hershel Patel, MD

Neil Patel, MD; Gonzalo Ortiz, MS; Norberto Mancera, MD; and Hershel Patel, MD
Primary care providers must quickly diagnose, make referrals, and initiate treatment for a variety of ocular conditions and diseases.
10/04/2016
Review
Review
Perioperative Immune Suppression Management in Patients With Inflammatory Bowel Disease
10/04/2016

Samuel Eisenstein, MD

Samuel Eisenstein, MD
Patients with inflammatory bowel disease (IBD) are at higher risk of septic and thromboembolic complications after surgery.
10/04/2016
Editorial
Editorial
Healthy Observances and Health Care Coverage in the Month of October
10/04/2016
Each month throughout the year has its own list of observances related to health and medicine, and October is one of the richest among them.
10/04/2016
Photoclinic
Photoclinic
Azygos Lobe
01/20/2016

Amita P. Vasoya, DO, and Thomas Morley, DO
Rowan University School of Osteopathic Medicine, Stratford, New Jersey

Amita P. Vasoya, DO, and Thomas Morley, DO Rowan University School of Osteopathic Medic...
A 62-year-old man presented to the emergency department from home with a change in mental status.
01/20/2016