PhotoclinicA 70-year-old woman with a history of cirrhosis secondary to nonalcoholic steatohepatitis initially presented as an outpatient with a rapid accumulation of ascites.
What's the Take Home?A 67-year-old man presented to the office for a general medical examination. He had no new or significant symptoms to report. Of particular interest, 16 years ago, abdominal ultrasonography for gastrointestinal tract reasons had shown an incidental 2.3-cm renal mass.
PhotoclinicA 3-week-old boy was brought to the emergency department for episodes of cyanosis. His mouth had turned blue, and the discoloration had spread up to his forehead and had lasted for 30 seconds.
Photo QuizA 68-year-old man was sent to the emergency department after having been seen at a primary care office to establish care for the first time in more than 15 years. The patient’s concerns included an interment nonproductive cough, left-sided neck and axillary pain, fatigue, and a significant weight loss over the past 3 to 4 months.
ReviewDirect oral anticoagulants (DOACs) are recommended for stroke prevention in patients with atrial fibrillation and mild to moderate chronic kidney disease. However, data are limited regarding the use of DOACs in patients with severe kidney disease and kidney failure.
Photo EssayThis article is part 12 of a 15-part series of Photo Essays describing and differentiating conditions affecting the nails. Parts 13 through 15 will be published in upcoming issues of Consultant. To access previously published articles in the series, visit the Consultant archive at www.Consultant360.com and click the “Journals” tab.
PhotoclinicA 10-day old neonate presented to the clinic with her parents, who expressed concern over the girl’s worsening yellow skin discoloration, poor weight gain, and elevated bilirubin levels that had been detected at birth prior to hospital discharge.