Case In PointAn 89-year-old man presented to the emergency department after having been sent from his primary care provider’s office over concern for possible dehydration, which had caused the patient to become weak and dizzy.
Guest CommentaryIn the next decade, it is unlikely that EHRs will be optimized. Health care changes will accelerate. In the meantime, it behooves physicians to engage in self-examination and to determine for themselves how to personally and professionally flourish.
PhotoclinicA woman in her 50s presented to a dermatology practice with concern for a rash that had developed 7 months prior to presentation. The rash had initially begun with dry scaling areas on the forehead and temples.
What's Your Diagnosis?A 68-year-old new patient presented to a primary care provider for a routine checkup. Examination of the left eye with an external light source (otoscope) revealed an unusual "twinkle" in the patient's eye.
Case In PointA case of a 15-year-old girl with new-onset altered mental status shows that extreme delta brush patterns on EEG may be helpful in establishing the diagnosis of anti-NMDA receptor encephalitis, even in pediatric patients.
What's the Take Home?A 38-year-old woman was referred for evaluation of an elevated white blood cell (WBC) count. A CBC revealed a normal hemoglobin level, normal red blood cell indices, and a normal platelet count. However, the total WBC count was 13,400/µL, with essentially all of the elevation accounted for by an increased number of neutrophils, specifically 10,900/µL.
Photo EssayThis article is part 7 of a 15-part series of Photo Essays describing and differentiating conditions affecting the nails. Parts 8 through 15 will be published in upcoming issues of Consultant. To access previously published articles in the series, visit the Consultant archive.
PhotoclinicA 4-year-old girl and her 15-year-old brother came to the pediatric clinic for a checkup. On physical examination, the girl had a well-healed cleft lip scar and lower lip pits, and her brother had lower lip pits with no other abnormalities. The children’s mother exhibited less-obvious lower lip pits.
PhotoclinicA 9-month-old boy with a history of developmental delay, failure to thrive, and intractable epilepsy of unknown etiology presented to the hospital with twitching of his right arm and face, concerning for seizures.
PhotoclinicAn 8-year-old boy with a history of psoriasis presented to the pediatric emergency department for evaluation of 6 days of headache and fatigue.