Guest CommentarySometimes a patient’s self-diagnosis can be helpful. On the other hand, a patient also can lead the diagnostician astray. The power of suggestion can cause the clinician to anchor on one part of the history or physical examination, a common heuristic error.
PhotoclinicTransesophageal echocardiography demonstrated thrombi in transit through a patent foramen ovale and showed the presence of thrombi in all 4 chambers of the heart.
What's the Take Home?A 67-year-old man was brought to the emergency department for evaluation of an evolving neurological event. He had been watching evening TV with his wife as is usual for them when he reported having an acute headache and nausea. He got up to go into the bathroom, but shortly thereafter his wife heard him fall.
Photo EssayThis article is part 8 of a 15-part series of Photo Essays describing and differentiating conditions affecting the nails. Parts 9 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 78-year-old woman presented to the hospital with 1-day history of biliary colic, emesis, and diarrhea. Her medical history was significant for type 2 diabetes with neuropathy, dyslipidemia, and hypertension. There were no signs of bowel obstruction on physical examination.
Case In PointNutritional rickets has been commonly reported as a public health problem in Africa and several parts of the Asian subcontinent. However, there has been a recent reemergence of vitamin D deficiency noted in developed countries of North America and Europe.
PhotoclinicAn 8-year-old girl with no significant medical history presented with a 4-day history of diplopia and pain on eye movements.
PhotoclinicA 5-year-old girl with a history of premature birth presented to her primary care pediatrician for her annual well-child check. On physical examination, an elongated, swollen, crooked left middle finger was noted.
PhotoclinicLumbar epidural anesthesia is frequently administered to the obstetric patient. The loss of resistance is a well-established technique to identify and access the epidural space; however, this technique is associated with risks, including pneumocephalus.