What's the Take Home?An 18-year-old boy has collapsed during a football practice. He is a high-school varsity player in a Southern city, and he has been attending the late summer (last 2 weeks in August) obligatory practices for varsity players.
Case In PointA 36-year-old man was referred to a psychiatry practice for a years-long history of migraines that had been unresponsive to treatment with numerous medications. The patient had sustained a significant TBI at age 20 as a result of a motor vehicle accident.
Diabetes Q&AThe Centers for Medicare and Medicaid Services have expanded access to telehealth medicine during the COVID-19 pandemic, and many institutions have developed systems for commercial and Medicaid/Medicaid reimbursement. Here are questions and answers about diabetes care and telemedicine.
Case In PointAn 87-year-old gravida 2, para 2, postmenopausal woman with a history of vaginal vault prolapse and cystocele presented for a pessary fitting. She recently had been fitted for a size 5 pessary ring; however, the ring was too large, and the patient returned to the clinic to have a size 4 ring pessary fitted.
Photo EssayThis article is part 10 of a 15-part series of Photo Essays describing and differentiating conditions affecting the nails. Parts 11 through 15 will be published in upcoming issues of Consultant.
PhotoclinicA 67-year-old woman with a history of irritable bowel syndrome (IBS) and diverticulitis presented to her primary care provider for evaluation of a leg wound. Over the course of a few days, the patient had developed warmth, erythema, edema, pain, and tenderness of the left anterior lower leg.
PhotoclinicA 30-year-old woman presented with a syncopal episode 3 days prior. She reported having stood up from the kitchen table, becoming dizzy, and falling to the floor. She felt that she was “out for seconds.” Family members who were present noted no seizures. She also reported chronic headaches and a 2-week history of nausea and vomiting.
PhotoclinicA 77-year-old man presented to the emergency department with bilateral lower extremity weakness. He had undergone 4-vessel coronary artery bypass graft surgery approximately 4 years previously and bioprosthetic transcatheter aortic valve replacement approximately 2 years previously.