Sudden Illness<div id="article-content-body"> <p>A 56-year-old man presents with diffuse erythema. He has not changed his routine or eaten anything unusual. The rash initially appeared the previous night as asymptomatic erythema on the face and body. On awakening in the morning, the patient noticed that the erythema had spread over most of his body and had become pruritic. </p> </div>
Breast Infection, Complications of Diabetes Mellitus, Diabetes mellitusA woman with tenderness and pain in the upper outer quadrant of her right breast was diagnosed with a Staphylococcus aureus (MRSA) infection.
and an Epigastric MassPheochromocytoma is typically associated with a symptom triad of headache, palpitations, diaphoresis, and hypertension.
- <div id="article-content-body"><p>In their article, "Diabetes: How Early--and Aggressively--to Intervene?" (CONSULTANT, November 2005, page 1416), Drs Thomas Clark and John R. Holman discussed the results of the lifestyle intervention and<span class="DrugLink"> metformin</span> arms of the Diabetes Prevention Program (DPP) study. However, the authors neglected to include data from the troglitazone arm of the DPP study.</p></div>
Clostridium difficile-Associated Diarrhea<p><img src="/sites/default/files/images/ConWWCol1_0.jpg" style="float: left; margin-left: 8px; margin-right: 8px; border: 1px solid black;" width="150" height="159">Despite reports that <em>C difficile</em> infections have been identified in community-dwelling patients previously thought to be at low risk, this is still an exceedingly rare occurrence. The standard risk factors remain the most important clues to the diagnosis.</p>
Phenytoin Drug Interactions<div id="article-content-body"><p>Phenytoin is one of the most commonly prescribed antiepileptic drugs in both acute and chronic settings; its use has been extensively described. Nevertheless, interactions between <span class="DrugLink">phenytoin<span></span></span> and numerous other drugs continue to complicate seizure therapy; these have been documented in case reports, studies, textbooks, and epilepsy reviews.</p></div>
Weight Loss<div id="article-content-body"> <p>Excess weight increases the risk of having a heart attack, stroke, high blood pressure, arthritis, diabetes, depression, fatigue, and certain types of cancer. Losing weight and keeping it off are very difficult for most persons who are overweight.</p> </div>
Ophthalmoscopes<div id="article-content-body"> <p><img alt="" src="/sites/default/files/images/Gregory%20W%20Rutecki%2C%20MD.jpg" style="height:176px; margin-left:8px; margin-right:8px; width:150px; float:left" />My generation of primary care physicians (I graduated from medical school in 1974) was armed for clinical battle with reflex hammers, stethoscopes, and ophthalmoscopes. With the eye as a "window" to the body, the detection of diabetic retinopathy with a handheld ophthalmoscope obviated the need for renal biopsy for diabetic kidney disease throughout the 1970s and 1980s.</p> </div>
Lentigo Maligna<div id="article-content-body"><p><em>Are follow-up radiographs or laboratory studies needed when lentigo maligna has been completely excised and a biopsy has been performed?</em></p></div>
- Chronic headache that worsened when she bent forward and episodes of usually unilateral vision loss sent a 34-year-old woman for medical consultation. The vision loss occasionally occurred in both eyes simultaneously.
tips and tricks<div id="article-content-body"> <p><strong>Cutting-Edge Rehabilitation</strong></p> <p><strong>Thanks for the memories</strong></p> <p><strong>Examine the Good Before the Bad</strong></p> <p><strong>Streamlined Joint Fluid Drainage</strong></p> </div>