What's the Take Home?A 35-year-old woman who is pregnant for the first time has had elevated blood pressure since she first presented for prenatal care at 28 weeks' gestation.
Asymptomatic Celiac DiseaseI do not advocate a gluten-free diet for asymptomatic patients who have a positive blood screening test.
- Which clues on the patient’s chest film point to the cause of symptoms that also include myalgia and dry cough?
Practical PointerDiscover Shortcuts Devised by Colleagues
PhotoclinicA 70-year-old man sought medical attention for a white lesion with surrounding erythema on the thumb of his right hand.
PhotoclinicThe incidence of thrombocytopenia after use of low molecular weight heparin has not been documented in large studies.
What’s Your Diagnosis?This case is a first for “What’s Your Diagnosis?”: it focuses on a mistake in diagnostic reasoning.
PhotoclinicA 45-year-old man presented to the emergency department with severe left flank pain, tachycardia, and hypotension of about 48 hours’ duration.
Acute DxA 45-year-old Asian man presents with a 3-week history of weight loss, poor appetite, fatigue, intermittent sweats, and a nonproductive cough.
Self-Test Your Diagnostic AcumenYellow, thickened nail plates; complete or partial loss of fingernails; asymptomatic greenish black discoloration—what do you suspect is the underlying cause in these cases?
- What do the clinical history and peripheral smear suggest is the cause?
- Cardiovascular disease is the chief cause of death among women.
PhotoclinicTwo ringed, extremely pruritic lesions were noted on a 6-year-old girl receiving immunosuppressive therapy after she had undergone heart transplantation.
- How can you help your patients live longer—and well? Here: a guide to helping patients help themselves.
Photo EssayFive cases of optic nerve damage.
PhotoclinicAn 83-year-old woman with a history of mild dementia and hypertension presented with rectal bleeding.
- How important is control of obesity in the treatment of hypertension?
DermclinicA tender vesicular rash; chronic paronychia; a pruritic, slowly enlarging eruption—can you identify the disorders pictured here?
Consultations & CommentsWe diagnosed molluscum contagiosum based on the umbilicated morphology of the lesions and their pearly white appearance.
Consultations & CommentsWould measurement of homocysteine and lipoprotein (a) levels be useful to clarify further her risk of atherosclerotic cardiovascular disease?
- The burden of responsibility for asthma therapy lies with the patient.
- Biomarkers of inflammation have become the subject of intense research interest.
- Prostate cancer detection and treatment have been profoundly affected by the advent of PSA testing.
Photo QuizWhat clues do these films provide about the cause of knee pain in an adolescent soccer player?