Acute pericarditis<div id="article-content-body"><p>The mother of an 8-year-old girl sought medical care for her daughter who had complained of intermittent chest pain for 3 days. The patient denied nausea, vomiting, and diarrhea. There was no shortness of breath, chills, fever, or diaphoresis. Her travel history included 2 trips to Mexico within the past year; the most recent trip ended 3 months before the pain started. The patient described her pain while standing and playing as 7 on a scale of 1 to 10 (10 being the most painful); her pain when resting was 3 of 10.</p></div>
acne, Dermatology<div id="article-content-body"><p>For the past 3 years, comedones, papules, pustules, and nodules had been erupting on the face of a 16-year-old boy. Acne vulgaris had been diagnosed. Topical <span class="DrugLink">tetracycline<span>(</span></span> cream and oral tetracycline were used without success. Drs Alexander K. C.</p></div>
- A man with a 15-year history of episodic migraine presents to the emergency department at 5 AM with a right-sided throbbing headache of 4 hours' duration.
adhesive intestinal obstruction<div id="article-content-body"><p>Adhesions (A) can form within the peritoneal cavity after abdominal surgery, especially if there is an underlying inflammatory condition such as appendicitis (B) or inflammatory bowel disease. The incidence of adhesive intestinal obstruction following a laparotomy is approximately 2%. Most adhesive obstructions occur within 3 months of the laparotomy, and 80% occur within 2 years. Adhesive obstructions tend to be more common in children than in adults. The patient presents with abdominal cramps, nausea,</p></div>
Medicine, Hematology, Health Medical Pharma, Biology, United States, fever, lymphadenopathy, Rash, Michigan, CONSULTANT, Infectious diseases, Immunology, Blood tests, Lymphocytosis, Immune system, Infectious mononucleosis, Monocyte, White blood cell, Complete blood count, Ann Arbor, Alexander K. C. Leung, Natalie Kellogg, acute cervical lymphadenitis, pharyngitis, C. Pion Kao, cervical lymphadenitis
- <div id="article-content-body"><p> </p><p><em>I found Joe Monroe's Photoclinic case of a patient with dermatitis artefacta very interesting (CONSULTANT, December 2000, page 2406). The patient might have been exhibiting a phenomenon sometimes seen in methamphetamine users that is referred to as "crank bug bites." Patients claim to see and/or feel bugs on their body and attempt to remove them or pick at them until they create open wounds and scabs (Figure).</em></p></div>
Pilomatricoma, Hemangioma, pilomatrixoma, pilomatrixomas, pilomatricoma and calcifying epithelioma, Robert P. Blereau, benign tumor, Morgan City, pilar tumors, erythema
Medicine, Health Medical Pharma, Rochester, Professor of Medicine, Pharmacology, Glucocorticoids, Steroids, Triamcinolone acetonide, Triamcinolone, Corticosteroid, Injection, Pharmaceutical sciences, seasonal allergies, Donald Pulver, University of Rochester, David Araujo, Assistant, subcutaneous fat necrosisThis practice should be avoided. Intramuscular triamcinolone acetonide can last for 4 to 6 weeks in the body and can inhibit normal adrenal function. If the injection is given in hip fat tissue, it can cause subcutaneous fat necrosis.
Medicine, Health Medical Pharma, Biology, Zoology, Respiration, Flow measurement, Measurement, Medical ultrasound, Peak flow meter, Breathing, Terrence Stone, Chesapeake Corporation, Chesapeake
Medicine, Health Medical Pharma, fever, Neurology, Symptoms, Medical emergencies, Pulmonology, Intensive care medicine, Pulmonary edema, Shortness of breath, Rales, Respiratory failure, Seizure, alpha, Bijoy E. John, tonic-clonic seizure, pulmonary capillary permeability, Memphis, neurogenic pulmonary edema, aspiration pneumonitis, disorder, Acute pulmonary edema, epileptic seizure, intracranial hemorrhage, brain injury, University of Tennessee College, pulmonary capillary hydrostatic pressure, University of Tennessee College of Medicine, Amado Freire, seizure disorder, postseizure dyspnea, head injury, respiratory distress<p>A 58-year-old man with a history of a seizure disorder was hospitalized with acute-onset shortness of breath immediately following a tonic-clonic seizure. He was afebrile; in respiratory distress; and hypoxic, with an oxygen saturation of 84% on room air. Auscultation revealed bibasilar crackles and an S<sub>3</sub> gallop.</p>
Achlorhydria, anemia, Barrett esophagus, bloating, Carcinoid, carcinoma, chronic inflammation, Colon Cancer, colonic adenomas, Colorectal polyp, Connecticut, Cowden disease, Drs Tausif Zar, dysplasia, early carcinoma, Familial adenomatous polyposis, focal carcinoma, Frankly invasive cancer, Fundic gland polyposis, Gardner syndrome, Gastroenterology, Gastroesophageal reflux disease, Gastrointestinal cancer, Genetic disorders, H pylori infection, Health Medical Pharma, hematemesis, Inflammation, Juvenile polyposis syndrome, Khalid Aziz, Medicine, melena, mucosal irritation, multiple adenomatous polyps, nausea, neoplasms, Oncology, Persistent bloating, Peutz-Jeghers syndrome, Polyp, polyp carcinomas, surgery, Syndromes, United States, University of Connecticut, vomitingPersistent bloating, epigastric discomfort, and increased gastric acidity prompted a 47-year-old woman to seek medical care.
Medicine, Health Medical Pharma, Biology, Digestive system, Proctology, Sigmoidoscopy, Fort Wayne, Virendra Parikh, Physiology, Muscular system, Sphincter, Defecation, Anal canal
Medicine, Health Medical Pharma, disease, Disaster Accident, Patient safety, Pharmacology, Medical terms, Medical error, Pharmacy, Adverse Effects, Medical prescription, Polypharmacy, allergy, US Institute of Medicine, Medication Prescribing, car accidents, AIDS, medication errorRecent headlines in the nation’s newspapers have riveted public attention on medication errors—a problem that has long plagued the medical community.
- <div id="article-content-body"><p> </p><p><em>A 3-year Australian study found that when patients who underwent bypass surgery were given coenzyme Q10 for a week or more before the operation, their heart muscle tolerated stress better, recovered more quickly, and had better pumping ability after surgery than did the heart muscle in patients given placebo.<sup>1</sup><br> Should patients who are scheduled to undergo bypass surgery routinely be given coenzyme Q10 before the operation?<br> —Richard S. Banfield, MD<br> New Canaan, Conn</em></p></div>
- <div id="article-content-body"><p>Concerned about a lesion between her eyes, a 91-year-old woman sought medical evaluation (A). She had not seen a physician for 23 years. Dr Roy T. Rapp of Quincy, Ill, writes that the patient was strong-willed and alert, with no evidence of Alzheimer disease. A huge goiter was evident. <span class="DrugLink">Iodine<span>(</span></span>-deficiency goiter is prevalent in the St Lawrence Valley and in the Great Lakes region of the United States, where this woman spent her life.</p></div>
endoA 35-year-old woman has been losing weight and has had worsening abdominal pain and fullness for the past 2 months. She denies nausea, vomiting, and fever. Medical history is significant only for asthma.