<p>If you want to monitor a nevus or other suspicious lesion, place a piece of clear tape over it and trace the borders with an ink pen.</p>
<P>Often, I want a rapid test for occult blood in the office, such as when I need to distinguish invasive from noninvasive gastroenteritis; detect bleeding associated with esophagitis, gastritis,...
<p>During the neurological examination, the optimal approach is to test the higher functions first, motor power next, and sensory capacity last.</p>
<p>Distinguishing gas from more serious causes of abdominal pain can be done by applying pressure rapidly and then slowly to the abdomen.</p>
<p>A 28-year-old man presents to the emergency department (ED) with left upper extremity paralysis and left lower extremity numbness, which he first noted on awakening that morning. Five days earlier...
<p>A previously healthy 39-year-old woman is evaluated for a lesion found by her dentist on her right tonsil. Her medical history is unremarkable, and her only medication is a multivitamin...
Sandra Lipovaca, MD; Dominick Sabatino, MD; Sujatha Kosuri, MD; Jacob J. Rosenberg, MD
<p>A 3-year-old Hispanic boy with a history of pica presented for a well-child checkup. He had missed numerous checkups, and his immunizations were delayed. His development was appropriate for...
Alexander K.C. Leung, MD, MBBS, FRCPC, FRCP; William Lane M. Robson, MD, FRCPC, FRCP; Anthony Chi-Fai Ng, MBChB, FRCS
<p>For 3 months, a 46-year-old woman had had intermittent right-sided loin pain. She had no dysuria, increased frequency or urgency, daytime wetting or dampness, nocturia, or bed-wetting. There was no...
<p><span style="font-size: x-small;"><strong>Case 4: </strong></span>For the past 2 weeks, a 32-year-old woman has noticed itchy bumps on her right hand. She is a...
<p><span style="font-size: x-small;"><strong>Case 2: </strong></span>This tender, solitary, inflamed nodule appeared 6 weeks earlier on the forearm of a 60-year-old...
<p><span style="font-size: small;"><strong>Case 1:</strong></span></p><p>A collagen vascular disease—which has not yet been differentiated—was recently...
Kevin Marques, MD; Keri Sanders, MD; David Eldridge, MD; Keith Nelson, MD
Dyspareunia and a tender right labial mass prompted a 20-year-old woman to present to the emergency department. She reported regular menses, was nulliparous, and had been treated for pelvic inflammatory...
<p>I was awakened from some dogmatic slumbers when I moved to Mobile, Alabama. As an internist, I was used to being consulted for the purpose of assigning risk in patients scheduled to undergo...
Irritable bowel syndrome is characterized by abdominal pain or discomfort, bloating, and constipation or diarrhea; the pain is typically relieved by defecation.
