The appearance of a rash on his hands and feet prompted this man to seek medical evaluation. For the past year, he had been in a monogamous relationship with a male sex partner.
A 56-year-old man has had eczema only on his dominant, right hand for 30 years. He had tried topical corticosteroids, but they failed to clear the condition.
Primary care patients with chest pain comprise a sizeable cohort. Not only do some have a potentially fatal disease (an acute coronary syndrome), but those who do not (most of them, or 85% to 90% of the...
<p>Many patients with hematologic malignancies are initially seen in the primary care setting. Here we demonstrate such a case in a young woman who presented with a sore throat. She was referred to a...
<p>An 85-year-old man presents to the emergency&nbsp;department (ED) with fatigue and dizziness of several weeks’ duration; these symptoms have worsened during the past 2 hours. He has not had any...
<p>Symptoms associated with anorectal abscesses include throbbing or aching pain, swelling, drainage or bleeding, constipation, urinary difficulty, and fever. Treatment is surgical drainage. About 50%...
Jessica L. Wallace, PharmD; Judith E. Soberman, MD, FACC; Jimmie Mancell, MD; Maegan L. Rogers, PharmD, BCPS; Timothy H. Self, PharmD
<p>The benefits of&nbsp;<em>cardioselective&nbsp;</em>beta-blocker therapy outweigh the associated risks in patients with nonsevere asthma after myocardial infarction (MI) or for...
Alexander K.C. Leung, MD, MBBS, FRCPC, FRCP; Kam Lun Ellis Hon, MD
<p>Twin 16-month-old boys were referred by a pediatric endocrinologist to the pediatric dermatology clinic for assessment of generalized itchy lesions of 7 months’ duration. The lesions had been...
Mohammad Talal Khan, MD; Elena Kret-Sudjian, MD, PhD
<p>A 46-year-old man with a history of asthma and hyperlipidemia presents with migrating polyarthralgia, swelling of the extremities, and a worsening purpuric, raised rash of 1 week’s...
<p>A thorough history is generally sufficient to determine whether a patient has urge, stress, mixed, overflow, or functional incontinence. Most causes of urge incontinence are idiopathic; however,...
Elderly Patients, fallsYour 75-year-old patient recently fell on the stairs in her home and sustained multiple contusions but no fractures. She had been living independently and was active in the community;...
<p>A 67-year-old man is admitted to the hospital after he experienced 4 or 5 episodes of melena in the past 24 hours. He has had no emesis, but complains of moderate epigastric pain.</p>
Peripheral arterial disease (arteriosclerosis obliterans) is occlusive atherosclerotic disease of the aorta and renal, mesenteric, and lower extremity arteries.
<p>Amenorrhea, infertility, osteopenia, decreased libido, and impotence are common primary care complaints. Typical evaluations effectively address potential problems—estrogen excess or depression as...
<p>We enjoyed reading Dr Keith Harding’s article on the value of moist dressings for chronic wounds (CONSULTANT, March 2012, page 214), but we feel that some of his comments do not give the full...
We must look at many historical figures & in order to better understand what & it means to be a healer and how to best practice the art of caring. Sir William Osler recommended that we “must come to the...
