Photo QuizA 58-year-old woman with Graves disease complained of a 4-year history of asymptomatic nodules on her toes and thickening of her shins.
lupusA 69-year-old Caucasian woman with metastatic breast carcinoma demonstrated good clinical response to gemcitabine therapy with reduction in her metastatic load. She developed a widespread papulosquamous eruption shortly after starting gemcitabine therapy.
venous lakeA 46-year-old Caucasian male presented with an asymptomatic, solitary, dark blue, soft papule on his upper lip. The lesion was first noted 2 years ago and was slowly growing.
carcinomaTrichilemmal carcinoma is a rare cutaneous malignancy.
MelanomaA 55-year-old male presented for his annual skin examination, which revealed an asymptomatic lesion on his back.
pityriasis roseaThis 35-year-old male presents with a slightly itchy eruption in his groin and axillae of 1 month duration. He is an insulin-dependent diabetic and had a case of pityriasis rosea 2 years prior that resolved uneventfully. He denies any new exposure history, new medications, or recent illnesses.
pityriasis roseaThis 23-year-old female presented for evaluation of an asymptomatic sparse eruption on her trunk of 2 months duration. She takes no medications and has had her dog for 1 year.
Kidney DiseaseA photo-based collection of clinical cases demonstrating conditions related to kidney disease, including elevated hematocrit, acute glomerulonephritis, and kidney stones.
Thyroid diseaseWhat are subclinical thyroid disorders? As expected there are 2, subclinical hypothyroidism and subclinical hyperthyroidism. They are defined as elevated or decreased thyroid-stimulating hormone (TSH) levels in patients, respectively, that have normal thyroid hormone levels and no signs of frank hormone deficiency or overactivity by history and examination.
salmonellaA 69-year-old Mexican-American female with past medical history significant for hypertension, rheumatoid arthritis, fibromyalgia, and irritable bowel syndrome presented to the emergency room with the acute onset of right hip pain.
PainA 47-year-old otherwise healthy woman presents with symptoms of hand discomfort of at least one year’s duration.
hepatoxicityThe purpose of this review is to increase awareness of selected common herbal products with reports of hepatotoxicity in order to increase vigilance in documenting complete medication histories that may include herbal products.
Diabetes Q&AMr. Goldman was the last patient of a long and taxing day. He came in complaining of a painful foot, along with his ever present and smoldering, chronic diabetes. His right foot, which was red and swollen didn’t look good and the aura of his anxiety, tinged with fear, was palpable.
Blood PressureFrom the get-go, it struck me that a series of blood pressures measured throughout the day and night would be more valuable than a random snapshot taken in my exam room.
coarctationCoarctation of the aorta (CoA) constitutes approximately 7% of all (CHDs). It is the most commonly missed CHD, and many cases are not diagnosed until adulthood, or death is incorrectly attributed to sepsis.
HypothermiaA 65-year-old woman was brought to the emergency department EMS after being found down and unresponsive in the snow.
FDAI am often surprised that any doctors and medical students miss the mark on what FDA stands for.
NutritionMarch is National Nutrition Month. According to the National Health and Nutrition Examination Survey study on dietary intake, 90% of adults consume more sodium than recommended.