This 42-year-old woman with psoriasis presented for evaluation of a new-onset rash of 1 to 2 weeks’ duration on her trunk and extremities. The lesions were associated with knee and back pain.
Benjamin Barankin, MD, FRCPC; Alexander K.C. Leung, MD, MBBS, FRCPC, FRCP
A 35-year-old woman presented with a slow-growing, dark brown lesion on the left knee of 2 to 3 years’ duration. The lesion was asymptomatic. There was no history of preceding trauma or insect bite in the...
John Paul Y. Kelada, MD; Tipu V. Khan, MD; Juzar Jamnagerwalla, MD
A 43-year-old, previously healthy woman presented to the ED after having a syncopal episode while showering. She denied any prodrome prior to the syncopal episode and complained only of a short course of...
Nicholas Horen, MD; Basil E. Akpunonu, MD; Anu Garg, MD; Jordan Burlen, MD, BS; Jana Meisler, BSN, RN, CWS, CWOCN, CFCN
A 47-year-old woman with history of sarcoidosis was being treated in a long-term acute facility for multiple ulcers that are not responding to multiple antibiotics, wound dressings, and chemical and...
Ayman M. Saleh, PhD; Jasmin Ahmed, BS, MS, MD; Michael O'Laughlin, BS; Shazia Zafar, MD; Souhad B. Younes, MD; Syed A.A. Rizvi, PhD, MBA; Sultan S. Ahmed, MD
A 33-year-old Jamaican woman presented to the ED with subjective recurrent fever, right-sided cervical lymphadenopathy, diaphoresis, decreased appetite, 2.3-kg weight loss, and abdominal pain for...
Keith E. Lewis, MD; Tracey Samko, MD; Erika Escobedo, MD; Daniel Im, MD; Jenny L. Wong, cPed, Cfts, CCWS, DMD, MD; Cynthia H. Ho, MD; Randall Y. Chan, MD
An 18-year-old boy presented with fever, weight loss, gingival enlargement, and pain for 2 weeks. On physical examination, he had generalized...
This 69-year-old woman presented for evaluation of a rash on both lower extremities after having started a regimen of metoprolol and rivaroxaban for atrial fibrillation.
Francisco Miled Pherez, MD; Gabriel Sandkovsky, MD; Shobhana Chaudhari, MD
A 53-year-old man presented to the emergency department with a cellulitis infection of his right lower extremity. This was his 15th admission in the last 2 years for the same complication.
Adam Goldrich, MD; A. Koneti Rao, MD; Ronald N. Rubin, MD
A 48-year-old man with no significant past medical history presented for evaluation and treatment of fever and chills with associated headache and myalgia of 3 days’ duration.
This is the true story, told alternately in both our voices, of Larry’s recent misadventure and how it affected us as a medical couple. We are both internists in practice for more than 25 years each.
A 30-year-old woman with interstitial pneumonitis was being treated with prednisone (initially 20 mg, which had been tapered to 10 mg) and azathioprine.
This Photo Essay features a collection of 4 photo-based cases of conditions transmitted by insects or ticks, including Lyme disease and strongyloidiasis.
Charles J. Haddad, MD; Judella Haddad-Lacle, MD; Reetu Grewal, MD; Lori A. Bilello, PhD; Charles M. Haddad
The vast majority of skin growths or tumors are benign. It is very common for patients to ask their health care provider about such lesions, and they often seek advice when consulting about some other...
Urinary incontinence (UI) is extremely common, with millions of people in the US experiencing it. While it occurs in both sexes, UI is more than twice as common in women. UI also becomes more common with...
David R. Luthin, PhD; Marshall E. Cates, PharmD, BCPP, FASHP; C. Whitney White, PharmD, BCPS; Katie Boyd, PharmD, BCPS
This article offers an overview of the treatment and disease characteristics of posttraumatic stress disorder, a very prevalent psychiatric disorder that causes distress and functional impairment, results...
Timothy H. Self, PharmD; Sami A. Sakaan, PharmD, BCPS
Hospitals often are faced with a frustrating dilemma: Should patients be allowed to take their multidose medications home upon discharge? The natural inclination, of course, is to allow patients to take...
