Questions to ask<div id="article-content-body"><p>I end my review of systems with 3 questions that help patients reflect constructively on the state of their health.</p></div>
Pitted Keratolysis<div id="article-content-body"><p><img src="/sites/default/files/images/Pitted_Keratolysis.jpg" width="150" height="80" style="float: left; margin-left: 8px; margin-right: 8px;" class="image">This 8-year-old boy's mother thought her son had a fungal infection on his feet. Examination disclosed malodorous, nontender plaque formation on the weight-bearing surfaces of both feet. </p></div>
Ticks<div id="article-content-body"><p>As a new resident of "tick country" in northern California, I was recently introduced to a great way to remove ticks—both those that are newly attached and those that have been there for a day or two.</p></div>
Tongue Depressor<div id="article-content-body"><p>When you need to jot down the name of a medicine, condition, or specialist for a patient and you're in a hurry, just grab a tongue depressor.</p></div>
Tinea, Nummular Eczema<p id="article-content-body"><img src="/sites/default/files/old/img_4db8d93ec4f2b.jpg" alt="Figure" width="150" height="150" style="margin-left: 8px; margin-right: 8px; float: left;" class="imageBorderBlue">For the past month, a 67-year-old woman has had a pruritic rash under her left breast. She takes an antihypertensive and is otherwise healthy.</p><p><em><strong>What does this look like to you?</strong></em></p>
tips and tricks<div id="article-content-body"><p>For resistant pruritus ani, have patients try using cholestyramine topically.</p></div>
Virtual Age<div id="article-content-body"><p>At the end of her Guest Commentary, "The Virtual Patient" (CONSULTANT, July 2007), Dr Faith Fitzgerald asks: "How shall my students experience the things that cannot be taught but only learned through the sometimes inconvenient, potentially time-consuming, emotionally disquieting, and generally non-remunerative interactions with real patients?"</p></div>
Primary CareAlthough many lacerations are treated in the emergency department, primary care clinicians still see their share of such wounds.