Human BiteA 1-year-old girl was noted to have abrasions on the left cheek when she was picked up by her mother from a day-care center.
Friendly DogThe wounds on the back of this boy's head resulted from an encounter with his neighbor's dog.
MyalgiaAfter presbyacusis, degenerative joint disease is the most common chronic medical disorder among persons older than 65 years.
Dog BiteA 9-year-old girl was bitten around the right eye by a neighbor's dog. She sustained multiple punctures and lacerations of the right upper and lower eyelids.
Consultations & CommentsIs chronic fatigue syndrome related to infection? If so how does this affect the approach to therapy?
- Research on the immunologic underpinnings of the disease has translated into aggressive treatment regimens that can enhance quality of life . . . are you up-to-date?
- Roughly 1 in 3 patients with GERD remains symptomatic while taking a PPI. Here: possible causes of PPI failure—and options to remedy the problem.
PhotoclinicTwo infants with a history of dermatitis were noted to have postinflammatory hypopigmentation.
PhotoclinicA 60-year-old woman with a history of iron deficiency anemia was hospitalized because of an episode of melena.
PhotoclinicThis 14-year-old girl had first noticed the well-circumscribed, roughened, irregular growth on her right middle finger 6 months earlier.
PhotoclinicA 30-year-old active-duty sergeant with no history of urinary tract disease presented to a combat support hospital with acute pain in the left lower abdominal quadrant.
PhotoclinicThis painless, bleeding lesion had developed insidiously on the penis of a 47-year-old HIV-positive man.
PhotoclinicAfter spending a day at the beach, a 12-year-old boy presented with a second-degree sunburn and blisters on his shoulders
PhotoclinicThese yellow asymptomatic lesions on the inner upper eyelids of a 36-year-old woman had persisted for 2 years.
Primary Care UpdateCurrently, most infections caused by community-acquired MRSA (CA-MRSA) are skin and soft tissue infections.
ECG ChallengeWhich clues on these ECGs point to the cause?
- A 57-year-old woman is hospitalized because of a persistent left-sided dull flank pain that worsens with movement, high fever and rigors.
What’s Your Diagnosis?An 85-year-old woman is seen in the nursing home where she lives because of a nonhealing ulcer near the right medial malleolar area.
Photo QuizPruritic, erythematous papules on a man’s forearms; non healing, asymptomatic ulcers on another man’s lip and neck—to what do you attribute these lesions?
What’s The Take Home?A 55-year-old man complains of fatigue. Although he sleeps 8 hours every night, he has to push himself to perform his usual daily activities.
What’s The Take Home?A 43-year-old man presents to the emergency department with worsening substernal chest pain that has developed over several hours.
Photo EssayThis 11-year-old boy presented with pain and swelling of the right hand.
- A young girl has been bleeding heavily for over a month. What's wrong?
Practical PointerDiscover Shortcuts Devised by Colleagues on Dreaming, Heartbeats, Lactation Practices, and Ester Allergies
News You Can UseRecent studies have suggested, but not proved, that lower levels of LDL-C are better.
DermclinicScaling patches that resist antifungals; an outbreak of red papules; a velvety, hyperpigmented rash—can you identify the disorders pictured here?
Case in PointA 63-year-old woman presents to the emergency department with a 3-day history of abdominal pain, nausea, and obstipation.
Case in PointA 51-year-old man presents with a painful inguinal rash that has persisted for 3 months despite application of a combination corticosteroid and antifungal cream.
Consultations & CommentsMany patients with orthostatic hypotension experience symptoms immediately on standing.
- Almost 5 million Americans are bitten by humans or animals every year. Are you up-to-date on strategies to minimize the risk of infection and to ensure satisfactory wound healing?