DermatophyteAn itchy rash on the dorsum of her dominant, right hand prompted a 34-year-old mother of three to try an over-the-counter miconazole and hydrocortisone preparation.
ringworm<p class="p1"><img src="/sites/default/files/images/Screen%20Shot%202012-11-16%20at%201.31.52%20PM.png" alt="ringworm" title="ringworm" width="90" height="90" style="float: left; margin-left: 5px; margin-right: 5px;">A 42-year-old woman suspects that this lesion on the dorsum of her foot is a brown recluse spider bite. The slowly progressive, tender, itchy, nonhealing lesion has been present for 2 weeks.</p>
Osteitis Condensans Ilii<p class="p1"><span style="color: #888888;"><img src="/sites/default/files/images/1211Con_PCOsteitis.jpg" alt="osteitis" title="osteitis" width="90" height="90" style="float: left; margin-left: 5px; margin-right: 5px;"></span>Muscle strain of the back was the chief complaint of a 28-year-old woman who presented to the emergency department. A radiograph of the lumbar spine revealed sclerosis in both sides of the sacroiliac joint, without space narrowing.</p>
PhotoclinicAn 88-year-old woman with a history of senile cardiac amyloidosis was seen in the cardiology clinic for heart failure. During the visit, she reported that she had had persistent pain along the lumbo-sacral region, but more recently pruritus had developed. She had been using a heating pad for symptomatic relief.
Eye Pain, corneal abrasion<p class="p1"><img src="/sites/default/files/images/Screen%20Shot%202012-11-16%20at%2010.41.46%20AM.png" alt="corneal abrasion" title="corneal abrasion" width="90" height="90" style="float: left; margin-left: 5px; margin-right: 5px;">A 9-year-old girl was brought to the emergency department (ED) after she sustained trauma to the left eye from a plastic toy while playing with her sibling. The family noticed redness of the eye with clear watery drainage, and the child complained of pain and refused to open the eye. Three years earlier, she had sustained trauma to the same eye and was treated with antibiotics. She had no other significant past medical or surgical history and was up-to-date on her immunizations.</p>
Hyperhidrosis<p class="p1"><img src="/sites/default/files/images/1211Con_PCHyperhidrosis.jpg" alt="hyperhidrosis" title="hyperhidrosis" width="90" height="90" style="float: left; margin-left: 5px; margin-right: 5px;">For 2 years, a 40-year-old oil-field worker wore heavy, steel-toed work boots all day. He experienced weeping and white discoloration at the center of both distal soles. At night, with his boots off, the feet would dry and hurt. There was no pruritus.</p>
parasites<p>A selection of cases detailing parasitic infections, ranging from lice to ascariasis, and filariasis.</p>
Nevus<p>A 17-year-old girl presents with an asymptomatic giant hyperpigmented patch on her left upper back. The lesion was first noted when the patient was 6 months old, and it has gradually increased in size over time. Her past medical history is unremarkable. No similar lesion has been observed in other family members.</p>
hip replacement<p>These are just a few of questions you will need to address if your patient suffers from hip joint failure. Each year, more than 285,000 total hip replacements are performed in the United States, according to the Agency for Healthcare Research and Quality.<sup>1</sup> For many of the markedly disabled persons who undergo replacement, the procedure offers enhanced mobility and relief from pain.</p> <div> </div>
Cirrhosis<p>There has been substantial press attesting to the efficacy and safety of the “vaptans.” These agents are vasopressin receptor antagonists that block so-called “V<sub>2</sub>” receptors in the collecting ducts, thereby decreasing reabsorption of water. One cohort with troublesome volume overload and hyponatremia (that is too much water for an expanded total body volume) consists of patients with cirrhosis and ascites. Vaptans are commonly administered to these patients. Do they work and are they safe?</p>
epigastric pain, melena<p>A 67-year-old man is admitted to the hospital because of melena. During the past 24 hours, he has had 4 or 5 episodes of melena. He complains of moderate epigastric pain, but he has had no emesis.</p>
chinese medicine<p>Chinese medicine can proudly point to the lives of the Three Divine Doctors of Jian An as being exemplary in showing care for others. From the perspective of Dr Marta Hanson, Professor of History of Medicine at Johns Hopkins University, the accounts of the Three Divine Doctors of Jian An are more literary and mythological than historical. </p>