rat biteA 74-year-old Caucasian male with severe Alzheimer’s disease presented to the emergency department with fever, lethargy, and a rash. Four days prior to presentation, he sustained an animal bite on his right hand while alone in his home garden.
eruptive xanthomasA 38-year-old man who had a previous medical history that included epileptic seizure, bipolar disorder, sleep apnea, and hypertriglyceridemia presented to outpatient clinic as a new patient for a recent rash.
sporotrichosisA 45-year-old farmer presented with multiple nodules over the right forearm. The lesion began as a single painless, erythematous papule 6 months ago.
notalgia parestheticaA 50-year-old female presented with a 2-year history of pruritus on her right mid and upper back.
morpheaA 55-year Caucasian female has had a lesion on her back, under her bra line, for the past 3 years.
lupus miliarisLupus miliaris disseminatus faciei is an uncommon condition that commonly affects the eyelids and can spread onto the face.
bullous impetigoA 10-year-old male presented for a rapidly spreading tender and itchy eruption on his face and trunk of 3 to 4 days duration. He is otherwise healthy.
Primary CareThis photo-based article collections several cases of uncommon conditions, such as purple urine bag syndrome, Waardenburg syndrome, and bilateral alien hand syndrome.
pheochromocytomaAn 89-year-old man presented with progressive shortness of breath, weakness, decreased appetite, weight loss, and episodes of falling and intermittent lower extremity swelling.
tachyarrhythmiaA 32-year-old man presents with an episode of rapid heartbeat and the sensation that his heart is “jumping around his chest.”
Pituitary ApoplexyPituitary adenomas are the most common cause of sellar masses and typically present in a variety of ways.
Chronic Kidney DiseaseFor the past 35 years, histamine2 blockers (H2 blockers) have continued to have widespread use within the United States. Soon after cimetidine was released, central nervous system (CNS) reactions were reported for this H2 blocker.
Urinary IncontinenceThis month’s Top Paper emphasizes that these statistics are in fact an underestimate. One study found that half of incontinent women do not even tell their physicians about the problem.
AnticoagulantOver the past couple of years 3 novel oral anticoagulants (NOACs) have been FDA approved: dabigatran (Pradaxa, Boehringer Ingelheim), rivaroxaban (Xarelto, Janssen), and apixaban. Originally approved for atrial fibrillation (AF), these agents have gained additional approval for the initial treatment of and long-term prevention of DVT and pulmonary embolus (PE).
Palmar plantar pustulosisA 55-year-old female presented with a persistent itchy rash on her hands and soles that had only a partial response to potent topical steroids.
ebolaIt is not surprising that despite all the advancement in our medical knowledge and diagnostic technology, the art of medicine remains unchanged.
Primary CareAs 2014 comes to a close, we’d like to take a few minutes to say a big thank you to you—our Consultant community. You are more than just our readers. You interact with us on a daily basis—whether it is sharing your case reports, asking questions, or making comments. You are truly our fellow collaborators.