Volume 51 - Issue 12 - December 2011

Consultant

04/05/2016
Pharmacologic treatments and pulmonary rehabilitation improve symptoms, health status, and exercise tolerance in patients with COPD.
04/05/2016
04/05/2016
Chronic airflow obstruction is a central feature of chronic obstructive pulmonary disease (COPD).
04/05/2016
04/05/2016
Chronic obstructive pulmonary disease (COPD) typically is a complex, multicomponent disease that can affect different systems.
04/05/2016
04/05/2016
Chronic obstructive pulmonary disease has replaced cerebrovascular diseases as the third-leading cause of death in the US.
04/05/2016
12/21/2011

Gregory W. Rutecki, MD - Series Editor
Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine in Mobile. He is also a member of the editorial board of CONSULTANT.

Gregory W. Rutecki, MD - Series Editor Dr Rutecki is professor of medicine at the Unive...
<div class="section"> <div class="section"> <div class="layoutArea"> <div class="column"> <p>Does the evidence still support vitamin and...
12/21/2011
vertigo
vertigo
12/21/2011

MICHAEL J. RUCKENSTEIN, MD, MSc, FACS
University of Pennsylvania

LINDSAY A. GOODSTEIN
University of Maryland
 

Dr Ruckenstein is professor of otorhinolaryngology, head and neck surgery, University of Pennsylvania, Philadelphia.
Ms Goodstein is a medical student at University of Maryland School of Medicine, Baltimore. 
The authors report that they have no relevant financial relationships to disclose. 

MICHAEL J. RUCKENSTEIN, MD, MSc, FACS University of Pennsylvania LINDSAY A. GOODSTEIN ...
<div class="column"> <p>ABSTRACT: Painstaking elucidation of a patient’s symptoms is the key component of the diagnostic workup for dizziness and vertigo. Light-headedness and...
12/21/2011
12/21/2011

Roli Agrawal, MD
Sarah Kizilbash, MD

Dr Agrawal is a radiology resident and Dr Kizilbash is a general pediatrician at mayo clinic in Rochester, Minn. 

 

 

Roli Agrawal, MDSarah Kizilbash, MDDr Agrawal is a radiology resident and Dr Kizilbash ...
<p>A 5-month-old girl is brought for evaluation of a neck swelling that had appeared 2 days earlier and had pro- gressively enlarged. She has also had cough and subjective fever. She has had no...
12/21/2011
12/21/2011
<div class="column"> <p>Case 1:</p> <p>For several weeks, this 72-year-old man has had progressive periorbital edema (A) that was initially thought to be allergic in...
12/21/2011
sarcopenia
sarcopenia
12/21/2011

Noah S. Scheinfeld, MD, JD
Columbia University

Dr Scheinfeld is assistant clinical professor of dermatology at Columbia University and assistant attending physician at St Luke’s–Roosevelt and Beth Israel Hospitals in New York. 

 

Noah S. Scheinfeld, MD, JDColumbia University Dr Scheinfeld is assistant clinical prof...
<P><SPAN>ABSTRACT: Skin aging results from both intrinsic factors (ie, alterations of cutaneous function) and extrinsic factors (eg, ultraviolet radiation that induces photoaging). Age-related...
12/21/2011
allergic contact dermatitis
allergic contact dermatitis
12/21/2011

Amber Stonehouse, MD
James Studdiford, MD
Thomas Jefferson University Hospital
Philadelphia 

Amber Stonehouse, MD James Studdiford, MD Thomas Jefferson University Hospital Philadel...
The sudden appearance of a pruritic confluent erythematous rash on the anterior neck and upper back prompted a 30-year-old woman to
12/21/2011
Epilepsy
Epilepsy
12/20/2011

By MATTHEW P. SISITKI, MD and RICHART W. HARPER, MD

Dr Sisitki is a fellow in the division of pulmonary and critical care at the University of California at Davis.
Dr Harper is associate professor in the division of pulmonary and critical care at the University of California at Davis.

The authors report that they have no relevant financial disclosures or conflicts of interest. 


By MATTHEW P. SISITKI, MD and RICHART W. HARPER, MD Dr Sisitki is a fellow in the divi...
Woman with history of migraine headaches rushed to the emergency department with a new-onset seizure and diagnosed with posterior reversible encephalopathy syndrome.
12/20/2011
Nonalcoholic Fatty Liver Disease
Nonalcoholic Fatty Liver Disease
12/20/2011

Ronald N. Rubin, MD—Series Editor

Dr Rubin is professor of medicine at Temple University School of Medicine and chief of clinical hematology in the department of medicine at Temple University Hospital, both in Philadelphia.

Ronald N. Rubin, MD—Series Editor Dr Rubin is professor of medicine at Temple Universi...
A 58-year-old woman is evaluated after routine blood tests revealed elevated transaminase levels. She is asymptomatic and reports no complaints.
12/20/2011
12/20/2011

Hiral Patel, DO and James Guidice, Do
University of Medicine and Dentistry of New Jersey, Stratford  

Hiral Patel, DO and James Guidice, DoUniversity of Medicine and Dentistry of New Jersey...
<p>For 4 days, a 34-year-old preg- nant woman had dyspnea and right-sided chest pain. She denied fever, chills, sweats, cough, lower extremity pain,and edema. Surgical and social histories were...
12/20/2011
unipolar depression
unipolar depression
12/20/2011

BARRY J. WU, MD, FACP
Yale University 

Dr Wu is clinical professor of medicine at Yale School of Medicine. He is also associate program director of internal medicine and internal medicine clerkship director at the Hospital of Saint Raphael in New Haven, Conn. 

BARRY J. WU, MD, FACPYale University Dr Wu is clinical professor of medicine at Ya...
ABSTRACT: Major depression is a common illness in primary care that can be under-recognized. The United States Preventive Services Task Force guideline recommends screening for depression in adults when...
12/20/2011
12/20/2011

Susan M. Turley, MS, APRN
Mystic, Conn 

Susan M. Turley, MS, APRNMystic, Conn 
<div class="column"><p><span><span class="Apple-tab-span"> </span>Half way through a 15-minute iontophoresis treatment for de Quervain tenosynovitis of the...
12/20/2011
Influenza
Influenza
12/20/2011
<P><SPAN><SPAN class=Apple-tab-span></SPAN>Although annual vaccination remains the most effective method for preventing seasonal influenza virus infection, antiviral medications can...
12/20/2011
synovial cyst
synovial cyst
12/20/2011

Dmitry Shtrambrand, MD
Passaic, NJ 

Dmitry Shtrambrand, MDPassaic, NJ 
<p><span class="Apple-tab-span"></span>Over the past year, asymptomatic wartlike nodules had slowly developed on the fingers of both hands of a 57-year-old woman. During...
12/20/2011
12/20/2011

Constantine Bouropoulos, MD,
IoannIs Tsironis, MD,
Chousam Dauacher, MD,
and Christos Tatsis, MD

Constantine Bouropoulos, MD,IoannIs Tsironis, MD, Chousam Dauacher, MD, and Christos Ta...
<p><span>A 38-year-old woman was hospitalized because of bilateral flank pain and gross hematuria. Her medical history included autosomal dominant (adult) polycystic kidney disease (ADPKD). Her...
12/20/2011
12/20/2011

GERMAINE l. DEFENDI, MD 
Olive View–University of California,
Los Angeles, Medical Center, Sylmar 

GERMAINE l. DEFENDI, MD Olive View–University of California,Los Angeles, Medical C...
<P><SPAN class=Apple-tab-span></SPAN>A 4-year-old boy with Down syndrome who underwent chest radiography while hospitalized for fevers, respiratory distress, and hypoxia was found...
12/20/2011
acanthosis nigricans
acanthosis nigricans
12/20/2011

James W. Click, MD
Barbara B. Wilson, MD
University of Virginia School of Medicine, C
harlottesville 

James W. Click, MDBarbara B. Wilson, MD University of Virginia School of Medicine, Char...
<p>For the past 7 years, an obese 22-year-old African American woman had had asymptomatic, velvety hyperpigmentation on both cheeks. Similar hyperpigmentation was present on the neck, in the...
12/20/2011
ear infection
ear infection
12/20/2011

MEG G. KEELEY, MD
University of Virginia 

Dr Keeley is associate professor of pediatrics at the University of Virginia School of Medicine in Charlottesville. Dr Keeley developed a simulation model to teach the pediatric ear examination and pneumatic otoscopy. The model is patented and has been commercially produced. Dr Keeley receives small royalties from its sale. 

 

MEG G. KEELEY, MD University of Virginia  Dr Keeley is associate professor of pe...
An accurate ear examination is dependent on the quality of the equipment, an adequately restrained patient, and the ability to visualize the tympanic membrane.
12/20/2011
ear infection
ear infection
12/20/2011

MEG G. KEELEY, MD
University of Virginia 

Dr Keeley is associate professor of pediatrics at the University of Virginia School of Medicine in Charlottesville. Dr Keeley developed a simulation model to teach the pediatric ear examination and pneumatic otoscopy. The model is patented and has been commercially produced. Dr Keeley receives small royalties from its sale. 

 

MEG G. KEELEY, MD University of Virginia  Dr Keeley is associate professor of pe...
An accurate ear examination is dependent on the quality of the equipment, an adequately restrained patient, and the ability to visualize the tympanic membrane.
12/20/2011
ear infection
ear infection
12/20/2011

MEG G. KEELEY, MD
University of Virginia 

Dr Keeley is associate professor of pediatrics at the University of Virginia School of Medicine in Charlottesville. Dr Keeley developed a simulation model to teach the pediatric ear examination and pneumatic otoscopy. The model is patented and has been commercially produced. Dr Keeley receives small royalties from its sale. 

 

MEG G. KEELEY, MD University of Virginia  Dr Keeley is associate professor of pe...
An accurate ear examination is dependent on the quality of the equipment, an adequately restrained patient, and the ability to visualize the tympanic membrane.
12/20/2011
12/20/2011

RICHARD COLGAN, MD
University of Maryland 

Dr Colgan is associate professor of family and community medicine at the University of Maryland School of Medicine in Baltimore. He was the School’s nominee to the Association of American Medical Colleges for its Humanism in Medicine Award, and the recipient of numerous faculty teaching awards, including the School’s Golden Apple Award for excellence in teaching. Dr Colgan is the author of Advice to the Young Physician: On the Art of Medicine, which is available on Amazon.com.

RICHARD COLGAN, MD University of Maryland Dr Colgan is associate professor of fami...
<div class="column"><p><span>Medical </span><span>education is critically important to the evolution of medicine as a whole. The physician’s education is ongoing...
12/20/2011
12/20/2011

THE EDITORS    

THE EDITORS    
In this, the last issue of our 51st year of publication, we want to extend our thanks to the following reviewers who appraised at least one manuscript for us in 2011.
12/20/2011
Basal cell carcinoma
Basal cell carcinoma
12/20/2011

DAVID L. KAPLAN, MD

Series Editor University of Missouri Kansas City, University of Kansas 

Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.


 

DAVID L. KAPLAN, MD Series Editor University of Missouri Kansas City, University of Ka...
A 5-year-old girl with atopic dermatitis is brought to your office with a 4-day history of what the mother describes as “itchy eczema” on her legs.
12/20/2011