Volume 52 - Issue 3 - March 2012

Consultant

pityriasis rubra pilaris
pityriasis rubra pilaris
03/13/2012

JOE R. MONROE, MPAS, PA-C
Tulsa, Oklahoma

JOE R. MONROE, MPAS, PA-C Tulsa, Oklahoma
<p><img src="/sites/default/files/images/1203Con_PC_Pityriasis.jpg" alt="Pityriasis Rubra Pilaris " width="90" height="90" style="float: left; margin:...
03/13/2012
Photoclinic
Photoclinic
03/13/2012

KATHLEEN B. ELMER, MD, LtCol, USAF
Department of Dermatology, Langley AFB, Virginia

KATHLEEN B. ELMER, MD, LtCol, USAF Department of Dermatology, Langley AFB, Virginia ...
For 2 months, a pruritic rash had been present on the upper back of a 48-year-old woman with a 1-year history of chronic myelogenous leukemia and a 2-year history of hepatitis C.
03/13/2012
spontaneous pneumomediastinum
spontaneous pneumomediastinum
03/13/2012

LISA M. CLEWNER, MD
Dell Children’s Medical Center
of Central Texas, Austin

LISA M. CLEWNER, MD Dell Children’s Medical Center of Central Texas, Austin
<p><img src="/sites/default/files/images/1203Con_PCPneumo_A.jpg" alt="Spontaneous Pneumomediastinum" width="90" height="90" style="float: left; margin:...
03/13/2012
carbohydrate counting
carbohydrate counting
03/13/2012

BITHIKA THOMPSON, MD and KIM A. CARMICHAEL, MD—Series Editor
Washington University

Dr Thompson is a fellow in the division of endocrinology, diabetes, and lipid research, department of internal medicine, at Washington University School of Medicine in St Louis, Missouri. 

KIM A. CARMICHAEL, MD—Series Editor: Dr Carmichael is associate professor of medicine, department of internal medicine, division of endocrinology, diabetes, and lipid research at Washington University School of Medicine in St Louis, Missouri.

BITHIKA THOMPSON, MD and KIM A. CARMICHAEL, MD—Series Editor Washington UniversityDr Th...
<p><img src="/sites/default/files/images/1203Con_DQACarbs_Fg_thumb.jpg" width="90" height="90" style="float: left; margin: 5px;">Carbohydrate counting...
03/13/2012
Elderly Patients
Elderly Patients
03/13/2012

HANI RAOUL KHOUZAM, MD, MPH
University of California, San Francisco, Fresno Medical Education Program

Dr Khouzam is the medical director of the chemical dependency treatment program, Veterans Affairs Central California Health Care System, Fresno, Calif. He is also health sciences clinical professor of psychiatry, University of California, San Francisco, Medical School, Fresno Medical Education Program, Fresno, Calif; and is clinical instructor of medicine, Harvard Medical School, Boston.

HANI RAOUL KHOUZAM, MD, MPH University of California, San Francisco, Fresno Medical Edu...
ABSTRACT: Depression could affect people at any age; however, it may have a different presentation in the elderly. It can be easily overlooked, misdiagnosed, or considered a natural consequence of aging,...
03/13/2012
unicameral bone cyst
unicameral bone cyst
03/13/2012

NATHAN T. COHEN, BS, MARK J. ROMNESS, MD,
and GREGORY F. HAYDEN, MD
University of Virginia

Mr Cohen is a fourth-year medical student at the University of Virginia School of Medicine in Charlottesville, VA. Dr Romness is assistant professor, division of pediatric orthopaedic surgery, department of orthopaedic surgery, University of Virginia School of Medicine. Dr Hayden is professor and head, division of general pediatrics, department of pediatrics, University of Virginia School of Medicine.

 

NATHAN T. COHEN, BS, MARK J. ROMNESS, MD, and GREGORY F. HAYDEN, MD University of Virgi...
<p>A 9-year-old boy presents with a 10-day history of left leg pain and limp. The pain waxes and wanes, and it increases with ambulation. The limp worsens with activity. The boy plays soccer but has...
03/13/2012
food allergy
food allergy
03/13/2012
Patients often attribute an adverse reaction to food contaminants to “food allergy,” but a true food allergy is hypersensitivity triggered by the immune system.
03/13/2012
tremors
tremors
03/13/2012
<p>Although estimates of its prevalence vary widely, essential tremor is one of the most common neurologic disorders in adults.<sup>1,2</sup> It may be up to 20 times more...
03/13/2012
Nevus
Nevus
03/13/2012
Test your diagnostic acumen with 7 cases of nevi. Can you identify them all?
03/13/2012
hepatorenal syndrome
hepatorenal syndrome
03/12/2012

GREGORY W. RUTECKI, MD—Series Editor

University of South Alabama

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 University of South Alabama Dr Rutecki is profes...
<p>The combination of acute/subacute renal failure in the setting of cirrhosis can be caused by many factors, but one entity—hepatorenal syndrome (HRS)—is the most serious, with a prohibitive...
03/12/2012
Wounds
Wounds
03/12/2012
Chronic wounds are notorious for copious exudate production. Too much exudate can inhibit wound repair and cause periwound maceration because chronic wound fluid can break down extracellular matrix proteins...
03/12/2012
keratosis
keratosis
03/12/2012

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 UniversityDr Scheinfeld is assistant clinical profes...
<p class="p1"><span class="s1"><strong><img src="/sites/default/files/images/Screen%20shot%202012-03-12%20at%203.57.33%20PM_0_thumb.png"...
03/12/2012
Peer Reviewed
Peer Reviewed
03/12/2012

Ronald N. Rubin, MD—Series Editor
Temple University

Ronald N. Rubin, MD—Series Editor Temple University
<p>Hepatitis C virus (HCV) infection was recently diagnosed in an asymptomatic 53-year-old African American fireman. He had applied for a new life insurance policy prior to retirement some months...
03/12/2012
Granuloma Annulare
Granuloma Annulare
03/12/2012

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, Kansas.   

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kan...
<p class="p1"><img src="/sites/default/files/1203Con_DC_C4_0.jpg" alt="granuloma annulare" width="90" height="90" style="float: left; margin:...
03/12/2012
Basal cell carcinoma
Basal cell carcinoma
03/12/2012

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, Kansas.   

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kan...
<p class="p1">During a general skin examination, a lesion is noted on the chest of a 44-year-old man. The patient was completely unaware of this erythematous, scaly patch and is unable to...
03/12/2012
diabetic dermopathy
diabetic dermopathy
03/12/2012

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, Kansas.   

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kan...
<p><img src="/sites/default/files/1203Con_DC_C2.jpg" alt="diabetic dermopathy" style="float: left; margin: 5px;" height="90" width="90">A...
03/12/2012
candidiasis
candidiasis
03/12/2012

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, Kansas.   

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kan...
<p class="p2"><span class="s1"><strong><img src="/sites/default/files/images/1203Con_DC_C1.jpg" width="90" height="90"...
03/12/2012
nickel hypersensitivity
nickel hypersensitivity
03/12/2012

ELAINE T. KAYE, MD,
CAROLYN F. SAX, MD,
ELISABETH K. DIPIETRO, MD,
ALEX H. C. WONG, MD,
and ALEXANDER K. C. LEUNG, MD
Harvard Medical School and the University of Calgary

 

Dr Kaye is clinical assistant professor of dermatology, Dr Sax is clinical assistant professor of pediatrics, and Dr DiPietro is clinical instructor of pediatrics at Harvard Medical School in Boston. Dr Wong is clinical lecturer of family medicine and Dr Leung is clinical professor of pediatrics at the University of Calgary in Alberta.

 

ELAINE T. KAYE, MD, CAROLYN F. SAX, MD, ELISABETH K. DIPIETRO, MD, ALEX H. C. WONG, MD,...
<p>A 10-year-old boy was brought for evaluation of a spreading, intensely pruritic erythroderma of 6 days’ duration. The mother, a nurse, reported that the child had intermittent low-grade...
03/12/2012
sprue
sprue
03/12/2012

MEREDITH C. ROATH, MD
JACK A. DI PALMA, MD
University of South Alabama

 

Dr Roath is a fellow in gastroenterology and clinical instructor in medicine at the University of South Alabama College of Medicine in Mobile. Dr Di Palma is professor of medicine and director of the division of gastroenterology at the University of South Alabama College of Medicine.

MEREDITH C. ROATH, MD JACK A. DI PALMA, MD University of South Alabama   Dr Roat...
There is growing evidence that a significant number of patients with idiopathic pancreatitis, both acute and chronic, have an underlying genetic predisposition.
03/12/2012
Hearing impairment
Hearing impairment
03/12/2012

GREGORY W. RUTECKI, MD
University of South Alabama

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 University of South Alabama Dr Rutecki is professor of medicine...
<p>In this age of “technological gadgetry,” everything and everyone seems a pushbutton away. We are constantly reminded of the ubiquity of “real time,” when mundane occurrences in the work place are...
03/12/2012