Volume 52 - Issue 7 - July 2012

Consultant

01/05/2015

David Effron, MD
Case Western Reserve University

Dr Effron is assistant professor of emergency medicine at Case Western Reserve University, attending physician in the department of emergency medicine at the MetroHealth Medical Center, and consultant emergency physician at the Cleveland Clinic Foundation, all in Cleveland.

David Effron, MD Case Western Reserve UniversityDr Effron is assistant professor of eme...
A 24-year-old woman presents to your office complaining of “pus” on her right tonsil. She noticed this while brushing her teeth 2 days earlier.
01/05/2015
urticarial reaction
urticarial reaction
07/09/2012

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kansas

DAVID L. KAPLAN, MD—Series Editor: 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 Kan...
<p class="p1"><img src="/sites/default/files/images/1207Con_DC_C4.jpg" alt="urticarial reaction" title="urticarial reaction" width="90"...
07/09/2012
Neurofibromatosis
Neurofibromatosis
07/09/2012

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kansas

DAVID L. KAPLAN, MD—Series Editor: 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 Kan...
<p class="p1"><img src="/sites/default/files/images/1207Con_DC_C3Ans.jpg" alt="Neurofibromatosis" title="Neurofibromatosis" width="90"...
07/09/2012
07/09/2012

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kansas

DAVID L. KAPLAN, MD—Series Editor: 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 Kan...
<p class="p1"><img src="/sites/default/files/images/1207Con_DC_C2.jpg" alt="Melanoma" title="Melanoma" width="90" height="90"...
07/09/2012
Dermclinic
Dermclinic
07/09/2012

DAVID L. KAPLAN, MD—Series Editor
University of Missouri Kansas City, University of Kansas

DAVID L. KAPLAN, MD—Series Editor: 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 Kan...
Increased pigmentation on her lower back is noted by a 38-year-old woman who has used a heating pad for several months for low back pain. What condition are you looking at here?
07/09/2012
Photoclinic
Photoclinic
07/09/2012

NOAH GRAMS, MD
and P. PATRICK MULARONI, MD
All Children’s Hospital, St Petersburg, Fla

NOAH GRAMS, MD and P. PATRICK MULARONI, MD All Children’s Hospital, St Petersburg, Fla...
One hour after sustaining a puncture wound to the left ankle, a 2-year-old boy was brought the emergency department. The father, a commercial fisherman, was attempting to free a catfish from a crab trap...
07/09/2012
colloid milium
colloid milium
07/09/2012

BRITTANY L. HU
and BARBARA B. WILSON, MD
University of Virginia School of Medicine, Charlottesville

BRITTANY L. HU and BARBARA B. WILSON, MD University of Virginia School of Medicine, Ch...
<p><img src="/sites/default/files/images/1207Con_PCColloidMilium.jpg" width="90" height="90" style="float: left; margin: 5px;">For 6 years, slightly...
07/09/2012
omental cake
omental cake
07/09/2012

VIRENDRA PARIKH, MD
Fort Wayne, Indiana

VIRENDRA PARIKH, MD Fort Wayne, Indiana
<p class="p1"><img src="/sites/default/files/images/1207Con_PCOmentalCake.jpg" width="90" height="90" style="float: left; margin:...
07/09/2012
bronchocele
bronchocele
07/09/2012

CHERYL BUTTRAM, MD,
KERISEA McPHERSON, MD,
and L. JAMES COCHRANE, MD
Greenville Hospital System,
Greenville, South Carolina

CHERYL BUTTRAM, MD, KERISEA McPHERSON, MD, and L. JAMES COCHRANE, MD Greenville Hospi...
<p class="p1"><img src="/sites/default/files/images/1207Con_PCBronchocele_0.jpg" width="90" height="90" style="float: left; margin:...
07/09/2012
Vasculopathy
Vasculopathy
07/09/2012

FRANCISCO SANCHEZ, MD, LT USN (Ret), MARIELA CANO, MD, and ELIZABETH FELDMAN, MD
University of Illinois–Chicago/Advocate Illinois Masonic Family Practice Residency Program

FRANCISCO SANCHEZ, MD, LT USN (Ret), MARIELA CANO, MD, and ELIZABETH FELDMAN, MD Univer...
<p><img alt="" height="90" src="/sites/default/files/images/1207Con_CPSanchez_Fg2.jpg" style="float:left" width="90" />A 16-year-old...
07/09/2012
food poison
food poison
07/09/2012
Although widespread outbreaks of food poisoning attract public attention, the latest data from the CDC show that incidences of foodborne disease are decreasing.
07/09/2012
haemophilus endocarditis
haemophilus endocarditis
07/09/2012

ALEX IANONNE, DO, WILLIAM HICKS, MD,
CHRISTOPHER SWIFT, DO, CHRISTOPHER MALOZZI, DO,
and GREGORY W. RUTECKI, MD
University of South Alabama

Dr Ianonne, Dr Hicks, and Dr Swift are residents in internal medicine at the University of South Alabama Medical Center in Mobile, Alabama. Dr Malozzi is a cardiology fellow at the University of South Alabama Medical Center. 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.

ALEX IANONNE, DO, WILLIAM HICKS, MD, CHRISTOPHER SWIFT, DO, CHRISTOPHER MALOZZI, DO, an...
<p>For 5 days, a 30-year-old man has had fever, rigors, and diaphoresis. He admits to intravenous (IV) cocaine use.  His temperature is 38.6°C (101.4°F); pulse, 108 beats per minute...
07/09/2012
Skin
Skin
07/09/2012

THOMAS J. ZUBER, MD, MPH, MBA

Brody School of Medicine, East Carolina University

Dr Zuber is adjunct associate professor at Brody School of Medicine, East Carolina University, in Greenville, NC.

THOMAS J. ZUBER, MD, MPH, MBABrody School of Medicine, East Carolina UniversityDr Zuber...
<p class="p1"><span class="s1"><strong><strong><img src="/sites/default/files/images/Screen%20shot%202012-07-09%20at%209.52.05%20AM.png"...
07/09/2012
Enema
Enema
07/09/2012

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 profess...
<p><strong><em>How safe is the use of sodium phosphate enemas and laxatives in elderly persons?</em></strong></p> <p>In an age of polypharmacy, a variety of...
07/09/2012
Allergic Rhinitis
Allergic Rhinitis
07/09/2012

JONATHAN A. BERNSTEIN, MD 
University of Cincinnati

Dr Bernstein is professor of clinical medicine in the department of internal medicine, division of immunology/allergy, at the University of Cincinnati College
of Medicine.

JONATHAN A. BERNSTEIN, MD  University of Cincinnati Dr Bernstein is professor of ...
Avoidance of allergens and irritants known to cause or aggravate allergic rhinitis and asthma is a key component in the management of these disorders.
07/09/2012
07/06/2012
<p>This article features several cases of skin lesions caused by leisure activities, such as swimming, beach-going, and sports.  It features curaneous larva migrans, swimmer's itch,...
07/06/2012
Deep vein thrombosis
Deep vein thrombosis
07/06/2012

LAWRENCE I. KAPLAN, MD
and Ronald N. Rubin, MD—Series Editor
Temple University

Dr Kaplan is assistant dean for clinical education and professor of medicine at Temple University School of Medicine in Philadelphia.

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.

LAWRENCE I. KAPLAN, MD and Ronald N. Rubin, MD—Series Editor Temple University Dr Kapl...
<p>A 44-year-old woman is hospitalized for evaluation and management of an excessively elevated international normalized ratio (INR). She takes warfarin for a thromboembolic diathesis of 10 years’...
07/06/2012
07/06/2012

SARA CHOWDHURY, MD and KIM A. CARMICHAEL, MD—Series Editor
Washington University

SARA CHOWDHURY, MD and KIM A. CARMICHAEL, MD—Series Editor Washington University
<p>When insulin secretion by the pancreatic ß-cell is not sufficient to maintain normal blood glucose levels, diabetes develops. Although the exact cause of defective insulin secretion is not...
07/06/2012
Allergic Rhinitis
Allergic Rhinitis
07/06/2012

JONATHAN A. BERNSTEIN, MD University of Cincinnati

Dr Bernstein is professor of clinical medicine in the department of internal medicine, division of immunology/allergy, at the University of Cincinnati College
of Medicine.

JONATHAN A. BERNSTEIN, MD University of Cincinnati Dr Bernstein is professor of c...
Environmental exposures both cause and exacerbate allergic rhinitis and asthma.
07/06/2012
07/06/2012

ROSALIND KAPLAN, MD—Series Editor Temple University

Rosalind kaplan, MD—Series Editor: Dr Kaplan is clinical associate professor of medicine at Temple University School of Medicine, where she teaches narrative medicine. She is the author of The Patient in the White Coat: My Odyssey From Health to Illness and Back.

 

ROSALIND KAPLAN, MD—Series Editor Temple University Rosalind kaplan, MD—Series Editor:...
<p>All doctors are writers. We write about providing medical care and about our patients over and over, every day, in the form of history and physicals, progress notes, and consultant’s letters. These...
07/06/2012
07/06/2012
<p><img alt="" height="90" src="/sites/default/files/images/Screen%20shot%202012-07-06%20at%2011.02.40%20AM.png" style="float:left" width="90"...
07/06/2012