Volume 52 - Issue 9 - September 2012

Consultant

Photoclinic
Photoclinic
05/29/2019

REBECCA GALANTE, MD
Munster, Indiana

REBECCA GALANTE, MD Munster, Indiana
The appearance of a rash on his hands and feet prompted this man to seek medical evaluation. For the past year, he had been in a monogamous relationship with a male sex partner.
05/29/2019
Factitious dermatitis
Factitious dermatitis
09/13/2012

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...
A 16-year-old boy presents with a 1-month history of an asymptomatic rash on his sacral area. There are no other rashes on his body.
09/13/2012
Purpura
Purpura
09/13/2012

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/1209Con_DC_C3.jpg" alt="Bateman, actinic, purpura" title="Bateman, actinic, purpura" width="90"...
09/13/2012
Tinea Manuum
Tinea Manuum
09/13/2012

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...
A 56-year-old man has had eczema only on his dominant, right hand for 30 years. He had tried topical corticosteroids, but they failed to clear the condition.
09/13/2012
Dermatitis
Dermatitis
09/13/2012

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"><span class="s1"><img src="/sites/default/files/images/1209Con_DC_C1.jpg" alt="Stasis dermatitis" title="Stasis dermatitis"...
09/13/2012
09/13/2012

ROBERT P. BLEREAU, MD
Morgan City, Louisiana

ROBERT P. BLEREAU, MD Morgan City, Louisiana
<p class="p1"><img src="/sites/default/files/images/1209Con_PCGeoTong.jpg" width="90" height="90" style="float: left; margin: 5px;">The smooth...
09/13/2012
von hippel-lindau syndrome
von hippel-lindau syndrome
09/13/2012

JOSEPH F. DeMARIO, DO
Enola, Pennsylvania

JOSEPH F. DeMARIO, DO Enola, Pennsylvania
<p class="p1"><img src="/sites/default/files/images/1209Con_PCVHLSynd.jpg" alt="Von Hippel-Lindau Syndrome " title="Von Hippel-Lindau Syndrome "...
09/13/2012
09/13/2012

CASANDRA CASHMAN, MD,
DANA BARNES, MD,
and CARRIE VEY, MD
Halifax Health Center, Daytona Beach, Fla

CASANDRA CASHMAN, MD, DANA BARNES, MD, and CARRIE VEY, MD Halifax Health Center, Dayt...
<p><img src="/sites/default/files/images/1209Con_PCGlomus_A.jpg" alt="Glomus Tumor" title="Glomus Tumor" width="90" height="90" style="float:...
09/13/2012
Chest pain
Chest pain
09/13/2012

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...
Primary care patients with chest pain comprise a sizeable cohort. Not only do some have a potentially fatal disease (an acute coronary syndrome), but those who do not (most of them, or 85% to 90% of the...
09/13/2012
tonsillitis
tonsillitis
09/13/2012

MICHAEL A. THOMPSON, MD, PhD and STEFAN FADERL, MD
University of Texas, M. D. Anderson Cancer Center

At the time this case report was written, Dr Thompson and Dr Faderl were at the University of Texas, M. D. Anderson Cancer Center in Houston.

MICHAEL A. THOMPSON, MD, PhD and STEFAN FADERL, MD University of Texas, M. D. Anderson ...
<p>Many patients with hematologic malignancies are initially seen in the primary care setting. Here we demonstrate such a case in a young woman who presented with a sore throat. She was referred to a...
09/13/2012
sinus hypersensitivity
sinus hypersensitivity
09/13/2012

ARED SALVO, DO, MS, JANET K. HAN, MD,
and MALCOLM BERSOHN, MD, PhD
VA Greater Los Angeles Healthcare System/David Geffen School of Medicine at UCLA

At the time this was written, Dr Salvo was a third-year cardiology fellow, VA Greater Los Angeles Healthcare System/David Geffen School of Medicine at UCLA. Dr Han and Dr Bersohn are in the cardiology division of the VA Greater Los Angeles Healthcare System internal medicine department.

ARED SALVO, DO, MS, JANET K. HAN, MD, and MALCOLM BERSOHN, MD, PhD VA Greater Los Angel...
<p>An 85-year-old man presents to the emergency department (ED) with fatigue and dizziness of several weeks’ duration; these symptoms have worsened during the past 2 hours. He has not had any...
09/13/2012
hemorrhoids
hemorrhoids
09/13/2012

ALLEN P. KONG, MD
MICHAEL J. STAMOS, MD

University of California, Irvine

Dr Kong is assistant professor of surgery at the University of California, Irvine School of Medicine. Dr Stamos is professor of surgery and chair of the department of surgery at the same institution. 

ALLEN P. KONG, MD MICHAEL J. STAMOS, MD University of California, Irvine Dr Kong is a...
<p>Symptoms associated with anorectal abscesses include throbbing or aching pain, swelling, drainage or bleeding, constipation, urinary difficulty, and fever. Treatment is surgical drainage. About 50%...
09/13/2012
09/13/2012

TIMOTHY SELF, PharmD—Series Editor—JESSICA L. WALLACE, PharmD,
JUDITH E. SOBERMAN, MD, FACC, JIMMIE MANCELL, MD,
and MAEGAN L. ROGERS, PharmD, BCPS
University of Tennessee Health Science Center, Memphis

Dr Wallace is a PGY2 clinical pharmacy resident at the University of Tennessee Health Science Center and Methodist University Hospital. Dr Soberman is professor of medicine in the division of cardiovascular disease at the University of Tennessee Health Science Center. Dr Mancell practices internal medicine at Methodist Inpatient Physicians, in Memphis, is a hospitalist at Methodist University Hospital, and is assistant professor of medicine–general internal medicine at the University of Tennessee Health Science Center. Dr Rogers is a clinical specialist at Regional Medical Center at Memphis and is assistant professor of clinical pharmacy at University of Tennessee Health Science Center.

Timothy Self, PharmD—Series Editor:Dr Self is professor of clinical pharmacy at the University of Tennessee Health Science Center and Methodist University Hospital in Memphis.

 

TIMOTHY SELF, PharmD—Series Editor—JESSICA L. WALLACE, PharmD, JUDITH E. SOBERMAN, MD, ...
<p>The benefits of <em>cardioselective </em>beta-blocker therapy outweigh the associated risks in patients with nonsevere asthma after myocardial infarction (MI) or for...
09/13/2012
Scabies
Scabies
09/13/2012

KAM LUN HON, MD
The Chinese University of Hong Kong

ALEXANDER K. C. LEUNG, MD
University of Calgary

Dr Hon is professor of pediatrics at The Chinese University of Hong Kong. Dr Leung is clinical professor of pediatrics at the University of Calgary and pediatric consultant at The Alberta Children’s Hospital.

KAM LUN HON, MD The Chinese University of Hong Kong ALEXANDER K. C. LEUNG, MD Universi...
<p>Twin 16-month-old boys were referred by a pediatric endocrinologist to the pediatric dermatology clinic for assessment of generalized itchy lesions of 7 months’ duration. The lesions had been...
09/13/2012
09/13/2012

MOHAMMAD TALAL KHAN, MD and ELENA KRET-SUDJIAN, MD, PhD
University of California at Davis

At the time this was written, Dr Khan was a fourth-year medical student at the University of California, Davis, School of Medicine.
Dr Kret-Sudjian is associate clinical professor, medical director of clinical nutrition, department of internal medicine, section of hospital medicine, UC Davis.

MOHAMMAD TALAL KHAN, MD and ELENA KRET-SUDJIAN, MD, PhD University of California at Dav...
<p>A 46-year-old man with a history of asthma and hyperlipidemia presents with migrating polyarthralgia, swelling of the extremities, and a worsening purpuric, raised rash of 1 week’s...
09/13/2012
Urinary Incontinence
Urinary Incontinence
09/13/2012

DARRYL S. CHUTKA, MD
Mayo Clinic College of Medicine

Dr Chutka is associate professor of medicine at the Mayo Clinic College of Medicine in Rochester, Minn, and consultant in the division of preventive and occupational medicine at the Mayo Clinic.

 

DARRYL S. CHUTKA, MD Mayo Clinic College of Medicine Dr Chutka is associate professor ...
<p>A thorough history is generally sufficient to determine whether a patient has urge, stress, mixed, overflow, or functional incontinence. Most causes of urge incontinence are idiopathic; however,...
09/13/2012
malignancy
malignancy
09/11/2012
<p><u>Images of Malignancy</u></p> <p>-Chondrosarcoma <br /> -Renal cell carcinoma metastases to the lung <br /> -T-cell acute lymphoblastic...
09/11/2012
falls
falls
09/11/2012
Elderly Patients, fallsYour 75-year-old patient recently fell on the stairs in her home and sustained multiple contusions but no fractures. She had been living independently and was active in the community;...
09/11/2012
melena
melena
09/11/2012

Ronald N. Rubin, MD—Series Editor
Temple University

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 Temple University RONALD N. RUBIN, MD—Series Editor:...
<p>A 67-year-old man is admitted to the hospital after he experienced 4 or 5 episodes of melena in the past 24 hours. He has had no emesis, but complains of moderate epigastric pain.</p>
09/11/2012
peripheral arterial disease
peripheral arterial disease
09/11/2012

MARK WILEY, MD
AMIT KUMAR, MD
JAMES L. VACEK, MD, MSc

University of Kansas Medical Center and Hospital

Dr Wiley is assistant professor of cardiology in the division of cardiovascular disease at the University of Kansas School of Medicine in Kansas City. At the time this article was written, Dr Kumar was a fellow at the University of Kansas Medical Center in Kansas City; he is now a cardiologist in private practice in Topeka. Dr Vacek is professor of cardiology in the division of cardiovascular disease at the University of Kansas School of Medicine.

MARK WILEY, MD AMIT KUMAR, MD JAMES L. VACEK, MD, MSc University of Kansas Medical Cen...
Peripheral arterial disease (arteriosclerosis obliterans) is occlusive atherosclerotic disease of the aorta and renal, mesenteric, and lower extremity arteries.
09/11/2012
prolactinomas
prolactinomas
09/11/2012

GREGORY W. RUTECKI, MD—Series Editor
University of South Alabama

GREGORY W. RUTECKI, MD—Series Editor University of South Alabama
<p>Amenorrhea, infertility, osteopenia, decreased libido, and impotence are common primary care complaints. Typical evaluations effectively address potential problems—estrogen excess or depression as...
09/11/2012
Wounds
Wounds
09/11/2012
<p>We enjoyed reading Dr Keith Harding’s article on the value of moist dressings for chronic wounds (CONSULTANT, March 2012, page 214), but we feel that some of his comments do not give the full...
09/11/2012
Primary Care
Primary Care
09/11/2012

RICHARD COLGAN, MD
University of Maryland

Dr Colgan is associate professor and vice chair of medical student education and clinical operations in the department of family and community medicine at the University of Maryland School of Medicine in Baltimore, Maryland. He is the author of Advice to the Young Physician: On the Art of Medicine by Springer. For more information, go to www.advicetotheyoungphysician.com.

RICHARD COLGAN, MD University of Maryland Dr Colgan is associate professor and vice ch...
We must look at many historical figures & in order to better understand what & it means to be a healer and how to best practice the art of caring. Sir William Osler recommended that we “must come to the...
09/11/2012