Volume 53 - Issue 3 - March 2013

Consultant

fever
fever
05/22/2016

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:...
A 64-year-old man presents with a severe febrile syndrome of several days’ duration. The syndrome includes fatigue and severe myalgias and arthralgias. There is no cough, sputum production, rhinorrhea, or...
05/22/2016
Nevus
Nevus
03/22/2013

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 Ka...
A 44-year-old man presents for evaluation of a changing pigmented lesion on his trunk.
03/22/2013
Port-Wine Stain
Port-Wine Stain
03/22/2013

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

DAVID L. KAPLAN, MD—Series Editor University of Missouri Kansas City, University of Kan...
<p class="p1"><img src="/sites/default/files/Screen%20Shot%202013-03-22%20at%2011.14.14%20AM.png" alt="port wine stain" title="port wine stain"...
03/22/2013
Photoclinic
Photoclinic
03/22/2013

GENTIANA BAKAJ, MD
East Carolina University/Pitt County Memorial Hospital, Greenville, NC

MAHFUZUL HAQUE, MD, FRACP
Duke University

GENTIANA BAKAJ, MD East Carolina University/Pitt County Memorial Hospital, Greenville, ...
An 82-year-old African American woman presented to the emergency department with abdominal pain of 5 days’ duration; the pain was aggravated by movement and relieved somewhat by sitting down.
03/22/2013
Photoclinic
Photoclinic
03/22/2013
In January, a 14-year-old girl presented with purple coloration of the distal toes. During the week and a half before presentation, she had redness and swelling just proximal to the toenails.
03/22/2013
Oral Lesion
Oral Lesion
03/22/2013

SONIA ARUNABH TALWAR, MD
North Shore University Hospital, Plainview, NY

SONIA ARUNABH TALWAR, MD North Shore University Hospital, Plainview, NY
Woman with history of diabetes, hypertension, multiple myeloma, and renal failure was hospitalized due to renal insufficiency; oral examination showed macroglossia.
03/22/2013
Dermatophyte
Dermatophyte
03/22/2013

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

Joe R. Monroe is a physician assistant who practices dermatology at the Warren Clinic in Tulsa, Oklahoma. He is also the founder and former president of the Society of Dermatology Physician Assistants, and he teaches and writes extensively about dermatological topics.

 

JOE R. MONROE, PA-C, MPAS Warren Clinic, Tulsa, Oklahoma Joe R. Monroe is a physician ...
<p>For several years, a 72-year-old man has had a slightly itchy rash on his face. The rash waxes and wanes but never quite resolves despite the use of over-the-counter hydrocortisone, triple...
03/22/2013
hyperpigmentation
hyperpigmentation
03/21/2013

ROBERT P. BLEREAU, MD
Morgan City, La

Dr Blereau is a family physician in Morgan City, La.

 

ROBERT P. BLEREAU, MD Morgan City, La Dr Blereau is a family physician in Morgan City,...
<p>Gingival hyperpigmentation was noted in a 27-year-old African American man during a routine physical examination (<strong>A</strong>). It had been present since birth, and the patient...
03/21/2013
vaccination
vaccination
03/21/2013
<p>What do you say to parents who express concern about the number of vaccinations their child receives at each visit and request flexibility, such as delaying one or more immunizations? A new report...
03/21/2013
drug reaction
drug reaction
03/21/2013

JIMMY Y. SAADE, MD, FACEP
Cleveland Clinic

SHARON E. MACE, MD, FACEP, FAAP
Case Western Reserve University

Dr Saade is a consultant emergency physician at the Cleveland Clinic. He is also a member of the diagnostic radiology regional staff and a musculoskeletal radiology fellow at the Cleveland Clinic. Dr Mace is professor in the department of emergency medicine at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and faculty at MetroHealth Medical Center in Cleveland. She is also director of Pediatric Education/Quality Improvement, director of the Observation Unit, and director of research at the Cleveland Clinic.


Case in Point
An Intriguing Diagnosis

JIMMY Y. SAADE, MD, FACEP Cleveland Clinic SHARON E. MACE, MD, FACEP, FAAP Case Wester...
A 56-year-old man presents with low back pain, fever, and chills; he has no history of trauma. He has type 2 diabetes mellitus and uses intravenous heroin. The only abnormalities noted on physical...
03/21/2013
Oral Lesions
Oral Lesions
03/21/2013

WILLIAM LAWSON, MD, DDS
Mount Sinai School of Medicine

WILLIAM LAWSON, MD, DDS Mount Sinai School of Medicine
<p><img alt="erthema multiforme" height="115" src="/sites/default/files/Screen%20Shot%202013-03-21%20at%202.26.14%20PM.png" style="float:left"...
03/21/2013
What's Your Diagnosis?
What's Your Diagnosis?
03/21/2013

ALEXANDER K. C. LEUNG, MD
University of Calgary

BENJAMIN BARANKIN, MD
Toronto Dermatology Centre


ALEXANDER K. C. LEUNG, MD University of Calgary BENJAMIN BARANKIN, MD Toronto Dermatol...
Impetigo is a superficial, highly contagious bacterial infection characterized by a localized inflamed and infected epidermis.
03/21/2013
kawasaki
kawasaki
03/21/2013

ALAN P. BROUSSARD, MD
Louisiana State University 

ALBERT LUM, MD, and ESLYNN LUM, MD
Butler Health System

Case In Point
An Intriguing Diagnosis 

ALAN P. BROUSSARD, MD Louisiana State University  ALBERT LUM, MD, and ESLYNN LUM,...
<p><img alt="kawasaki, lips" height="120" src="/sites/default/files/Screen%20Shot%202013-03-21%20at%2011.38.46%20AM.png" style="float:left"...
03/21/2013
weight
weight
03/20/2013

WHITNEY WHITE, PharmD, BCPS, LINDSEY ELMORE, PharmD, BCPS,
DAVID R. LUTHIN, PhD, and MARSHALL E. CATES, PharmD, BCPP, FASHP
Samford University

Dr White is assistant professor of pharmacy practice at Samford University McWhorter School of Pharmacy in Birmingham, Ala.

Dr Elmore is director of the community pharmacy residency program and assistant professor of pharmacy practice at Samford University McWhorter School of Pharmacy.

Dr Luthin is associate professor of pharmaceutical sciences at Samford University McWhorter School of Pharmacy.

Dr Cates is professor of pharmacy practice at Samford University McWhorter School of Pharmacy.


WHITNEY WHITE, PharmD, BCPS, LINDSEY ELMORE, PharmD, BCPS, DAVID R. LUTHIN, PhD, and MA...
<p><strong><img alt="chart - incidence of weight gain" height="125" src="/sites/default/files/Screen%20Shot%202013-03-20%20at%202.50.00%20PM.png"...
03/20/2013
Microhematuria
Microhematuria
03/20/2013

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.

Top Papers Of The Month
Articles You Don't Want To Miss 

GREGORY W. RUTECKI, MD—Series Editor University of South Alabama Dr Rutecki is profess...
<p>Exactly what did we know about asymptomatic microscopic hematuria (AMH; 3 or more red blood cells per high-power field on at least 2 of 3 properly collected urine specimens) prior to this month’s...
03/20/2013
Cardiometabolic risk
Cardiometabolic risk
03/19/2013

DONALD A. SMITH, MD, MPH
Mount Sinai School of Medicine

DONALD A. SMITH, MD, MPH Mount Sinai School of Medicine
<p class="p3"><img src="/sites/default/files/Screen%20Shot%202013-03-19%20at%204.14.48%20PM.png" alt="chart - diabetic dyslipidemia" title="chart - diabetic...
03/19/2013
Primary Care
Primary Care
03/19/2013

NATHAN T. COHEN, MD
Children’s National Medical Center, Washington, DC

GREGORY F. HAYDEN, MD
University of Virginia


 

Guest Commentary 

NATHAN T. COHEN, MD Children’s National Medical Center, Washington, DC GREGORY F. HAYD...
<p>Numerous direct connections exist between wine and medicine. Many physicians enjoy drinking wine, for example, and grateful patients sometimes express their appreciation by giving their physicians...
03/19/2013
Cardiometabolic risk
Cardiometabolic risk
03/19/2013

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.



Editor's Commentary

GREGORY W. RUTECKI, MD University of South AlabamaDr Rutecki is professor of medicine a...
<p class="p1"><img src="/sites/default/files/1303Con_ECRutecki_SaltShaker.jpg" alt="salt" title="salt" style="float: left; margin-left: 5px;...
03/19/2013