Volume 54 - Issue 12 - December 2014

Consultant

rat bite
rat bite
12/20/2014

Paula A. Huth, MPH, Maryrose Laguio-Vila, MD, Brenden Bedard, MPH, Elizabeth Nazarian, MT, Ammar Alkassm, MD, Byron S. Kennedy, MD, PhD, MPH, Anita C. Weimer, RN, BSN, Jillian B. Karr, MPH, and Angela M. Maxted, DVM, PhD

Paula A. Huth, MPH, Maryrose Laguio-Vila, MD, Brenden Bedard, MPH, Elizabeth Nazarian, ...
A 74-year-old Caucasian male with severe Alzheimer’s disease presented to the emergency department with fever, lethargy, and a rash. Four days prior to presentation, he sustained an animal bite on his right...
12/20/2014
eruptive xanthomas
eruptive xanthomas
12/17/2014

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

JOE R. MONROE, MPAS, PA-C Tulsa, Oklahoma
A 38-year-old man who had a previous medical history that included epileptic seizure, bipolar disorder, sleep apnea, and hypertriglyceridemia presented to outpatient clinic as a new patient for a recent...
12/17/2014
sporotrichosis
sporotrichosis
12/17/2014

Alexander K. C. Leung, MD, and Benjamin Barankin, MD

Alexander K. C. Leung, MD, and Benjamin Barankin, MD
A 45-year-old farmer presented with multiple nodules over the right forearm. The lesion began as a single painless, erythematous papule 6 months ago.
12/17/2014
notalgia paresthetica
notalgia paresthetica
12/17/2014

Alexander K.C. Leung, MD, and Benjamin Barankin, MD

Alexander K.C. Leung, MD, and Benjamin Barankin, MD
A 50-year-old female presented with a 2-year history of pruritus on her right mid and upper back.
12/17/2014
morphea
morphea
12/17/2014

Nathan G. Miller, DO LT MC USN, GMO HQBN, 2D MARDIV, FMF Camp Lejeune, NC

Nathan G. Miller, DO LT MC USN, GMO HQBN, 2D MARDIV, FMF Camp Lejeune, NC
A 55-year Caucasian female has had a lesion on her back, under her bra line, for the past 3 years.
12/17/2014
lupus miliaris
lupus miliaris
12/16/2014

David L. Kaplan—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan—Series Editor University of Missouri Kansas City, University of Kansas ...
Lupus miliaris disseminatus faciei is an uncommon condition that commonly affects the eyelids and can spread onto the face.
12/16/2014
bullous impetigo
bullous impetigo
12/15/2014

David L. Kaplan—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan—Series Editor University of Missouri Kansas City, University of Kansas ...
A 10-year-old male presented for a rapidly spreading tender and itchy eruption on his face and trunk of 3 to 4 days duration. He is otherwise healthy.
12/15/2014
Primary Care
Primary Care
12/15/2014
This photo-based article collections several cases of uncommon conditions, such as purple urine bag syndrome, Waardenburg syndrome, and bilateral alien hand syndrome.
12/15/2014
Case in Point
Case in Point
12/15/2014

Naseem M. Sunnoqrot, MD, and Asha Thomas, MD

Naseem M. Sunnoqrot, MD, and Asha Thomas, MD
An 89-year-old man presented with progressive shortness of breath, weakness, decreased appetite, weight loss, and episodes of falling and intermittent lower extremity swelling.
12/15/2014
tachyarrhythmia
tachyarrhythmia
12/15/2014

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor
A 32-year-old man presents with an episode of rapid heartbeat and the sensation that his heart is “jumping around his chest.”
12/15/2014
Pituitary Apoplexy
Pituitary Apoplexy
12/12/2014

Emily Dodge, MD, and David Effron, MD—Series Editor

Emily Dodge, MD, and David Effron, MD—Series Editor
Pituitary adenomas are the most common cause of sellar masses and typically present in a variety of ways.
12/12/2014
Chronic Kidney Disease
Chronic Kidney Disease
12/12/2014

Timothy H. Self, PharmD, Jerry P. Gilless, MD, and Joanna Q. Hudson, PharmD, BCPS

Timothy H. Self, PharmD, Jerry P. Gilless, MD, and Joanna Q. Hudson, PharmD, BCPS ...
For the past 35 years, histamine2 blockers (H2 blockers) have continued to have widespread use within the United States. Soon after cimetidine was released, central nervous system (CNS) reactions were...
12/12/2014
Urinary Incontinence
Urinary Incontinence
12/12/2014

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
This month’s Top Paper emphasizes that these statistics are in fact an underestimate. One study found that half of incontinent women do not even tell their physicians about the problem.
12/12/2014
Anticoagulant
Anticoagulant
12/12/2014

Eric A. Dietrich, PharmD, BCPS

Eric A. Dietrich, PharmD, BCPS
Over the past couple of years 3 novel oral anticoagulants (NOACs) have been FDA approved: dabigatran (Pradaxa, Boehringer Ingelheim), rivaroxaban (Xarelto, Janssen), and apixaban. Originally approved for...
12/12/2014
electroconvulsive therapy
electroconvulsive therapy
12/12/2014

Hani Raoul Khouzam, MD, MPH, is a health sciences clinical professor of psychiatry at the University of California San Francisco (UCSF) Fresno Medical Education Program and a psychiatrist at the VACCHCS in Fresno, CA. He was a consultant psychiatrist at the Matariki Community Mental Health Centre in counties Manukau, New Zealand. 

Hani Raoul Khouzam, MD, MPH, is a health sciences clinical professor of psychiatry at t...
The second part of this series will discuss the various methods of ECT administration, adverse effects, and treatment options.
12/12/2014
Smoking cessation
Smoking cessation
12/12/2014

Danielle Peereboom, MPH, Sarah Evers-Casey, MPH, and Frank Leone, MD, MS,

Danielle Peereboom, MPH, Sarah Evers-Casey, MPH, and Frank Leone, MD, MS, ...
This article outlines effective tobacco treatment techniques, including motivational interviewing and pharmacotherapy.
12/12/2014
Palmar plantar pustulosis
Palmar plantar pustulosis
12/12/2014

David L. Kaplan—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan—Series Editor University of Missouri Kansas City, University of Kansas ...
A 55-year-old female presented with a persistent itchy rash on her hands and soles that had only a partial response to potent topical steroids.
12/12/2014
probiotics
probiotics
12/11/2014

Candace Sandal DNP, MBA, APRN, COHN

Candace Sandal DNP, MBA, APRN, COHN
This article reviews how probiotics function in the human gut, provides a synopsis on the current evidence-based research, and gives primary care practitioners an overview of appropriate recommendations for...
12/11/2014
ebola
ebola
12/11/2014

Asad Javed, MD

Asad Javed, MD
It is not surprising that despite all the advancement in our medical knowledge and diagnostic technology, the art of medicine remains unchanged.
12/11/2014
Primary Care
Primary Care
12/11/2014
As 2014 comes to a close, we’d like to take a few minutes to say a big thank you to you—our Consultant community. You are more than just our readers. You interact with us on a daily basis—whether it is...
12/11/2014