Early View

Review
Cannabis plant
Review
Naltrexone as an Adjunctive Treatment for Adolescents With Deliberate Self-Harm Behavior and Cannabis Use: A Case Series
12/05/2022

Anne Wei, PA-S31 • Melva Navarro, PA-S31 • Violet Yeager, DO, MSPH2 • Bishoy Goubran, MD2 • Robert A. Moran, MD3

Anne Wei, PA-S31 • Melva Navarro, PA-S31 • Violet Yeager, DO, MSPH2 • Bishoy Goubran, M...
Nonsuicidal self-injury (NSSI) or deliberate self-harm is defined as the volitional, direct injury of the body tissue without suicidal intent. Substance abuse complicates the presentation because it masks...
12/05/2022
Case in Point
kidney
Case in Point
Systemic Lupus Erythematosus in a 24-Year-Old
12/01/2022

James Matera, MD

James Matera, MD
A 24-year-old woman presented to the emergency department (ED) with joint swelling, severe arthralgias, and myalgias. She works as a nurse in a busy ED. She was admitted to the hospital for further workup. ...
12/01/2022
What's Your Diagnosis?
An ovoid plaque with pustular exudate and golden-brown crust is seen on the patient’s vertex scalp.
What's Your Diagnosis?
Pustular Scab on an Elderly Woman's Head
11/23/2022

Michelle L. Gallagher, DO1 • Casey Schukow, BS2 • Meghan Grossmann, BS2

Michelle L. Gallagher, DO1 • Casey Schukow, BS2 • Meghan Grossmann, BS2
An older adult presented to our clinic with chronic sun damage. She had history of several actinic keratoses, one of which was removed by electrodessication and curettage. This resulted in a plaque with...
11/23/2022
photoclinic
angioedema
photoclinic
Alteplase-Induced Hemi-Orolingual Angioedema
11/11/2022

Robert Kim, MD1 • Zeeshan Khan, MD2 • Maria Ciminelli, MD3

Robert Kim, MD1 • Zeeshan Khan, MD2 • Maria Ciminelli, MD3
A 63-year-old White man with a medical history significant for Bell palsy, non-ST-elevation myocardial infarction, coronary artery disease, hypertension, hyperlipidemia, type 2 diabetes, and hepatitis C...
11/11/2022
Photoclinic
Glioblastoma
Photoclinic
Right Temporal Lobe Glioblastoma Presenting as Distortions of Speech Processing
11/09/2022

C. Clare Charbonnet, MD1 • Charles L. Emerman, MD2 • Agnieszka A. Ardelt, MD, PhD, MBA3 • David Effron, MD4

C. Clare Charbonnet, MD1 • Charles L. Emerman, MD2 • Agnieszka A. Ardelt, MD, PhD, MBA3...
A 66-year-old, right-handed man presented to the emergency department (ED) reporting the perception of hearing speech “in fast forward.” The perception was intermittent; episodes lasted for a few minutes...
11/09/2022
What's your diagnosis?
Photo shows the patient demonstrating right wrist weakness when asked to extend both hands.
What's your diagnosis?
Weakness in the Upper Extremity After a Fall
11/02/2022

Michael Grover, DO1 • Sethu Sandeep Koneru, MBBS2

Michael Grover, DO1 • Sethu Sandeep Koneru, MBBS2
A 58-year-old woman with debility from end-stage liver disease visited the clinic reporting weakness of her right upper extremity for the past day.
11/02/2022
Photoclinic
Photo of the patient's protruded tongue with posteriorly located tongue mass
Photoclinic
Lingual Osseous Choristoma in a 7-Year-Old
11/01/2022

R. Kenneth Sims, IV1 • Richard Byrd, MD2,3

R. Kenneth Sims, IV1 • Richard Byrd, MD2,3
A 7-year-old girl presented at her pediatrician’s office and was found to have a non-obstructed nose with pink turbinate, 2 noninflamed palatine tonsils, and an approximately 8 mm posterior midline...
11/01/2022
What’s Your Diagnosis?
Bilateral Nodules of the Hands and Feet
What’s Your Diagnosis?
Bilateral Nodules of the Hands and Feet
10/18/2022

Lidiya Didenko1 • Maaria Chaudhry2 • Kirill Alekseyev, MD, MBA3 • Mohammad Umar Farooq, MD4 • Bilal Chaudhry, MD5

Lidiya Didenko1 • Maaria Chaudhry2 • Kirill Alekseyev, MD, MBA3 • Mohammad Umar Farooq,...
A 49-year-old man presented for evaluation of a 10-year history of progressive pain in his joints. The joint pain is localized predominantly in his hands and feet.
10/18/2022
Photoclinic
CT of the abdomen and pelvis
Photoclinic
A Rare Case of Staphylococcus Aureus Causing Emphysematous Cystitis
10/17/2022

Stephanie Brode, DO

Stephanie Brode, DO
A 61-year-old woman with a medical history of type 1 diabetes on insulin pump, coronary artery disease (CAD) status post–coronary artery bypass graft (CABG), gastroesophageal reflux disease, Hashimoto...
10/17/2022
Photoclinic
Clinical presentation of a lingual congenital melanocytic macule.
Photoclinic
Oral Congenital Melanocytic Nevi: A Rare Finding
10/05/2022

Jesse D. Bracamonte, DO1 • Michael Underhill, DO1 • Denise Schweda, MD2

Jesse D. Bracamonte, DO1 • Michael Underhill, DO1 • Denise Schweda, MD2
A 44-year-old, non-smoking man presented to his primary care physician for an annual exam and reported having a deeply pigmented tongue lesion that has been visible since childhood.
10/05/2022