High-grade fever, chills, fatigue, malaise, and anorexia developed in a 35-year-old man following subclavian catheterization because of chronic renal failure of unknown cause.
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 68-year-old male presented with a 10-year history of a lesion on his palm that had failed cryosurgery. There is no history of bleeding and only slightly tender when he bumps it.
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 62-year-old female presents for evaluation of 2 erythematous patches around 6 mm to 8 mm on the sun-exposed portions of each forearm that were asymptomatic and present for a few months.
Alberto Revelo, MD, Carlos Revelo-Saravia, MD, Noella Boma, MD, and Shobhana Chaudhari, MD New York Medical College-Metropolitan Hospital Center, New York, NY
Alberto Revelo, MD, Carlos Revelo-Saravia, MD, Noella Boma, MD, and Shobhana Chaud...
A 60-year-old African American male with coronary artery disease, peripheral vascular disease, heart failure, hypertension, diabetes mellitus, and a habit of smoking presented with a chief complaint of 2...
Brandon L. Hill, MD, LT, MC, USN, Kyle M. Harvey, MD, LT, MC, USN, and Marie Brock, DO, LT, MC, USN. Naval Hospital Jacksonville, Jacksonville, FL
Brandon L. Hill, MD, LT, MC, USN, Kyle M. Harvey, MD, LT, MC, USN, and Marie Brock, DO,...
A 63-year-old male with recurrent nephrolithiasis and multiple medical problems was admitted for worsening pharyngitis refractory to outpatient management with supportive therapy.
Alvin Wycoco, MD, Shebene Chacko, MD, Rafael Ilyayev, MD, and Rajat Mukherji, MD
Alvin Wycoco, MD, Shebene Chacko, MD, Rafael Ilyayev, MD, and Rajat Mukherji, MD ...
A 92-year-old female with a history of hypertension, diabetes mellitus, and breast cancer presented with a fever of 2 days duration and a cough productive of whitish sputum.
Shimool Rabbani, OMS III, BS, and Taral R. Sharma MD, MBA
Shimool Rabbani, OMS III, BS, and Taral R. Sharma MD, MBA
A 28-year-old Caucasian male with past medical history significant for intravenous (IV) substance abuse presented to the emergency room complaining of a productive cough, chest pain, fever, chills, sweats,...
Someone recently said to me, “Change is inevitable, except from vending machines.” Nowhere is that claim more accurate than when it comes to breast cancer management.
Physicians have a right and responsibility to discuss gun issues with their patients, according to a new policy paper from the American College of Physician (ACP).
Storytelling is a powerful tool that could (and should) be used more frequently in our armamentarium for pain control. Most of us have, at one time or the other, been completely absorbed while reading a...
By Eric A. Dietrich, PharmD, BCPS, and Louis Kuritzky, MD
By Eric A. Dietrich, PharmD, BCPS, and Louis Kuritzky, MD
Agatha presents to the clinic with signs and symptoms suggestive of a lower urinary tract infection; urinalysis shows numerous white blood cells and positive nitrite.
Alexander K.C. Leung, MD, and Benjamin Barankin, MD
Alexander K.C. Leung, MD, and Benjamin Barankin, MD
A 74-year-old man presents with a slow growing nodular lesion on his temple. The lesion had been there for perhaps 3 years and central ulceration developed 6 months ago.
To meet the demands of a growing pay-for-performance system, clinicians must assist patients to improve outcomes and participate in preventive activities, while decreasing costs and creating a...
Herpes zoster, also known as shingles, develops when the varicella zoster virus is reactivated in the dorsal ganglia and migrates to adjacent sensory dermatomes, causing a rash and pain.
This article will review the risk factors associated with OSA, introduce a good diagnostic tool for the disease, and the possible ensuing benefits of treating OSA in patients with concurrent metabolic...
