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Volume 55 - Issue 12 - December 2015

Consultant

Photoclinic
Photoclinic
Ovarian Malignancy With a Deceptively Elevated Serum-Ascites Albumin Gradient
05/20/2016

Gerard Chaaya, MD, Mahmoud Farhoud, MD, Esteban Janolo Jr., MD, and Sayed K. Ali, MD

Gerard Chaaya, MD, Mahmoud Farhoud, MD, Esteban Janolo Jr., MD, and Sayed K. Ali, MD ...
A 58-year-old woman with a past medical history of type 2 diabetes mellitus and hypothyroidism was admitted to a hospital for chronic, worsening abdominal pain.
05/20/2016
How Would You Treat These Progressive Worsening Unhealed Skin Lesions?
02/24/2016

Tin Kyaw, MD

Tin Kyaw, MD
A 90-year-old man came to emergency department (ED) with a few days history of redness and swelling at back of the left leg.
02/24/2016
How would you diagnose this itchy rash?
12/31/2015

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
A 35-year-old man presented for evaluation of a slowly worsening itchy rash on both feet and ankles over 2 weeks this past summer. He denies any new exposure history and is otherwise healthy.
12/31/2015
Why is this patient’s vulvar skin tender?
12/21/2015

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
A 57-year-old woman presents with a few month history of tender vulvar skin interfering with intercourse or sitting for extended periods.
12/21/2015
What is responsible for these asymptomatic, flat bumps?
12/21/2015

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
A 55-year-old man presents with a 4-week history of asymptomatic flat bumps on the head of his penis only.
12/21/2015
How would you diagnose this itchy rash?
12/21/2015

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
A 35-year-old man presented for evaluation of a slowly worsening itchy rash on both feet and ankles over 2 weeks this past summer. He denies any new exposure history and is otherwise healthy.
12/21/2015
Lupus
Lupus
Hydralazine-Induced Lupus: Are We Vigilant?
12/21/2015

Timothy H. Self, PharmD, and Ryan E. Owens, PharmD, BCPS

Timothy H. Self, PharmD, and Ryan E. Owens, PharmD, BCPS
Hydralazine was introduced as an antihypertensive agent in the early 1950s and was quickly found to induce systemic lupus erythematosus (SLE).
12/21/2015
How Would You Diagnose This Woman’s Growing Asymptomatic Nodule?
12/21/2015

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

Alexander K.C. Leung, MD, and Benjamin Barankin, MD
A 52-year-old white woman presented with an asymptomatic solitary nodule on the right breast.
12/21/2015
A Collection of Cysts
12/15/2015
A 6-year-old boy had redness and pain of skin on his left upper abdomen for the past 3 days. Physical examination revealed a large cluster of vesicles with underlying erythema and mild warmth.
12/15/2015
Corticosteroid
Corticosteroid
Corticosteroids in the Setting of Community-Acquired Pneumonia
12/15/2015

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
Systemic corticosteroids are commonly prescribed to treat acute exacerbations of respiratory diseases, such as asthma and chronic obstructive pulmonary disease.
12/15/2015
Apical Hypertrophic Cardiomyopathy
12/15/2015

Courtney R. Usry, DO, and Sean P. Javaheri, DO

Courtney R. Usry, DO, and Sean P. Javaheri, DO
A 51-year-old man with a past medical history significant for hypertension and hyperlipidemia was admitted for evaluation of chest pain.
12/15/2015
End-of-Life Planning in Primary Care Practice
12/15/2015

Norman Weinberg, MD, is a primary care internist and researcher focusing on the root causes of physician errors and system issues that affect the quality of health care.

William B Stason, MD, MSci, is an internist, cardiologist, and health policy researcher who has focused his research at the Harvard School of Public Health and Brandeis University on the cost-effectiveness and quality of health care.

Norman Weinberg, MD, is a primary care internist and researcher focusing on the root ca...
Increased attention to establishing advance directives and using them to guide clinical decisions near the patient’s end of life holds promise to improve his or her quality of life and to reduce health care...
12/15/2015
A Primary Care Clinical Diagnosis: Bell Palsy
12/15/2015

Gregory W. Rutecki, MD 

Gregory W. Rutecki, MD 
In this era of unprecedented technological innovations, it is rare to still be able to diagnose certain diseases solely on patient history and physical examination. One such disease that primary care...
12/15/2015
Ebola Virus Disease: An Update on Diagnosis, Treatment, and Prevention
12/15/2015

Nipa R. Shah, MD, is chair of and assistant professor in the Department of Community Health and Family Medicine at the University of Florida College of Medicine in Jacksonville, Florida.

Swati Sharma, MD, is an assistant professor in the Department of Community Health and Family Medicine at the University of Florida College of Medicine in Jacksonville, Florida.

Lynn Waters, DO, is an assistant professor in the Department of Community Health and Family Medicine at the University of Florida College of Medicine in Jacksonville, Florida. 

Carlos Arango, MD, is an assistant professor in the Department of Community Health and Family Medicine at the University of Florida College of Medicine in Jacksonville, Florida.

Christopher Scuderi, DO, is an assistant professor in the Department of Community Health and Family Medicine at the University of Florida College of Medicine in Jacksonville, Florida.

Nipa R. Shah, MD, is chair of and assistant professor in the Department of Community He...
Ebola virus was first identified in 1976 when an outbreak of Ebola hemorrhagic fever occurred in Zaire (now the Democratic Republic of the Congo).
12/15/2015
Innovations in Incontinence: Diagnosis and Treatment of Overactive Bladder
12/15/2015

Katelyn R. Smithling, MD, is a fellow in female pelvic medicine and reconstructive surgery and a board-certified obstetrician-gynecologist at MedStar Washington Hospital Center in Washington, DC.

Cheryl B. Iglesia, MD, is board-certified in obstetrics and gynecology and female pelvic medicine and reconstructive surgery. She is a professor in the departments of obstetrics and gynecology and urology at the Georgetown University School of Medicine and is director of the Section of Female Pelvic Medicine and Reconstructive Surgery at MedStar Washington Hospital Center in Washington, DC.

Katelyn R. Smithling, MD, is a fellow in female pelvic medicine and reconstructive surg...
This article reviews the diagnosis of OAB and urge urinary incontinence and discusses the many available treatments.
12/15/2015
Heal Thyself
12/14/2015

Richard Colgan, MD

Richard Colgan, MD
Many physicians I know seem to wear their lack of routine health care as a badge of honor. It is quite the contrary.
12/14/2015
Editor’s Note - December 2015
12/14/2015
Our weekly pearls are only available at Consultant360.com. And while you are there, sign up for our daily e-newsletters and have breaking news, including our weekly pearls, delivered directly to your...
12/14/2015
Atypical Presentation of Acute Myocardial Infarction
06/20/2015

Tokunbo Ajayi, MD, Almaddah Nureddin, MD, Jasleen Minhas, MD, and David Roberts, MD

Tokunbo Ajayi, MD, Almaddah Nureddin, MD, Jasleen Minhas, MD, and David Roberts, MD ...
A 58-year-old man presented with a sudden onset of dyspnea at rest. He had become nonverbal and had been intubated in the field due to hypoxia, with an oxygen saturation of 58% on room air.
06/20/2015
Umbilical Granuloma
06/20/2015

L. Michelle Seawright, DO, Clifford Madsen, DO, and B. Chance Gentry, MD

L. Michelle Seawright, DO, Clifford Madsen, DO, and B. Chance Gentry, MD
A mother brought her 6-week-old daughter to the office for a well-baby examination. The girl had been born by spontaneous vaginal delivery at term.
06/20/2015