Volume 47 - Issue 4 - April 2007

Consultant

Allergic Disorders
Allergic Disorders
04/28/2011
Rana S. Bonds, MD; J. Andrew Grant, MD; William J. Calhoun, MD
Allergic disorders are becoming more common. For example, about 20% of Americans have allergic rhinitis, which accounts for more than 10 million office visits each year. Most of these visits are to primary...
04/28/2011
Drance Hemorrhage
Drance Hemorrhage
04/28/2011
Leonid Skorin, Jr., DO, MS, OD
<div id="article-content-body"><p>During an 83-year-old woman's annual eye examination, peripapillary retinal hemorrhages were detected immediately adjacent to the optic nerve...
04/28/2011
Punctate Keratoderma
Punctate Keratoderma
04/28/2011
Hazem Mohamed Yassin, MD; Rabab Mohamed Radwan, MD
<div id="article-content-body"> <p>Since his twenties, a 71-year-old man had had multiple tiny, pinhead, whitish yellow papules on his palms. They were asymptomatic but made his skin...
04/28/2011
Epulis of Pregnancy
Epulis of Pregnancy
04/28/2011
Robert P. Blereau, MD
<div id="article-content-body"><p>During week 28 of her pregnancy, a 28-year-old woman presented with a gingival hemangioma between the right upper central incisor and canine...
04/28/2011
severe constipation
severe constipation
04/28/2011
<div id="article-content-body"><p>For severe constipation in hospitalized patients who do not have bowel obstruction or stool impaction and who have not responded to routine oral...
04/28/2011
Chronic Wrist Pain
Chronic Wrist Pain
04/28/2011
Edward Shahady, MD
<p><img alt="Figure 3" height="150" src="/sites/default/files/old/img_4db971f04aa01.jpg" style="float:left" width="150" />A 38-year-old...
04/28/2011
Hypertension Treatment Studies
Hypertension Treatment Studies
04/28/2011
Gregory W. Rutecki, MD
<div id="article-content-body"> <p><img alt="Figure" height="150" src="/sites/default/files/old/img_4db971ee28af3.jpg" style="float:left"...
04/28/2011
Abdominal Masses
Abdominal Masses
04/28/2011
<div id="article-content-body"> <p>It can be difficult to tell whether a vaguely palpable abdominal mass is intra-abdominal, in the abdominal wall, or...
04/28/2011
Feature
Feature
04/28/2011
Tanya M. Nazemi, MD; Kathleen C. Kobashi, MD
Urge incontinence, also referred to as overactive bladder-wet, is the involuntary loss of urine accompanied by or immediately preceded by a sensation of urgency. It has a reported overall prevalence of...
04/28/2011
Analgesic Dosing
Analgesic Dosing
04/28/2011
<div id="article-content-body"><p>Here's a simple way to calculate the correct pediatric dosage of acetaminophen/codeine elixir.</p></div>
04/28/2011
Anticoagulation
Anticoagulation
04/28/2011
<div id="article-content-body"><p>My 45-year-old paraplegic patient had deep venous thrombosis (DVT) of the thigh 6 months ago and has been taking <span...
04/28/2011
Hypersensitivity Reactions to ARBs
Hypersensitivity Reactions to ARBs
04/28/2011
<div id="article-content-body"> <p>Angioedema developed in a white male patient who was taking an angiotensin-receptor blocker (ARB). How frequent is such a...
04/28/2011
Genital Lesions
Genital Lesions
04/28/2011
<div id="article-content-body"><p>It is sometimes difficult for women with genital warts to visualize their lesions.</p></div>
04/28/2011
ST-Segment Elevation Myocardial Infarction
ST-Segment Elevation Myocardial Infarction
04/28/2011
Peter N. Tadros, MD; Matthew Earnest, MD
<div id="article-content-body"> <p>The goal of treatment in acute coronary syndromes is the restoration and maintenance of myocardial perfusion. To this end, numerous pharmacological...
04/28/2011
Herpes zoster
Herpes zoster
04/28/2011
<div id="article-content-body"> <p>My patient recently had herpes zoster. Should she be given the zoster vaccine?</p> </div>
04/28/2011
Dentistry
Dentistry
04/28/2011
Gregory W. Rutecki, MD
<p>A recent study suggests a causal relationship between oral pathology—that is, gingivitis and periodontitis—and stroke.<sup>1</sup> Periodontitis is the leading cause of tooth loss in...
04/28/2011
Upper Extremity Swelling
Upper Extremity Swelling
04/28/2011
William Yaakob, MD; Stephen Schabel, MD
<p>A 57-year-old woman presents with swelling of the hands that began several weeks earlier and is now worsening. She denies joint pain, and she has no history of trauma or significant vascular...
04/28/2011
Inverted Diverticulum
Inverted Diverticulum
04/28/2011
Gregory Cetton, MD
<div id="article-content-body">Colonoscopy revealed diverticulosis in a 47-year-old man who had presented with rectal bleeding. A polypoid lesion was noted in the sigmoid colon</div> ...
04/28/2011
Seborrheic Keratosis
Seborrheic Keratosis
04/28/2011
David L. Kaplan, MD
<p class="MsoNormal">A 65-year-old woman seeks evaluation of a tender, pruritic patchy rash on the trunk and extremities, as well as tender lips. Her symptoms began after she started taking...
04/28/2011
Microhematuria
Microhematuria
04/28/2011
<div id="article-content-body"><p>If a small to moderate amount of isolated microscopic hematuria is detected on a routine urinalysis in a non-smoking patient younger than 40 or 50...
04/28/2011
Pseudomyxoma Peritonei
Pseudomyxoma Peritonei
04/28/2011
Michael Cascio Russell Gollard, MD
<div id="article-content-body"><p>A 67-year-old man presented with right lower quadrant pain of 3 days' duration. CT findings suggested acute appendicitis with ascites and omental...
04/28/2011
Oral Contraceptives
Oral Contraceptives
04/28/2011
David S. Reitman, MD
<div id="article-content-body"> <p>Oral contraceptive (OC) pills are frequently prescribed for a variety of clinical purposes. These medications--which contain varying amounts of...
04/28/2011
oral sores
oral sores
04/28/2011
Henry Schneiderman, MD; Ruth Goldblatt, DMD
<p><img alt="figure 1" class="imageBorderBlue" src="/sites/default/files/old/img_4db971ddcb8de.jpg" style="height:125px; margin-left:4px; margin-right:4px;...
04/28/2011