http://www.consultantlive.com Practical Guidance, Clinical Photo Archive and Headlines for Primary Care Clinicians - Consultant Live en Copyright 2009, CMPMedica US Thu, 17 May 2012 01:30:01 GMT Thu, 17 May 2012 01:30:01 GMT http://blogs.law.harvard.edu/tech/rss http://www.consultantlive.com/quiz/content/article/10162/2072654?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2064670&t=1335543510960" alt="" border="0" align="left" style="padding-right:5px;" /> A 58-year-old man presented for care when he noticed a flat, dark area on his left upper arm. The lesion was set against a background of fairly severe photodamage. Family history was positive for melanoma (mother and 1 of 4 sisters). <br style="clear:both;"/> Tue, 15 May 2012 12:00:00 GMT http://www.consultantlive.com/womens-health/content/article/10162/2072643?CID=rss <img height="68" width="100" src=" http://www.pediatricsconsultantlive.com/image/image_gallery?img_id=2072627&t=1337111964684”alt="" border="0" align="left" style="padding-right:5px;" />A 50-year-old woman presented with a 5-day history of dull, achy right upper quadrant abdominal pain; it was initially mild but constant and worsened when she ate. Current medications: NuvaRing, fluticasone inhaler, and albuterol inhaler. Tue, 15 May 2012 12:00:00 GMT http://www.consultantlive.com/dermclinic/content/article/10162/2072638?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2064670&t=1335543510960" alt="" border="0" align="left" style="padding-right:5px;" /> A 58-year-old man became concerned when he first noticed a flat, dark area on his left upper arm. The lesion was set against a background of fairly severe photodamage.<br style="clear:both;"/> Tue, 15 May 2012 12:00:00 GMT http://www.consultantlive.com/dermclinic/content/article/10162/2072633?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2069960&t=1337091460004" alt="" border="0" align="left" style="padding-right:5px;" />A 53-year-old man became concerned when ever-increasing numbers of painful oral lesions developed on the buccal mucosa and tongue. Eating a bland diet did not help.<br style="clear:both;"/> Tue, 15 May 2012 12:00:00 GMT http://www.consultantlive.com/pain/content/article/10162/2071990?CID=rss Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain. Mon, 14 May 2012 12:00:00 GMT http://www.consultantlive.com/cardiovascular-diseases/content/article/10162/2071425?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2071515&t=1336770771253" alt="" border="0" align="left" style="padding-right:5px;" /> A 76-year-old African American woman presented with complaints of left-sided chest heaviness, dyspnea, and fatigue. The symptoms started the previous day after she used a shovel to kill a snake found on her front porch, which required significant exertion. <br style="clear:both;"/> Fri, 11 May 2012 12:00:00 GMT http://www.consultantlive.com/dermclinic/content/article/10162/2071404?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2070000&t=1336767110975" alt="" border="0" align="left" style="padding-right:5px;" />An 80-year-old-woman was seen as an inpatient hospital consult. A persistent pruritic eruption had developed acutely on the legs.<br style="clear:both;"/> Fri, 11 May 2012 12:00:00 GMT http://www.consultantlive.com/photoclinic/content/article/10162/2070524?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2070716&t=1336668268727" alt="" border="0" align="left" style="padding-right:5px;" />A 58-year-old man with a past medical history of chronic sinus disease and hypothyroidism presented with left periorbital pain and erythema that worsened despite outpatient treatment with topical antibiotics. An outpatient CT scan showed pansinusitis and orbital stranding. The diagnosis was orbital cellulitis and sinusitis.<br style="clear:both;"/> Wed, 9 May 2012 12:00:00 GMT http://www.consultantlive.com/dermclinic/content/article/10162/2070145?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2069952&t=1336512308808" alt="" border="0" align="left" style="padding-right:5px;" />A 66-year-old woman presented with pruritic, burning skin “lesions” at the corner of her mouth. Recent complete blood count, biochemistry panel, urinalysis, chest film, and pap smear were negative or normal with the exception of an elevated fasting blood glucose (200 mg/dL).<br style="clear:both;"/> Tue, 8 May 2012 12:00:00 GMT http://www.consultantlive.com/gastrointestinal-disorders/content/article/10162/2069701?CID=rss An association between non-steroidal anti-inflammatory drugs and these two inflammatory bowel disorders has long been suspected but not, until now, documented. Mon, 7 May 2012 12:00:00 GMT http://www.consultantlive.com/cardiovascular-diseases/content/article/10162/2068737?CID=rss <img width="100" height="68" src="http://www.consultantlive.com/image/image_gallery?img_id=2068735&t=1336159857221" alt="" border="0" align="left" style="padding-right:5px;" />Findings of the TIPS-2 study, announced at the recent 2012 World Congress of Cardiology, put the promise of the polypill—a simplified, one-size-fits-all approach to prevention of cardiovascular morbidity—back on the table for international discussion. Here, Dr Christopher Cannon puts the TIPS-2 results in perspective. <br style="clear:both;"/> Fri, 4 May 2012 12:00:00 GMT http://www.consultantlive.com/display/article/10162/2068560?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2068462&t=1336140249064" alt="" border="0" align="left" style="padding-right:5px;" />A 16-year-old boy was complaining of pain in the maxillary left incisor/cuspid region. He had been experiencing discomfort for 1 year. He was otherwise healthy and a review of his other systems was unremarkable. <br style="clear:both;"/> Fri, 4 May 2012 12:00:00 GMT http://www.consultantlive.com/dermclinic/content/article/10162/2068630?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2064686&t=1335543510972" alt="" border="0" align="left" style="padding-right:5px;" /> A 67-year-old woman noted the appearance of several non-tender, rock-hard, purple-colored nodules on her legs. Her past medical history was significant for distant non-Hodgkin’s lymphoma.<br style="clear:both;"/> Fri, 4 May 2012 12:00:00 GMT http://www.consultantlive.com/display/article/10162/2068415?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2064658&t=1335543510504" alt="" border="0" align="left" style="padding-right:5px;" />A 40-year-old man sought advice regarding therapeutic options for an asymptomatic, “red spot” on the flank. Review of systems was entirely negative.<br style="clear:both;"/> Thu, 3 May 2012 12:00:00 GMT http://www.consultantlive.com/dermclinic/content/article/10162/2067736?CID=rss <img height="68" width="100" src="http://www.consultantlive.com/image/image_gallery?img_id=2064678&t=1335543510967" alt="" border="0" align="left" style="padding-right:5px;" /> A 56-year-old woman noted the abrupt onset of several, very painful, ulcerations located on her back. The patient had known (and active) Crohn’s disease, clinical depression requiring ongoing psychiatric care, and borderline diabetes mellitus <br style="clear:both;"/> Wed, 2 May 2012 12:00:00 GMT http://www.consultantlive.com/diabetestype2/content/article/10162/2067718?CID=rss <img height="68" width="100" src=" http://www.consultantlive.com/image/image_gallery?img_id=2067709&t=1335969002931”alt="" border="0" align="left" style="padding-right:5px;" />New research finds that type 2 diabetes, once considered a disease of “adult onset,” is highly resistant to treatment in overweight American youth—a group succumbing to the disorder at an alarming rate. Here, a comment on the cultural norms that make choosing health a daily battle. <br style="clear:both;"/> Wed, 2 May 2012 12:00:00 GMT