The top men's health concerns include heart disease, cancer, accidents, and chronic lower respiratory diseases. This compact slide show provides visual presentations of other clinical problems that pose a threat to men and that might be seen in primary care practice.
Older patients may have 6 or more diagnosable disorders, which can complicate diagnosis and treatment. This compact slide show provides visual presentations of various problems.
Pain is among the most common reasons patients seek medical attention, and patient care is a significant problem. This compact slide show provides visual presentations of a range of disorders.
ASH is the largest organization of hypertension researchers and health care providers in the United States committed to preventing and treating hypertension and its consequences. The editors of ConsultantLive bring you updates from the 2013 ASH conference in San Francisco, CA. Read More
Prominent, pigmented polyangular scales on the extensor surfaces of the arms, legs, and trunk suggested recessive X-linked ichthyosis. More in this article.Read More
More than 1300 physicians of all specialties responded to the 2012 survey. Many of the respondents are primary care physicians. See how your colleagues responded and learn what concerns them most.Read more
A 69-year-old retired accountant presents with a 2-month history of daily headaches. The pain is moderate, constant,
global, pressure-like, and occasionally pulsating; it is sometimes exacerbated when the patient lies down. He denies nausea
or vomiting, ocular symptoms, weakness, or sensitivity to light. His wife reports that years ago he experienced throbbing
headaches regularly.
ABSTRACT: A key objective in the follow-up of women with a history of breast cancer is the detection of local and distant disease at a curable stage. Regular clinical examination and yearly mammography are the standard of care. No consistent evidence supports annual chest radiography, bone scans, or tests of serum tumor markers. Order laboratory or diagnostic tests only if indicated by clinical findings. Advise women to report new symptoms promptly rather than waiting for the next scheduled examination. Some evidence supports the use of venlafaxine for tamoxifen-associated hot flashes. Despite the increased incidence of endometrial carcinoma in women taking tamoxifen, routine endometrial biopsies are not recommended. Most experts advise that women with a history of breast cancer who wish to have a child wait 2 to 3 years before becoming pregnant.
ABSTRACT: Age-related anatomic and physiologic alterations in the thyroid gland have a variety of clinically important effects. Hypothyroidism, which is common in older persons, raises cholesterol and triglyceride levels; hyperthyroidism may be masked by the severity of the cardiac problems it causes. In younger persons, depression may accompany hypothyroidism but not hyperthyroidism; however, in the elderly, it may be a feature of either condition. Papillary carcinoma-the most common type of thyroid cancer-is more aggressive in older persons. All these factors necessitate a cautious and deliberate approach to the management of thyroid disorders in elderly patients.
A 19-year-old athlete complains of
pain and swelling of the anterior
pretibial area of his right lower leg. He
hopes to win a football or track scholarship
to college and is concerned
because his symptoms are impairing
his performance.
During a routine office visit, a 64-year-old woman who has had type 2 diabetes
for more than 10 years complains of increased pedal edema. The edema is minimal
on awakening and worsens throughout the day.
A 22-year-old Filipino man with fever, lethargy, weakness, and malaise of
5 days’ duration was brought to the emergency department by his family. Two
days earlier, oral penicillin had been prescribed for streptococcal pharyngitis.
The patient was unable to walk because of profound weakness. Circular and
linear ecchymotic lesions were noted on his back.
The mother of a 6-year-old child brings her to your office because
of a pruritic rash that has been present for several days. The rash did not respond
to hydrocortisone cream and has continued to spread along the patient’s
left side.
The ConsultantLive.com podcast archive includes the series Cardiology Now—discussions between Dr Payal Kohli of the University of California San Francisco and experts in cardiovascular medicine including Drs Christopher Cannon, Deepak Bhatt of the TIMI study group at Harvard and Dr Roger Blumenthal, Director of the Ciccarone Center for the Prevention of Heart Disease at Johns Hopkins. See More Multimedia »
Videos
Featured in this section are short videos of practical dermatology webinars given by Dr Ted Rosen, Professor of Dermatology at Baylor College of Medicine and Chief of the Dermatology Service at the Veterans Affairs Medical Center, both in Houston, Texas. Each segment offers concise, practical clinical guidance on a specific dermatologic condition seen frequently in primary care. See More Multimedia »
Diagnostic Champions’ Challenge on Consultant Live Test your diagnostic skills and knowledge by quickly identifying and assessing various mental health disorders. The Psychiatric Times Diagnostic Champions' Challenge is meant to educate and entertain. Test your clinical acumen in this activity that is sure to make you think.…
ASH 2013 American Society of Hypertension Highlights of key presentations at the ASH Annual Scientific Meeting in San Francisco are available here.
AIBD 2012 Advances in Inflammatory Bowel Diseases The editors of ConsultantLive bring you updates from the 2010 Advances in Inflammatory Bowel Diseases conference in Hollywood, Florida.
ACG 2012 American College of Gastroenterology Highlights of key presentations at the ACG Annual Scientific Meeting in Las Vegas, Nevada are available here.
ACG 2011 American College of Gastroenterology Highlights of key presentations at the ACG Annual Scientific Meeting in Washington, DC are available here.
MGMA 2011 Medical Group Management Association Updates, policy news, and advice on practice management from the MGMA Annual Conference.
ACC 2011 American College of Cardiology News, resources, and updates from the ACC's 60th Annual Scientific Session in New Orleans are available here.
ACG 2010 American College of Gastroenterology Highlights of key presentations at the ACG 75th Annual Scientific Meeting in San Antonio are available here.
AIBD 2010 Crohn’s & Colitis Foundation of America The editors of ConsultantLive bring you updates from the 2010 Advances in Inflammatory Bowel Diseases conference in Hollywood, Florida.
To suggest today that condoms are “obsolete” sounds heretical and like a topic ripe for heated debate. Here, HIV/AIDS blogger Dr. Rodger MacArthur lays out the science for your review.
I’ve been in practice for 20 years and have never lost a patient to suicide. But I have lost colleagues, friends, and lovers – ALL male physicians—to suicide. I have a long list of answers to the question, “Why?” Maybe the most fundamental answer is that doctors are human..
My first patient had so many things wrong; he left before I could examine his heart and lungs, ask about chest pain, or reconcile his medication list. After his visit, veteran clinic staff noted they hadn’t seen Jim for years and were surprised he had come in at all. I felt the totality of my medical education had been squandered. They kindly reminded me it had just begun.
Primary Care Can't Thrive Without Nurse Practitioners Courtney H. Lyder, ND, May 17, 2013 With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
This man's right chest shows partial absence of the pectoralis major muscle—part of Poland syndrome, which consists of which anomalies? 
The top men's health concerns include heart disease, cancer, accidents, and chronic lower respiratory diseases. This compact slide show provides visual presentations of other clinical problems that pose a threat to men and that might be seen in primary care practice.
Older patients may have 6 or more diagnosable disorders, which can complicate diagnosis and treatment. This compact slide show provides visual presentations of various problems.
Pain is among the most common reasons patients seek medical attention, and patient care is a significant problem. This compact slide show provides visual presentations of a range of disorders.
PCPs for sleep apnea?; mental illness and obesity; norovirus on the rise; global sodium overdose.
Antidepressants and preterm birth; annual BP check?; early stroke; niacin and heart disease; diabetes drug trouble. 
Test your clinical skills in this week’s 5-question quiz. 
Test your clinical skills in this week’s 5-question quiz. 
Test your clinical skills in this week’s 5-question quiz. 
To suggest today that condoms are “obsolete” sounds heretical and like a topic ripe for heated debate. Here, HIV/AIDS blogger Dr. Rodger MacArthur lays out the science for your review.
I’ve been in practice for 20 years and have never lost a patient to suicide. But I have lost colleagues, friends, and lovers – ALL male physicians—to suicide. I have a long list of answers to the question, “Why?” Maybe the most fundamental answer is that doctors are human..
