Psoriasis is the most common autoimmune disease. Other skin conditions might seem like psoriasis, so ruling out the look-alikes is important. This compact slide show provides visual presentations of various lesions.
Oral lesions, often the harbingers of early HIV infection, rank among the most common complaints for which HIV-positive patients seek primary care. This compact slide show provides visual presentations of these and other lesions associated with HIV.
In Part II of this photo essay, see more pre- sentations of nervous system disorders, such as Horner syndrome, that you may encounter in primary care practice.
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
Which organism is the likely cause of this lesion? Can you pick up dx clues in this sonogram? Test your clinical skills here with this week’s 5-question quiz…
Does piercing have anything to do with these skin lesions? How best to determine the cause of a gradually enlarging neck mass? See how you do with this week’s 5 quiz questions…
What disorder do these asymptomatic skin lesions and chest film findings point to in a homosexual man? Test your clinical skills in this week’s 5-question quiz.
A 25-year-old man sought evaluation of a painless, palpable, left testicular mass that had been present for more than 1 year. There was no personal or family history of cryptorchidism or malignancy. A circumscribed mass was palpated within the anterior superior pole of the left testis.
For 10 years, a 22-year-old woman had had an erythematous, translucent patch of grouped blisters on her left thigh. A recent increase in the size of the patch prompted the patient to seek treatment. There was no burning or tingling at the site. The patient reported that the erythema occasionally cleared; however, the blisters always remained. She denied fever, weight loss, and other constitutional symptoms.
Asymptomatic, enlarging growths had been present on the bottom of a 56-year-old woman’s feet for 3 years. The nodules initially arose—first on the left foot, then on the right—at the sites of blisters on the insteps after the patient had taken a long hike in uncomfortable boots.
An 87-year-old woman sought treatment of what she described as a “bite” of 1 month’s duration. The pink, nodular lesion on the dorsum of the left hand had central superficial ulceration with yellow crusting at the web space between the thumb and index finger.
A 5-year-old boy is brought to the emergency department
(ED) by his parents. They report that, for the
past week, the child has had a high feve, generalized weakness, lethargy, and
lack of appetite. The boy’s eyes are bloodshot and he has
refused food and drink. The child has no history of
cough, shortness of breath, hematemesis, melena, headaches,
vision problems, or seizures. He has not been in
contact with sick persons, has not traveled abroad, does
not have a pet, and is not taking any medications. His immunizations
are up-to-date.
Back pain is second only to upper respiratory tract infection as the most frequently reported illness in the United States; up to 20% of Americans experience back pain each year.
Cardiac stress imaging has become increasingly sophisticated; nevertheless, standard exercise electrocardiography can provide valuable clinical information, such as time to onset of angina or ST-segment depression, maximal heart rate and blood pressure response, and total exercise duration.
ABSTRACT: Topical agents can provide temporary relief from osteoarthritis symptoms with little or no risk. Acetaminophen is first-line oral therapy. Be alert for risk factors for NSAID-induced GI toxicity, such as concurrent use of prescription and OTC agents. Tramadol, narcotic analgesics, muscle relaxants, and antidepressants are options when NSAIDs are ineffective or contraindicated. Intra-articular injections of corticosteroids or hyaluronan are appropriate for patients who have a single joint exacerbation. Total knee and total hip arthroplasty are considered the most effective surgical interventions.
The diagnosis of osteoarthritis (OA) is primarily clinical. Key historical clues to idiopathic OA include patient age greater than 45 years, joint pain that increases with activity and is relieved with rest, morning stiffness of 30 minutes duration or less, and involvement of one or more of the following: hips, knees, cervical or lumbar spine, basilar thumb joints, interphalangeal joints of the hands, midfoot joints, and first metatarsophalangeal joints.
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.
Between 2000 and 2008, only 15% of treatment-experienced patients enrolled in the 18 randomized controlled trials of HIV drugs submitted for FDA approval were women. We need to do much better.
Our “one and done” approach to helping patients change entrenched behavior is a bit like making pock-marks on a mountain and saying we moved it. I long for clinical systems that tap the geophysical energy of time and persistence.
Key Differences between FQHCs and RHCs Chastity Werner, RHIT, June 13, 2013 FQHCs and RHCs take up a unique niche among physician practices. And that affects compensation and billing.
Improving Care Coordination in Your Practice Susanne Madden, June 12, 2013 Practices are feverishly working to control the rising costs of healthcare - effective care coordination can help.
Refunding Overpayments: Two Options for Medical Practices Ericka L. Adler, June 12, 2013 Medicare and Medicaid providers must return overpayments once identified. Here are two different refund approaches for practices to consider when necessary.
iPad Alternatives for Mobile Physicians Marisa Torrieri, June 11, 2013 As more physicians are seeing the merits of media tablets, the market is expanding, too.
Is this lesion the result of an injury, as the boy’s mother suspected, or something else?
Psoriasis is the most common autoimmune disease. Other skin conditions might seem like psoriasis, so ruling out the look-alikes is important. This compact slide show provides visual presentations of various lesions.
Oral lesions, often the harbingers of early HIV infection, rank among the most common complaints for which HIV-positive patients seek primary care. This compact slide show provides visual presentations of these and other lesions associated with HIV.
In Part II of this photo essay, see more pre- sentations of nervous system disorders, such as Horner syndrome, that you may encounter in primary care practice.
Which organism is the likely cause of this lesion? Can you pick up dx clues in this sonogram? Test your clinical skills here with this week’s 5-question quiz…
Does piercing have anything to do with these skin lesions? How best to determine the cause of a gradually enlarging neck mass? See how you do with this week’s 5 quiz questions…
What disorder do these asymptomatic skin lesions and chest film findings point to in a homosexual man? Test your clinical skills in this week’s 5-question quiz. 
A 25-year-old man sought evaluation of a painless, palpable, left testicular mass that had been present for more than 1 year. There was no personal or family history of cryptorchidism or malignancy. A circumscribed mass was palpated within the anterior superior pole of the left testis.
For 10 years, a 22-year-old woman had had an erythematous, translucent patch of grouped blisters on her left thigh. A recent increase in the size of the patch prompted the patient to seek treatment. There was no burning or tingling at the site. The patient reported that the erythema occasionally cleared; however, the blisters always remained. She denied fever, weight loss, and other constitutional symptoms.
Asymptomatic, enlarging growths had been present on the bottom of a 56-year-old woman’s feet for 3 years. The nodules initially arose—first on the left foot, then on the right—at the sites of blisters on the insteps after the patient had taken a long hike in uncomfortable boots.
An 87-year-old woman sought treatment of what she described as a “bite” of 1 month’s duration. The pink, nodular lesion on the dorsum of the left hand had central superficial ulceration with yellow crusting at the web space between the thumb and index finger.
Our “one and done” approach to helping patients change entrenched behavior is a bit like making pock-marks on a mountain and saying we moved it. I long for clinical systems that tap the geophysical energy of time and persistence.