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.
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
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
To detect wheezing during forced
expiration in patients with dyspnea,
asthma, or reactive airway disease,
ask the patient to take a big breath
and exhale as if he or she were blowing
out the candles on a birthday
This 40-year-old man was punched in
the left eye the night before his evaluation.
Traumatic ptosis of the left upper
eyelid with accompanying edema and
periorbital ecchymosis (A) were found.
When the ptotic eyelid was lifted and
held in place with tape, conjunctival
injection and traumatic mydriasis were
seen (B). The patient had no complaints
of diplopia; the remainder of the
eye examination was unremarkable.
A swollen, painful eyelid prompted a 39-year-old man to seek medical attention.
The patient had noticed swelling, redness, and irritation in his left lateral eyebrow
area 2 days earlier. Upon awakening on the morning of his appointment,
the left upper eyelid also felt full and tender and was drooping. A pointed draining
area of purulent material had formed in the lateral brow region (not visible
here). The patient was afebrile and denied any recent periorbital trauma. He
was otherwise healthy; his only medication was a daily multivitamin.
A 35-year-old woman noticed that her
right upper eyelid started to droop as
the day progressed. She denied other
ocular problems, including decreased
visual acuity, pain, or diplopia. The patient
had no generalized fatigue, difficulty
in swallowing, or weakness of
her arms or legs.
A 37-year-old woman complains of “itchy bumps” that erupted just above her
waist 2 or 3 days earlier. She denies having had this condition in the past.
The patient is otherwise healthy and takes no medications. An avid gardener,
she claims to be able to identify and avoid poisonous plants.
The parents of a 3-year-old boy were
concerned about their son's "droopy"
right eyelid; the abnormality had
been present since birth. All other aspects
of the child's eyes and his general
development had been normal.
After 5 weeks of undulating fever, weight loss, and night sweats, a 22-year-old man presented to the emergency department. He reported no significant medical history. The patient had recently completed a course of tetracycline followed by another of azithromycin for a presumed upper respiratory tract infection.
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 »
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.…
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.