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
A 53-year-old man became concerned when ever-increasing numbers of painful oral lesions developed on the buccal mucosa and tongue. A bland diet did not help. What does this look like to you? Test your clinical acumen with this week's quiz questions.
Approximately 2 weeks earlier, a pruritic,
papular eruption had developed over
the abdomen of a 33-year-old woman
who was 34 weeks' pregnant. The
rash was confined mainly to the striae
distensae (Figure 3). Because the
site was severely pruritic, the patient
was unable to sleep. Based on the
clinical presentation, pruritic urticarial
papules and plaques of pregnancy
(PUPPP) was diagnosed.
Many of my older women patients think they
are at much higher risk for breast cancer than
coronary heart disease (CHD). How can we raise women's
awareness about their risks of CHD and thereby
encourage them to take measures to prevent it?
A 24-year-old woman's first
pregnancy was uneventful until the
sixth month when mild malaise and a
highly pruritic abdominal rash occurred
(Figure 1). A biopsy and direct
the suspected diagnosis of herpes
ABSTRACT: A focused history taking and physical examination directed toward uncovering signs that suggest a serious underlying cause of low back pain are crucial. "Red flags" include pain that lasts more than 6 weeks; pain in persons younger than 18 years or older than 50 years; pain that radiates below the knee; a history of major trauma; poor rectal tone; constitutional symptoms; atypical pain (eg, that which occurs at night or that is unrelenting); the presence of a severe or rapidly progressive neurologic deficit; and a history of malignancy. These markers provide a cost-effective means of guiding your selection of laboratory and diagnostic imaging studies.
ABSTRACT: Recent advances in the management of hepatitis C virus (HCV) infection have improved the response to therapy. Predictors of a favorable response include infection with HCV genotype 2 or 3 (rather than genotype 1), low viral load, no fibrosis or only portal fibrosis, female sex, and age less than 40 years. Liver biopsy remains the best method of assessing disease severity. Therapy is recommended for patients with aggressive disease, such as stage 2 to 4 fibrosis. Pegylated interferon alfa-2b in combination with ribavirin is currently the treatment of choice for patients with newly diagnosed HCV infection. This regimen results in a sustained viral response in more than half of patients treated. Counsel patients about the side effects of therapy. Interferon is associated with flu-like symptoms, depression and other psychiatric problems, and bone marrow suppression; ribavirin can produce hemolytic anemia as well as adverse GI and dermatologic effects.
In their report of a young man who had dislocated his shoulder during a fight,
Drs Gary Quick and Gale Joslin described a well-known technique for reduction of
the dislocation (CONSULTANT, July 2001, page 1100y).
Foot ulcerations and infections are the leading cause of hospitalization
among patients with diabetes; they occur in about
15% of these patients. Given the rapidly increasing incidence
of diabetes, physicians can expect to see a growing number
of diabetic foot problems. Here, a group of experts, many of
whom practice at the renowned Joslin-Beth Israel Deaconess
Foot Center in Boston, offer guidance on all aspects of diabetic
foot care. The topics covered range from proven preventive
strategies to cutting-edge wound care techniques that draw
on such new developments as growth factors and living skin
equivalents. A detailed review of the pathophysiology of the
diabetic foot is also included. The emphasis throughout is on
a multidisciplinary approach that incorporates the services
of diabetologists, podiatrists, orthopedic surgeons, orthotists,
diabetic nurse educators, and others. Numerous black-and-white
and color photographs, drawings, algorithms, and charts illustrate
Dr Gregory Rutecki's interactive teaching case, “A Middle-Aged Man With
Polyuria: The Initial Visit” (CONSULTANT, March 2001, page 357), provided a
welcome opportunity for me to review the care I provide to my patients with type 2
diabetes, who comprise a very large percentage of my practice.
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.…
The associated pain is often described as burning. In most cases of CRPS, sudomotor and vascular changes will occur, most notably edema and changes in blood flow resulting in skin temperature changes in the affected body part.
The etiology of this often baffling pain disorder remains unknown to much of the medical community and causes extreme suffering among those afflicted. Here, an overview of what we do know—and have yet to learn.
At a recent retreat I led for doctors on the brink of total burnout, all hands went up when I asked if anyone had lost a colleague to suicide. All but one hand was raised to confirm having considered their own suicide. Many in the room had signed up for this weekend hoping to learn how to avoid becoming the colleague behind someone else's raised hand.
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.