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.
As skateboarders and scooter riders take to the streets this summer, the risk
of serious injuries related to these sports increases. Most of those injured are
children and adolescents. To help you protect your young patients this summer,
the American Academy of Pediatrics (AAP) has developed recommendations
for the safe use of skateboards and scooters.1
For several months, a 52-year-old woman had nausea, mild dysphagia with solid food, vague abdominal pain, and diarrhea. The patient denied hemoptysis, hematochezia, and melena. Lansoprazole and dicyclomine provided minimal relief of her symptoms.
About 1 month ago, a 58-year-old man experienced malaise
and fatigue accompanied by mild diffuse swelling in his neck.
After 3 days, the malaise and fatigue began to abate. They resolved
after a week; however, minimal swelling on the left side
of the neck remains. The patient has no other symptoms.
To minimize pain when repacking an
abscess, remove the old packing, then
squirt 1 mL of 1% lidocaine into the
open wound with a syringe (no needle
necessary). Wait 1 to 2 minutes and
repack the abscess.
Which treatment approaches are effective in a woman who has persistent or refractory vaginal trichomoniasis? Should the male sex partner of a patient who has recurrent vulvovaginal candidiasis be treated? Answers to these and other questions can be found in the recently updated CDC guidelines on managing sexually transmitted diseases
Patients with mycotic toenails who
are unable to take oral antifungal
agents may find relief with this old
remedy. Instruct them to fill a basting
pan with warm water, add 2 or 3 capfuls
of chlorine bleach, and soak both
feet in this solution for 10 to 15 minutes
twice a day for 2 weeks.
Prevention of and therapy for osteoporotic disorders in men have been virtually unexplored. Although osteoporosis in men is associated with significant morbidity and mortality, many clinical decisions must be based on extrapolation from data on osteoporosis in women.
ABSTRACT: In patients with renal colic, the location of the urinary tract obstruction largely determines the nature of the symptoms (eg, an obstruction in the distal ureter typically produces boring pain that radiates to ipsilateral groin, testicle, or labium). The initial evaluation includes urinalysis, a complete blood cell count, and a renal function panel. A full metabolic evaluation is warranted if the patient has risk factors for or a family history of stone disease, a history of bilateral stone disease, or chronic recurrent urinary tract infection, or if nephrocalcinosis is found on radiographic studies. Noncontrast CT is the imaging study of choice; it is nearly 100% accurate for detecting stone disease. Analgesia and volume expansion are the mainstays of management.
The differential diagnosis of intrascrotal pathology includes a myriad of benign and malignant entities. Timely detection is imperative to reduce the morbidity associated with many of these disease processes.
ABSTRACT: When a solitary lung nodule is detected, the key question is whether the lesion is malignant. The initial evaluation includes a careful history taking focused on risk factors for malignancy, a thorough physical examination, comparison of current chest films with previous ones, and CT scanning. Radiologic signs that suggest malignancy include lesion size greater than 2 cm in diameter, spiculated margins, lack of calcification, and change in size. Video-assisted thoracoscopic surgery or thoracotomy is the next step for patients with a suspected malignant lesion. If the results of the initial evaluation are equivocal, positron emission tomography (PET) scanning is the preferred follow-up.
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.