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 76-year-old woman had a 40-year history of rheumatoid arthritis (RA). She had repeatedly refused treatment with disease-modifying drugs, including methotrexate. Nodules began to develop 15 years after the initial diagnosis; they recurred after surgical removal.
Cutaneous manifestations develop in
approximately 30% of persons with
diabetes. Premature atherosclerosis
is a common complication of the
disease and can cause peripheral infarction,
ulceration, and necrosis.
For 2 months, a 31-year-old woman had had dyspnea and
dull, continuous retrosternal pain. She was admitted to the
hospital, and a helical CT scan of the thorax identified a
saddle pulmonary embolism. An ultrasonogram revealed
deep venous thrombosis (DVT) in the left leg. Intravenous
heparin was given; the patient was discharged,
and warfarin was prescribed.
Affected infants present shortly after
birth with a large bowel obstruction
secondary to transient dysmotility in
the descending colon. Although the
cause is unknown, immaturity of the
colonic myenteric plexuses has been
demonstrated in some cases. More
than 50% of affected infants are born
to mothers with diabetes. Other predisposing
factors include hypoglycemia
The extent of mucosal or transmural
intestinal necrosis varies. Pneumatosis
progresses from the submucosa
through the muscular layer to the subserosa.
The distal ileum and proximal
colon are most frequently involved.
This condition, which accounts for
about 30% of cases of intestinal obstruction
among neonates, is characterized
by the inspissation of thick,
tenacious meconium in the bowel.
The most common cause is cystic fibrosis;
approximately 6% to 20% of infants
with cystic fibrosis have meconium
ileus. Hyperviscous mucus secreted
by abnormal intestinal glands,
an abnormal concentrating process
in the proximal small intestine, and a
deficiency of pancreatic enzymes
have been implicated in the pathogenesis.
The histologic hallmark is distention of the goblet
cells in the intestinal mucosa.
Inspissated, sticky, immobile meconium
causes this transient form of distal
colonic or rectal obstruction in newborns.
The incidence has been estimated
at 1 in 500 to 1000 live births.
The condition is thought to result
from dehydration of the meconium.
Syndrome The mother of a 7-year-old boy with cardiofaciocutaneous syndrome sought treatment for the cutaneous aspects of her son’s disease. Dry skin and keratosis pilaris of the upper outer arms were noted. Cardiofaciocutaneous syndrome— a rare autosomal dominant genetic disorder—had been diagnosed when the child was 3 years old.
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.