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
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.
A 42-year-old woman presented with a papular eruption that first appeared during childhood. Severe pruritus, which worsened during the summer, accompanied the lesions. The patient reported that family members, including her mother and brother, had a similar skin problem. A biopsy of a characteristic lesion on the patient’s chest revealed diffuse acantholytic dyskeratosis, which confirmed the clinical diagnosis of Darier’s disease.
An 83-year-old man with
a history of hypertension
and coronary artery
disease presented with a
4-day history of mental
status changes, slurred speech, and
difficulty ambulating. He reported a
lack of appetite and weakness of several
This patient with long-standing insulin-dependent diabetes has difficulty
closing his hand because of “tight skin.” Diabetes is the cause: this finding
occurs more often in persons with microvascular complications, such as
retinopathy and nephropathy. The condition may occur even in patients with
Diabetic retinopathy is the most common cause of legal blindness in persons
between the ages of 20 and 65 years. In this 56-year-old man with a 20-year
history of type 2 diabetes, multiple, scattered intraretinal (dot-blot) hemorrhages
and superficial nerve fiber layer (splinter) hemorrhages can be seen.
An occasional Roth spot—an intraretinal hemorrhage with a white center that
represents a fibrin thrombus which occludes a ruptured blood vessel—is also
evident. Numerous yellow, waxy, hard exudates are seen between the inner
plexiform and inner nuclear layers of the retina. Cotton-wool spots are also
present, although no neovascularization is present.
The past several years have witnessed
important advances in the evaluation
and management of chronic heart failure
(HF). Drugs such as β-blockers
and spironolactone have been shown
to reduce morbidity and mortality, and
strategies that employ new devices,
such as pacing and defibrillator therapy,
are evolving. This has prompted
the American College of Cardiology
(ACC)/American Heart Association
(AHA) to update guidelines first published
in 1995.1 The guidelines highlight
the importance of early and accurate
recognition of the clinical syndrome
of chronic HF and offer an
outline for evidence-based therapeutic
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.