A variety of common and serious dermatologic complaints are encountered in primary care practice. This compact slide show provides visual presentations of skin problems that may be seen on the face.
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.
Older patients may have 6 or more diagnosable disorders, which can complicate diagnosis and treatment. This compact slide show provides visual presentations of various problems.
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
Prominent, pigmented polyangular scales on the extensor surfaces of the arms, legs, and trunk suggested recessive X-linked ichthyosis. More in this article.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 72-year-old woman presented for her annual physical examination. She had been treated for tuberculosis 20 years earlier. The patient did not smoke cigarettes; she denied fever, chills, and rigors.
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
and sepsis.
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.
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.
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 »
Videos
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.…
ASH 2013 American Society of Hypertension Highlights of key presentations at the ASH Annual Scientific Meeting in San Francisco are available here.
AIBD 2012 Advances in Inflammatory Bowel Diseases The editors of ConsultantLive bring you updates from the 2010 Advances in Inflammatory Bowel Diseases conference in Hollywood, Florida.
ACG 2012 American College of Gastroenterology Highlights of key presentations at the ACG Annual Scientific Meeting in Las Vegas, Nevada are available here.
ACG 2011 American College of Gastroenterology Highlights of key presentations at the ACG Annual Scientific Meeting in Washington, DC are available here.
MGMA 2011 Medical Group Management Association Updates, policy news, and advice on practice management from the MGMA Annual Conference.
ACC 2011 American College of Cardiology News, resources, and updates from the ACC's 60th Annual Scientific Session in New Orleans are available here.
ACG 2010 American College of Gastroenterology Highlights of key presentations at the ACG 75th Annual Scientific Meeting in San Antonio are available here.
AIBD 2010 Crohn’s & Colitis Foundation of America The editors of ConsultantLive bring you updates from the 2010 Advances in Inflammatory Bowel Diseases conference in Hollywood, Florida.
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.
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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.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril Marion K. Jenkins, May 21, 2013 Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Three Areas to Reduce Costs at Your Medical Practice Greg Mertz, May 19, 2013 By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog Michael Woo-Ming, MD, May 18, 2013 Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
This man's right chest shows partial absence of the pectoralis major muscle—part of Poland syndrome, which consists of which anomalies? 
A variety of common and serious dermatologic complaints are encountered in primary care practice. This compact slide show provides visual presentations of skin problems that may be seen on the face.
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.
Older patients may have 6 or more diagnosable disorders, which can complicate diagnosis and treatment. This compact slide show provides visual presentations of various problems.
PCPs for sleep apnea?; mental illness and obesity; norovirus on the rise; global sodium overdose.
Antidepressants and preterm birth; annual BP check?; early stroke; niacin and heart disease; diabetes drug trouble. 
Test your clinical skills in this week’s 5-question quiz. 
Test your clinical skills in this week’s 5-question quiz. 
Test your clinical skills in this week’s 5-question quiz. 
A 72-year-old woman presented for her annual physical examination. She had been treated for tuberculosis 20 years earlier. The patient did not smoke cigarettes; she denied fever, chills, and rigors.
A 72-year-old man presented after several months of dyspepsia and 1 day of hematemesis. He was not taking NSAIDs.
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.
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.
