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 involves the invagination of a proximal
segment of bowel (the intussusceptum) into a more distal
segment (the intussuscipiens) (A). It occurs most
frequently in infants between the ages of 5 and 12
months and is a leading cause of intestinal obstruction
in children aged 2 months to 5 years. Intrauterine intussusception
is associated with the development of intestinal
atresia. The male to female ratio is approximately
3:2. Intussusception is slightly more common in white
than in black children and is often seen in children
with cystic fibrosis.
This obstruction is caused by a failure of intestinal peristalsis;
there is no evidence of mechanical obstruction.
Paralytic ileus is common after abdominal surgery, especially
if anticholinergic drugs are given preoperatively
and/or narcotics are used postoperatively. It usually lasts
2 to 3 days. Paralytic ileus may also be caused by peritonitis;
ischemia or surgical manipulation of the bowel; retroperitoneal
hemorrhage; spinal fracture; systemic sepsis;
shock; hypokalemia; uremia; pharmacologic agents (eg,
vincristine, loperamide, and calcium channel blockers);
diabetic ketoacidosis; and myxedema.
A 58-year-old man with a history of a seizure disorder was hospitalized with acute-onset shortness of breath immediately following a tonic-clonic seizure. He was afebrile; in respiratory distress; and hypoxic, with an oxygen saturation of 84% on room air. Auscultation revealed bibasilar crackles and an S3 gallop. The patient was given noninvasive mechanical ventilatory support, oxygen, and diuretics.
Concerned about a lesion between her eyes, a 91-year-old woman sought medical evaluation. She had not seen a physician for 23 years. The patient was strong-willed and alert, with no evidence of Alzheimer disease. A huge goiter was evident.
A 0.5-cm mass with overlying erythema on the forehead of a 5-monthold girl was first noticed after she had been hit on the head with a rattle. Excision of the mass was deferred because it was considered to be a hemangioma.
The mother of an 8-year-old girl sought medical care for her daughter who had complained of intermittent chest pain for 3 days. The patient denied nausea, vomiting, and diarrhea. There was no shortness of breath, chills, fever, or diaphoresis.
Persistent bloating, epigastric discomfort, and increased gastric acidity prompted a 47-year-old woman to seek medical care. Gastroesophageal reflux disease was diagnosed; antacids and H2-blockers were prescribed but provided no relief.
For the past 3 years, comedones, papules, pustules, and nodules had been erupting on the face of a 16-year-old boy. Acne vulgaris had been diagnosed. Topical tetracycline cream and oral tetracycline were used without success.
This obstruction results from hypertrophy
of the circular and longitudinal
muscularis of the pylorus and the distal
antrum of the stomach. It occurs
in approximately 3 of every 1000 live
births and is 4 times more common
in boys. Pyloric stenosis (PS) is relatively
uncommon in African American
and Asian infants. The observation
that it occurs primarily in first-born
infants has been disputed.
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..