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Consultant Vol 50 No 12

A tender, crusting eruption first
arose on a 69-year-old man’s ear 10
days earlier; an antibiotic failed to
clear the lesion.

Several months earlier, this asymptomatic, pigmented, hard nodule arose on the upper arm of a 37-year-old woman.

Here, a simple option to help relieve a painful symptom.

Too many physicians forget to bill
for supplies and imaging services.

Men who have undergone local
procedures in the genital or anal
area (eg, abscess drainage) find it
difficult to get a bandage to adhere
to the skin because of the pubic
hair.

If a child seems frightened or cries
during the physical examination in a
way that limits your ability to do a
proper assessment, try this trick.

Often patients don’t realize that
during auscultation of the heart and
lungs we can’t hear them, and they
continue to talk.

Ask a colleague to visit your practice
and point out ways to improve efficiency.

Does an Achille’s tendon rupture, tendonitis, bursitis, or something else underlie sudden heel and lower leg pain?

A 26-year-old white male aviator presents to his primary care physician for
his annual military physical examination. The patient is healthy, takes no
medications, and has no history of serious medical disorders. Genital examination reveals multifocal, confluent, slightly variegated,
hyperpigmented macules with irregular borders located in a circumferential
distribution on the penile shaft and glans.

A 37-year-old man presented to the emergency department with painful, burning,
blistering skin lesions. The lesions started 3 days earlier on the face and
spread to the trunk and extremities. Ten days before presentation, the patient had
received a diagnosis of AIDS.

For several years, an asymptomatic mass had been growing on the
neck of a 54-year-old-man. Physical examination revealed a firm,
nontender mass located slightly left of midline at the level of the hyoid
bone.

A previously healthy 55-year-old woman complained of fever, weakness, and generalized malaise for the past 3 to 4 weeks. She had been treated with ciprofloxacin, amoxicillin, and azithromycin for 21 days with no resolution of her symptoms. Five days before she was hospitalized, multiple nonspecific constitutional complaints developed.

During an interval examination, a new pulsatile mass is detected slightly
above the umbilicus of a 72-year-old man with chronic obstructive pulmonary
disease (COPD). He has not noticed any abdominal pain or any other
new symptoms.

Here: a step-by-step review of wound closure techniques for difficult-to-treat areas, illustrated with a wealth of instructive clinical photographs.

The diagnosis of many serious infectious
diseases relies heavily on clinical
suspicion, particularly in the early
stages of the illness. In this 3-part series,
we provide useful clues to the
triage and diagnosis of these diseases. Here we discuss staphylococcal
toxic shock syndrome (TSS) and
streptococcal TSS.

Type 2 diabetes mellitus is an epidemic with serious
and fatal complications. Some predictions
estimate that 440 million persons will have this
disease by 2030.

At Consultant, our goal is to provide the practical, authoritative information you need
to best serve your patients. That is why we "pre-test" article ideas (before we invite
articles on those topics) to be sure they are of real interest to you and your colleagues.
It is also why we take great care in checking facts, creating useful tables and figures,
and choosing illustrations and photographs to enhance teaching messages.

 

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