Photoclinic features patient photographs submitted by office-based primary care clinicians. These images are chosen for their teaching value and seasonality, to help you recognize problems you might see in your own patients.
Extensive condylomata acuminata are beyond the capacity of all topical therapies. The area was initially treated by carbon dioxide laser ablation, and residual small foci of infection were subsequently treated with topical 5% imiquimod cream.
The combination of itching massive scaling suggests the diagnosis of crusted scabies. This variety of scabies is seen in those who are immunosuppressed or immunocompromised (typically HIV+). Repeated oral doses of ivermectin along with topical permethrin application were required to clear this infestation.
Most patients with PFO remain asymptomatic because under normal physiologic conditions, a small amount of left-to-right shunting occurs without causing significant hemodynamic change. Here, a case in point.
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.