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.
The HIV epidemic caused a considerable rise in the incidence of oral candidiasis. The infection may spread down into the esophagus when the CD4+ cell count falls below 100/μL. This patient’s advanced disease made him vulnerable to the dramatic spread. Topical treatment for oral candidiasis is not as effective when there is esophageal involvement.
This teen sought care because of extremely pruritic nodules on the penis and scrotum. He also had mild itching on the wrists and between several finger webs. This distribution of a pruritic dermatosis is classic for scabies.
These changes on the leg of a 68-year-old white man began after an episode decades earlier of thrombophlebitis associated with fracture of the lower leg. There is occasional ulceration. What's your diagnosis?
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.