WHAT'S YOUR DIAGNOSIS?
An Obese Woman With Worsening Midline Back Pain
March 18, 2013
An obese woman in her thirties with a history of fibromyalgia syndrome, depression, polycystic ovarian syndrome, and diabetes mellitus presents to her local emergency department with 1 week of gradually worsening midline back pain.
Benign Paroxysmal Vertigo in a Toddler
January 11, 2013
Medication is seldom necessary. Education is the key element of therapy. An explanation of the process and a discussion of possible triggers—lack of sleep, stress, missed meals etc—is the most key intervention.
Elderly Woman With Simultaneous Deep Venous and Arterial Thrombosis
January 7, 2013
This patient had unilateral petechiae on the dorsum of the left foot. If the petechiae were symmetric, the first condition on the differential diagnosis would be thrombocytopenia. Here, though, the platelet count was normal. The patient also had a duplex of both the arterial and venous systems that showed complete thrombosis of both the arterial AND venous systems.
Pressure Sore on an Elderly Patient’s Heel
January 7, 2013
The patient has a stage 1 decubitus ulcer on her left heel. Both feet are cool but are the same temperature. Distal pulses are palpable but weak on the good foot; they are not palpable on the left and can only be heard faintly with a hand-held Doppler. You note unilateral petechiae on the dorsum of the left foot.
FROM PHYSICIANS PRACTICE
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.