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Exposure to moisture leads to palmar rash

Caroline Y. Winslow and Julia R. Nunley, MD September 02, 2010

A 24-year-old woman presented with a six-year history of a recurring, somewhat painful and pruritic palmar rash that developed on either hand within minutes of exposure to water.

Collis-Nissen fundoplication for a symptomatic paraesophageal hernia

Ashley L. Racette, PA-C, MPAS; Richard T. Miller, MD September 02, 2010

A laparoscopic approach leads to relief of the patient's gastroesophageal reflux, uneventful surgery, and a smooth recovery

Tender, edematous, red plaques on a woman's hands and feet

Jennifer Stead, DO, and Stuart Gildenberg, MD August 25, 2010

One month after starting a new chemotherapeutic drug, the patient sought treatment for painful peeling and redness on her hands and feet.

Making the best use of osteoporosis agents

Jack Waxman, MD August 19, 2010

There are changes in the wind for patients with osteoporosis and their clinicians. But don't underestimate currently available therapies.

HPV cotest affects cervical cancer screening

August 10, 2010

Clinicians are likely to test the patient more frequently when using Pap and human papillomavirus (HPV) tests together, a survey shows.

Hyperkeratotic plaques span from head to toe

Joshua Weingartner, Pamela S. Allen, MD, FAAD, and Heather Hennigan, PA-C August 10, 2010

Five months of treatment with corticosteroids and antibiotics did not relieve the scaly plaques on a man's scalp, cheeks, trunk, genitals, and legs.

Imaging options for patients with acute abdominal pain

Brady Pregerson, MD August 10, 2010

Each of the three primary modalities—plain films, diagnostic ultrasound, and CT scan—must be weighed against their strengths and weaknesses.

Bacterial meningitis complicated by seizures and confusion

August 10, 2010

Myoclonic seizures began following surgery to repair a cerebrospinal fluid leak in a 73-year-old woman.

Patches of hair loss

Sean D. Doherty, MD August 04, 2010

Two boys present with similar hair loss—one developed only months earlier, the other had been present since birth.

Sun-sensitive drugs may lead to cataracts

August 04, 2010

The active ingredients in a broad range of medications may make a person more vulnerable to age-related cataracts.

Pruritic hand lesions in a 25-year-old restaurant worker

Peter M.H. Cham, MD, and Erin M. Warshaw, MD, MS August 04, 2010

An otherwise healthy restaurant worker presented with pruritus, erythema, and wheals over the distal forearms and the dorsal...

HbA1c not reliable for diagnosing diabetes

August 03, 2010

A new analysis found that this measure is inferior to the oral glucose tolerance test for screening.

Triple regimen for lowering BP

July 26, 2010

An investigational triple regimen of olmesartan medoxomil (OM), amlodipine besylate (AML), and hydrochlorothiazide (HCTZ) may result in significantly greater mean reductions in...

Helicobacter pylori infection: Update on diagnosis and management

July 15, 2010

The sequelae of H. pylori infection are causative factors in gastric cancer. Eradication of the bacteria, however, is difficult because of it's...

Recurrent erosions on the neck and axillae

William Sargent Kaufman and Julia R. Nunley, MD July 15, 2010

A woman presented with erythematous plaques that waxed and waned throughout the year, but were more symptomatic in the summer.

CVD prevention: tighter aspirin recs for diabetics

July 15, 2010

In a joint statement, published online, the American College of Cardiology Foundation, American Diabetes Association, and American Heart Association updated their recommendations for primary-prevention aspirin use in people with diabetes.

Alzheimer's management from diagnosis to late stage

By Freddi Segal-Gidan, PA, PhD July 07, 2010

Post-diagnostic care can be challenging. Beyond assessment and treatment, clinicians need to deal with educational support and legal issues.

The latest on HIV screening, diagnosis, and management in primary care

July 07, 2010

Faced with an increasing number of HIV cases in this country—predominantly attributed to transmission by newly-infected persons—the CDC has issued revised screening recommendations that will impact primary care.

High milk intake raises PCa risk

June 29, 2010

Dairy products, especially milk, may be involved in the etiology of prostate cancer, researchers say.

What is the significance of this patient's pulsatile tinnitus?

June 29, 2010

Symptoms were worse when she tried to sleep, but there was no associated dizziness, vertigo, or otalgia.

Enlarging back and shoulder lesions

Stanley Chan, MD June 29, 2010

Two patients with enlarging lesions—one in a man with no history of skin cancer, and the other in a man with significant actinic damage.

Erectile dysfunction and cardiac disease strongly linked

June 23, 2010

Identifying patients with erectile dysfunction offers an opportunity for reducing their risk of cardiovascular events.

Panic disorder: An update on the APAs practice guideline

By Carl Sherman June 21, 2010

Revised last year, substantive changes include additional recommendations for psychotherapy as well as several additional medications.

When prescription and OTC hydrocortisone creams are ineffective against itchy lesions

June 15, 2010

Psoriasis can be tricky to treat, especially when topical steroids aren't making a dent. Where do you go next?

Common pediatric hip diseases in primary care

June 10, 2010

Left untreated, these childhood conditions could have lasting effects. Our experts explain three of the most common hip disorders you'll see.

Painful subcutaneous abdominal mass in a woman with a history of C-section

June 09, 2010

Years of worsening pain in a surgical scar proved baffling until an MRI revealed a soft-tissue mass in an uncommon location.

Factors influencing immunization rates

June 07, 2010

To reach the goal of providing herd immunity, clinicians must use every patient encounter to determine vaccination status.

Attacking Alzheimer's through diet

June 04, 2010

Following a diet that limits intake of high-fat dairy products, red meat, organ meat, and butter may cut a person's risk of Alzheimer's disease, a recent study says.

Nocturia may increase mortality risk

June 04, 2010

Nocturia, defined as two or more urinations per night, is associated with an increased risk of death, even after adjusting for comorbidities known to...