Transesophageal echocardiography demonstrated thrombi in transit through a patent foramen ovale and showed the presence of thrombi in all 4 chambers of the heart.
Sometimes a patient’s self-diagnosis can be helpful. On the other hand, a patient also can lead the diagnostician astray. The power of suggestion can cause the clinician to anchor on one part of the history...
A 67-year-old man was brought to the emergency department for evaluation of an evolving neurological event. He had been watching evening TV with his wife as is usual for them when he reported having an...
This article is part 8 of a 15-part series of Photo Essays describing and differentiating conditions affecting the nails. Parts 9 through 15 will be published in upcoming issues of Consultant. To access...
A 78-year-old woman presented to the hospital with 1-day history of biliary colic, emesis, and diarrhea. Her medical history was significant for type 2 diabetes with neuropathy, dyslipidemia, and...
Coronary angioplasty is now one of the most widely performed cardiac procedures in the world. It has become routine to open an occluded artery, but this was not the case just a few decades ago.
Nutritional rickets has been commonly reported as a public health problem in Africa and several parts of the Asian subcontinent. However, there has been a recent reemergence of vitamin D deficiency noted in...
A 5-year-old girl with a history of premature birth presented to her primary care pediatrician for her annual well-child check. On physical examination, an elongated, swollen, crooked left middle finger was...
Lumbar epidural anesthesia is frequently administered to the obstetric patient. The loss of resistance is a well-established technique to identify and access the epidural space; however, this technique is...
