A 64-year-old man presents with a severe febrile syndrome of several days’ duration. The syndrome includes fatigue and severe myalgias and arthralgias. There is no cough, sputum production, rhinorrhea, or...
An 82-year-old African American woman presented to the emergency department with abdominal pain of 5 days’ duration; the pain was aggravated by movement and relieved somewhat by sitting down.
In January, a 14-year-old girl presented with purple coloration of the distal toes. During the week and a half before presentation, she had redness and swelling just proximal to the toenails.
Woman with history of diabetes, hypertension, multiple myeloma, and renal failure was hospitalized due to renal insufficiency; oral examination showed macroglossia.
<p>For several years, a 72-year-old man has had a slightly itchy rash on his face. The rash waxes and wanes but never quite resolves despite the use of over-the-counter hydrocortisone, triple...
<p>Gingival hyperpigmentation was noted in a 27-year-old African American man during a routine physical examination (<strong>A</strong>). It had been present since birth, and the patient...
<p>What do you say to parents who express concern about the number of vaccinations their child receives at each visit and request flexibility, such as delaying one or more immunizations? A new report...
A 56-year-old man presents with low back pain, fever, and chills; he has no history of trauma. He has type 2 diabetes mellitus and uses intravenous heroin. The only abnormalities noted on physical...
<p>Exactly what did we know about asymptomatic microscopic hematuria (AMH; 3 or more red blood cells per high-power field on at least 2 of 3 properly collected urine specimens) prior to this month’s...
<p>Numerous direct connections exist between wine and medicine. Many physicians enjoy drinking wine, for example, and grateful patients sometimes express their appreciation by giving their physicians...
