Volume 53 - Issue 9 - September 2013

Consultant

Cardiometabolic risk
Cardiometabolic risk
09/27/2013
A 34-year-old woman presented with chronic headache that worsened when she bent forward and episodes of usually unilateral vision loss.
09/27/2013
Hypertension
Hypertension
09/27/2013

Wilbert S. Aronow, MD 

Wilbert S. Aronow, MD 
With an aging US population in mind, this article reviews the prevalence and pathophysiology of hypertension in older adults (aged 60 years and older).
09/27/2013
Dyslipidemia
Dyslipidemia
09/27/2013

Thomas H. Clark, MD

Thomas H. Clark, MD
Most type 2 diabetics have a type of dyslipidemia that is related to insulin resistance.
09/27/2013
Diabetes Q&A
Diabetes Q&A
09/27/2013

C. Rachel Kilpatrick, MD and Kim A. Carmichael, MD—Series Editor
Washington University, St. Louis, MO

C. Rachel Kilpatrick, MD and Kim A. C...
In LADA, patients appear to have type 2 diabetes phenotypically. They do not, however, have an early requirement for insulin.
09/27/2013
acrokeratoderma
acrokeratoderma
09/19/2013

David L. Kaplan, Md–Series Editor

David L. Kaplan, Md–Series Editor ...
This 18-year-old male presented for evaluation of white spots appearing on his palms after being in water that lasted up to 30 minutes. He is otherwise healthy.
09/19/2013
morphea
morphea
09/19/2013

David L. Kaplan, Md–Series Editor

David L. Kaplan, Md–Series Editor ...
This 38-year-old female is an insulin dependent diabetic for many years who presents with an itchy rash on her thigh.
09/19/2013
Psoriasis
Psoriasis
09/19/2013

David L. Kaplan, Md—Series Editor
University of Missouri Kansas City, University of Kansas

David L. Kaplan, Md—Series EditorUniv...
This 59-year-old female presents with a hand rash a few months duration. She takes relatively high doses of an ampthetamine class medication for a diagnosis of ADHD. She is otherwise healthy.
09/19/2013
bladder
bladder
09/19/2013

Salwa M Gendi, MD, and Karrar Ali, MD, MRCP 
Flint, Michigan

Salwa M Gendi, MD, and Karrar Al...
A 45-year-old woman presented with a complaint of lower abdominal heaviness, increased frequency of urination, and change in color of urine, as well as nausea, vomiting, and fever for 1 week.
09/19/2013
bowden's disease
bowden's disease
09/19/2013

Adam Blechman, MD, and Barbara B. Wilson, MD

Charlottesville, Virginia

Adam Blechman, MD, and Barbara B...
A 65-year-old man presented with an asymptomatic lesion on his penis. The lesion had been present for 6 years and had exhibited no change. He had been previously treated with topical antifungals and topical...
09/19/2013
Hernia
Hernia
09/19/2013

Michael I. Omori, MD, FACEP, FAAEM, and Leah Krull, MS
Tampa, Florida

Michael I. Omori, MD, FACEP, FAAEM, a...
A 56-year-old man presents to the emergency department via ambulance with a chief complaint of vomiting. The patient reports throwing up coffee ground emesis for the past 2 days. The patient denies...
09/19/2013
Arrhythmia
Arrhythmia
09/19/2013

Ronald Rubin, MD—Series Editor

Ronald Rubin, MD—Series Editor
A 68-year-old woman with a history of hypertrophic cardiomyopathy and hypothyroidism visited the office for fatigue and dyspnea with minimal exertion.
09/19/2013
Hypertension
Hypertension
09/19/2013

Gregory W. Rutecki, MD

Gregory W. Rutecki, MD
This month we reinforce mama’s age-old admonition regarding unhealthy food habits and tell our hypertensive patients: Drink your beet juice!
09/19/2013
Cardiology
Cardiology
09/19/2013
An assortment of photo-based clinical cases involving cardiology.
09/19/2013
wound care
wound care
09/19/2013

Barbara Zeiger
Editor, Ostomy Wound Management

Barbara Zeiger Editor, Ostomy Wound M...
With more than 2,400 topical dressings, deciding which one is most appropriate for a particular wound can be daunting. The goal is to keep the wound bed moist and the periwound tissue dry, remove exudate...
09/19/2013
endobronchial hemartoma
endobronchial hemartoma
09/18/2013

By Kim Eun Ji, MD, Sameer Verma, MD, Anup Singh, MD, Michael Esposito, MD, and Arunabh Talwar, MD
North Shore University Hospital at Manhasset, NY

By Kim Eun Ji, MD, Sameer Verma, MD, ...
Pulmonary hamartoma is a benign tumor that originates from the primitive mesenchymal tissue which differentiates into mature mesenchymal components.
09/18/2013
hollenhorst plaque
hollenhorst plaque
09/18/2013

Steven Maier, MD, CDR, Medical Corps, US Navy and Allan Steigleman, MD, CDR, Medical Corps, US Navy 
Naval Medical Center Portsmouth

Steven Maier, MD, CDR, Medical Corps,...
A 75-year-old female presented with several days of cloudy vision to her inferior left eye gaze and a dull 3/10 frontal headache, without any nausea, vomiting, or photophobia. She reported having a sharp...
09/18/2013
frailty
frailty
09/17/2013

David T. Nash, MD 

David T. Nash, MD 
By 2025, there will be 1.2 billion frail individuals in the world, 75% of which live in developing nations, according to WHO data. As such, frailty is evolving into a medical care challenge that will...
09/17/2013
PTSD
PTSD
09/17/2013

Hani Raoul Khouzam, MD, MPH, FAPA

Hani Raoul Khouzam, MD, MPH, FAPA ...
Medication is often necessary to reduce the severity of symptoms and is becoming an essential component of the overall management of PTSD. In addition to relieving core symptoms, pharmacological agents can...
09/17/2013
tongue
tongue
09/17/2013

Gerard Landais, MD, and Melissa Kearns, MA, MS, CF-SLP
New York, NY

Gerard Landais, MD, and Melissa Kearn...
A 77-year-old woman was admitted to the sub-acute unit for medical rehabilitation. The patient was blind secondary to metastatic brain disease from a carcinoma of the paranasal sinus. She received...
09/17/2013
Knee pain
Knee pain
09/17/2013

Jeffrey E. Budoff, MD
Robert P. Nirschl, MD,MS

Jeffrey E. Budoff, MD Robert P. Nirsc...
In this article, we will describe the tests used to examine the medial and collateral ligaments and the anterior and posterior cruciate ligaments.
09/17/2013
Diabetes Q&A
Diabetes Q&A
09/17/2013
A clarification of semantics and expansion on data regarding the treatment of diabetes and prediabetes, along with responses from our editorial board.
09/17/2013
Primary Care
Primary Care
09/17/2013

Richard Colgan, MD is the vice chair of medical student education and clinical operations, as well as a professor at the University of Maryland School of Medicine, Department of Family and Community Medicine.

Richard Colgan, MD is the vice chair ...
Canadian medical educator Sir William Osler (1849-1919) is, in my opinion, one of the most influential English-speaking physicians in the history of Western medicine.
09/17/2013
09/17/2013
Have you visited Consultant360 lately? If you haven’t, now is a good time to take a look. Over the past few months, we have been working hard to create an interactive Consultant community. As the new...
09/17/2013