Volume 54 - Issue 5 - May 2014

High-grade fever, chills, fatigue, malaise, and anorexia developed in a 35-year-old man following subclavian catheterization because of chronic renal failure of unknown cause.

A 23-year-old otherwise healthy female presented with a collection of slightly raised 5 mm to 10 mm salmon-colored papules on the dorsum of both feet.

A 68-year-old male presented with a 10-year history of a lesion on his palm that had failed cryosurgery. There is no history of bleeding and only slightly tender when he bumps it.

A 62-year-old female presents for evaluation of 2 erythematous patches around 6 mm to 8 mm on the sun-exposed portions of each forearm that were asymptomatic and present for a few months.

A 60-year-old African American male with coronary artery disease, peripheral vascular disease, heart failure, hypertension, diabetes mellitus, and a habit of smoking presented with a chief complaint of 2...

A 63-year-old male with recurrent nephrolithiasis and multiple medical problems was admitted for worsening pharyngitis refractory to outpatient management with supportive therapy.

A 92-year-old female with a history of hypertension, diabetes mellitus, and breast cancer presented with a fever of 2 days duration and a cough productive of whitish sputum.

A 19-year-old Hispanic male presented with a 3-month history of productive cough, hemoptysis, and intermittent pleuritic chest pain.

A 28-year-old Caucasian male with past medical history significant for intravenous (IV) substance abuse presented to the emergency room complaining of a productive cough, chest pain, fever, chills, sweats,...

Someone recently said to me, “Change is inevitable, except from vending machines.” Nowhere is that claim more accurate than when it comes to breast cancer management.

Few signs cause more apprehension than the coughing or expectoration of bright red blood originating from the lungs, known as hemotpysis.

A boy was born at 31 weeks’ gestation by cesarean delivery to a 43-year-old primigravida woman who was experiencing severe preeclampsia.

Physicians have a right and responsibility to discuss gun issues with their patients, according to a new policy paper from the American College of Physician (ACP).

Storytelling is a powerful tool that could (and should) be used more frequently in our armamentarium for pain control. Most of us have, at one time or the other, been completely absorbed while reading a...

Agatha presents to the clinic with signs and symptoms suggestive of a lower urinary tract infection; urinalysis shows numerous white blood cells and positive nitrite.

A 41-year-old woman presents with diffuse abdominal pain, rated 10/10 in severity, described as “deep and cramping.”

A 74-year-old man presents with a slow growing nodular lesion on his temple. The lesion had been there for perhaps 3 years and central ulceration developed 6 months ago.

To meet the demands of a growing pay-for-performance system, clinicians must assist patients to improve outcomes and participate in preventive activities, while decreasing costs and creating a...

In this article, the authors provide insights on discussing supplements with patients to ensure they are used safely and only when appropriate.

Herpes zoster, also known as shingles, develops when the varicella zoster virus is reactivated in the dorsal ganglia and migrates to adjacent sensory dermatomes, causing a rash and pain.

This article will review the risk factors associated with OSA, introduce a good diagnostic tool for the disease, and the possible ensuing benefits of treating OSA in patients with concurrent metabolic...

As primary care professionals, it is high time to frame and discuss the critical tension of prescribing painkillers further.

Stroke is the fourth leading cause of death in the United States and the leading cause of serious long-term adult disability.