Recurrent Nausea and Vomiting: What Cause?
A 21-year-old college student has presented multiple times with nausea and vomiting during the last 4 years. Upper endoscopy showed residual food in the stomach. Cyclical vomiting syndrome? Something else? (Source: Consultant Live)
Source: Consultant Live - August 15, 2013 Category: Primary Care Source Type: news
What Test for Worsened Constipation?
A 65-year-old multiparous woman presents complaining of having to spend up to 30 minutes on the commode with difficulty evacuating stool. Which of the following tests should be performed next? (Source: Consultant Live)
Source: Consultant Live - August 15, 2013 Category: Primary Care Source Type: news
Which Laxatives Linked With Melanosis Coli?
The finding of pigmented mucosa—melanosis coli—on colonoscopy is associated with which of the following laxatives? (Source: Consultant Live)
Source: Consultant Live - August 15, 2013 Category: Primary Care Source Type: news
Not a Risk Factor for Clostridium difficile Infection?
Previous antibiotic use and hospitalization are well known risk factors for Clostridium difficile infection. Are age, PPI use, immunosuppression, and BMI all also risk factors? (Source: Consultant Live)
Source: Consultant Live - August 15, 2013 Category: Primary Care Source Type: news
Next Test to Rule Out Celiac Disease?
A 31-year-old woman had intermittent abdominal cramping for years. Which test should be ordered next to rule out celiac disease? (Source: Consultant Live)
Source: Consultant Live - August 15, 2013 Category: Primary Care Source Type: news
CPAP for Severe Obstructive Sleep Apnea: Does Discomfort Warrant Discontinuation?
CPAP is first-line therapy for severe OSA but when patients complain about mask-related discomfort, what to do? (Source: Consultant Live)
Source: Consultant Live - August 14, 2013 Category: Primary Care Source Type: news
Weight Loss and Abdominal Pain in Diabetic Man: What Test?
What study would you order to determine the cause of progressively worsening crampy abdominal pain and unintentional weight loss in an older patient with diabetes? (Source: Consultant Live)
Source: Consultant Live - August 14, 2013 Category: Primary Care Source Type: news
In Non-Dysplastic Barrett's Esophagus, What PPI Regimen?
In patients with non-dysplastic Barrett’s esophagus, what regimen of proton pump inhibitors should be initially prescribed for management? (Source: Consultant Live)
Source: Consultant Live - August 14, 2013 Category: Primary Care Source Type: news
Spot Alert
A Dog Named Spot?—or Baby it’s Cold Outside? (Source: Consultant Live)
Source: Consultant Live - August 14, 2013 Category: Primary Care Source Type: news
Acetaminophen Toxicity in an Alcoholic Man
Dramatically elevated liver enzyme elevations in this man with alcoholic cirrhosis and clouded sensorium suggest a hepatocellular rather than an obstructive cause. (Source: Consultant Live)
Source: Consultant Live - August 11, 2013 Category: Primary Care Source Type: news
HIV-Infection and Worsening Diarrhea: What's Your Dx?
Mycobacterium avium complex enteritis; cytomegalovirus; Whipple's disease; sprue: what endoscopic findings reveal the cause of worsening diarrhea in this HIV-infected man with a CD4 count of 32 cells/uL? (Source: Consultant Live)
Source: Consultant Live - August 9, 2013 Category: Primary Care Source Type: news
Esophageal Malfunction: Can You Name the Cause?
An ED visit for food impaction, a short history of solid food dysphagia, and, lately, the last person at the dinner table. See if upper endoscopy results help you make a diagnosis in this young man. (Source: Consultant Live)
Source: Consultant Live - August 9, 2013 Category: Primary Care Source Type: news
Alcoholic Cirrhosis and Elevated Liver Enzymes: Your Dx?
Dramatically elevated aminotransferases may be the result of medication toxicity, acute viral hepatitis, or ischemic injury to the liver. Your assessment? (Source: Consultant Live)
Source: Consultant Live - August 9, 2013 Category: Primary Care Source Type: news
Tick Bites: Facts You Need to Know Now
Can a tick bite cause allegy to red meat? How long must a tick feed before it can transmit disease? Test your knowledge about tick borne illnesses with this mini-quiz. (Source: Consultant Live)
Source: Consultant Live - August 8, 2013 Category: Primary Care Source Type: news
Bumps, IBD, and Spots......
An asymptomatic bump; IBD and celiac disease; a gradually expanding spot .... test your clinical skills on a range of disorders in this week's quiz. (Source: Consultant Live)
Source: Consultant Live - August 8, 2013 Category: Primary Care Source Type: news
