Lipoma
This non-tender, freely mobile, rubbery-feeling nodule is a classic lipoma. Diagnostic contenders include epidermal cyst and cutaneous metastases. (Source: Consultant Live)
Source: Consultant Live - July 30, 2013 Category: Primary Care Source Type: news
The Life of a Miscarriage
This family-physician-daughter of a hospital pathologist and a psychiatrist is led by a patient's miscarriage to memories both brutal and beautiful around the premature loss of a new life. (Source: Consultant Live)
Source: Consultant Live - July 30, 2013 Category: Primary Care Source Type: news
Squamous Cell Carcinoma In-Situ
Eccentric and irregular pigmentation prompted a biopsy in this elderly woman with a history of basal cell carcinoma and melanoma. The surprising diagnosis was a heavily pigmented squamous cell carcinoma in-situ. (Source: Consultant Live)
Source: Consultant Live - July 29, 2013 Category: Primary Care Source Type: news
Medication Errors in Adults—Case #1: Warfarin
This agent has a large number of drug-drug and drug-food interactions, and there is a need for increased INR monitoring. (Source: Consultant Live)
Source: Consultant Live - July 29, 2013 Category: Primary Care Source Type: news
Cost-effective Care: Can We Afford Not to Deliver?
We were well-taught not to think about costs when formulating a diagnosis and a plan of care. But, the financial impact of health care on patients is not benign. How do we strike a new balance between physical and financial well-being? (Source: Consultant Live)
Source: Consultant Live - July 27, 2013 Category: Primary Care Source Type: news
Getting Under Patients’ Skin: Bugs, Bites, and Burrows—A Photo Quiz
Creatures of all kinds can get under your patients’ skin and cause problems, and the results sometimes are mistaken for other types of lesions. This week’s photo essay will test your ability to identify various kinds of diagnoses. (Source: Consultant Live)
Source: Consultant Live - July 26, 2013 Category: Primary Care Source Type: news
Hereditary Breast Cancer Syndromes: When and Why to Screen and What to Say When you Don't
The USPSTF on genetic testing recommends screening only for women who meet specific criteria. In fact, an inherited germline mutation is identified in less than 10% of women with breast cancer. (Source: Consultant Live)
Source: Consultant Live - July 26, 2013 Category: Primary Care Source Type: news
Knee Lesion
This lesion occasionally becomes lighter or darker. Do you recognize it? (Source: Consultant Live)
Source: Consultant Live - July 26, 2013 Category: Primary Care Source Type: news
Pop Quiz: GI Concerns
Ulcerative colitis, pregnancy...and prednisone? How would you handle a UC flare in this patient? (Source: Consultant Live)
Source: Consultant Live - July 25, 2013 Category: Primary Care Source Type: news
How good a dermatologist are you?
Ulcerating ankle; loud snoring; a new onset rash: see if you can answer this week’s 5 quiz questions. (Source: Consultant Live)
Source: Consultant Live - July 25, 2013 Category: Primary Care Source Type: news
EHR Struggles and 3 Ways to Do It Well
The bad news is: the EHR is here to stay. The good news is: you can learn to be an expert. Here are 3 simple steps that if you follow them will dismantle your resistance and get you home for dinner more often. (Source: Consultant Live)
Source: Consultant Live - July 25, 2013 Category: Primary Care Source Type: news
Epidermal Cysts
The puncta, with a black center, clearly identified these as classic epidermal cysts. (Source: Consultant Live)
Source: Consultant Live - July 25, 2013 Category: Primary Care Source Type: news
Fix Fasting (Glucose) First, But What About PPG?
The full-court press to control fasting blood sugar in patients with type 2 diabetes helps many reach goal A1C—but just as many fail to get there. Blame postprandial glucose—then fix both problems at the same time. (Source: Consultant Live)
Source: Consultant Live - July 25, 2013 Category: Primary Care Source Type: news
Strangulated Rectal Prolapse
Strangulated, or incarcerated, rectal prolapse is uncommon and seen mainly in elderly female patients. If ischemia is present, perineal proctosigmoidectomy is the only remaining treatment option. (Source: Consultant Live)
Source: Consultant Live - July 24, 2013 Category: Primary Care Source Type: news
Benign Seborrheic Keratosis
Biopsies of this large variegated pigmented plaque ruled out lentigo maligna melanoma and gigantic seborrheic keratosis. (Source: Consultant Live)
Source: Consultant Live - July 24, 2013 Category: Primary Care Source Type: news
