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Volume 57 - Issue 3 - March 2017

Consultant

What's the Take Home?
What's the Take Home?
A 68-Year-Old Woman Who Has Sustained a Hip Fracture and Requires Urgent Surgery
03/12/2021

Ronald N. Rubin, MD—Series Editor

Ronald N. Rubin, MD—Series Editor
Which item in this patient’s clinical profile is not associated with a significantly increased risk for perioperative cardiovascular complications and/or death?
03/12/2021
Dermatology
Dermatology
What is responsible for the rash on this woman’s hands and face?
12/14/2018

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
Woman diagnosed with cutaneous lupus erythematosus because she did not have the muscle pain and weakness commonly associated with dermatomyositis.
12/14/2018
Dermatologic disorders
Dermatologic disorders
What is the cause of this papular eruption?
12/10/2018

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
This young man presented to a dermatology clinic with a papular eruption on his chest.
12/10/2018
Photoclinic
Photoclinic
Nickel Allergic Contact Dermatitis
12/06/2018

Retha Gentry, DNP; Lisa Ousley, DNP; and Candice Short, DNP
East Tennessee State University College of Nursing, Johnson City, Tennessee

Retha Gentry, DNP; Lisa Ousley, DNP; and Candice Short, DNP East Tennessee State Univer...
A young male presented with nickel allergic contact dermatitis resulting from contact with his belt buckle.
12/06/2018
What explains this patient’s lesions?
06/21/2018

David L. Kaplan, MD—Series Editor

David L. Kaplan, MD—Series Editor
An older woman presented with a rash on her chin and a history of itchy rashes on her back.
06/21/2018
Henoch-Schönlein Purpura
03/17/2017

NILESH N. PATEL, MD and DEVESH N. PATEL, MD — Citrus Valley Medical Centers, West Covina, Calif

NILESH N. PATEL, MD and DEVESH N. PATEL, MD — Citrus Valley Medical Centers, West Covin...
Henoch-Schönlein purpura is an autoimmune complex, small-vessel vasculitic syndrome characterized by rash, abdominal colic, and joint pain.
03/17/2017
Keratoacanthoma
03/15/2017

ROBERT P. BLEREAU, MD

ROBERT P. BLEREAU, MD
Keratoacanthomas (KAs) are quite common but are almost always found on sun-damaged skin of older, fair-skinned patients.
03/15/2017
Evans Syndrome
03/15/2017

Elizabeth Clay, DO; Miranda McGahan, DO; and Naz Gandikal, DO
Florida Hospital East Orlando, Orlando, Florida

Elizabeth Clay, DO; Miranda McGahan, DO; and Naz Gandikal, DO Florida Hospital East Orl...
A methodical approach to determining their underlying etiology is important so as to identify less common causes such as Evans syndrome.
03/15/2017
Photoclinic
Photoclinic
Diffuse Cerebral Fat Emboli in Fat Embolism Syndrome
03/15/2017

Sukhwinder Johnny S. Sandhu, MD; Austin Fischer, DO; Patrick Natter, MD; Dinesh Rao, MD; Inbal Cohen-Rasen, MD; Paul L. Wasserman, DO; and Dalys E. Haymes, MD
University of Florida College of Medicine, Jacksonville, Florida

Sukhwinder Johnny S. Sandhu, MD; Austin Fischer, DO; Patrick Natter, MD; Dinesh Ra...
This patient presented with findings that were suggestive of cerebral fat emboli (CFE) in fat embolism syndrome (FES).
03/15/2017
Infectious diseases
Infectious diseases
Lyme Disease
03/15/2017

Steven Luger, MD, and Randall H. Suslick, MD

Steven Luger, MD, and Randall H. Suslick, MD
It has been estimated that as many as 329,000 new cases of Lyme disease occur annually in the United States.
03/15/2017
Cardiovascular Diseases
Cardiovascular Diseases
Aspirin, Warfarin, or Both for Primary Prevention of Cardiovascular Disease?
03/15/2017

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
Is there evidence supporting the use of warfarin in the primary prevention of CVD?
03/15/2017
Cardiovascular Diseases
Cardiovascular Diseases
Aspirin, Warfarin, or Both for Primary Prevention of Cardiovascular Disease?
03/15/2017

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
Is there evidence supporting the use of warfarin in the primary prevention of CVD?
03/15/2017
Cardiovascular Diseases
Cardiovascular Diseases
Aspirin, Warfarin, or Both for Primary Prevention of Cardiovascular Disease?
03/15/2017

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS

Eric A. Dietrich, PharmD, BCPS, and Kyle Davis, PharmD, BCPS
Is there evidence supporting the use of warfarin in the primary prevention of CVD?
03/15/2017
Psychiatry
Psychiatry
Concomitant Lithium and ACEIs: Increase the Index of Suspicion for Lithium Toxicity
03/15/2017

Benjamin T. Duhart Jr, MS, PharmD, and Timothy H. Self, PharmD

Benjamin T. Duhart Jr, MS, PharmD, and Timothy H. Self, PharmD
A high index of suspicion for lithium toxicity is necessary when it is taken concomitantly with ACEIs.
03/15/2017
Hair Loss
Hair Loss
Hair Breakage and Spontaneous Hair Loss in 2 Sailors Aboard an Aircraft Carrier
03/15/2017

Robert J. Long, MD

Robert J. Long, MD
Two sailors presented at different times with hair breakage and spontaneous hair loss. What was their diagnosis?
03/15/2017
Peer Reviewed
Peer Reviewed
A Young Woman With Unusual Progressive Neuropathy: A Case of Nitrous Oxide Abuse
03/10/2017

Juan Qiu, MD, PhD

Juan Qiu, MD, PhD
Unlike other drugs of abuse, N2O abuse is frequently overlooked among patients in primary care.
03/10/2017
What Is This Asymptomatic Mass on the Side of a Woman’s Neck?
03/10/2017

Alexander K. C. Leung, MD, and Benjamin Barankin, MD

Alexander K. C. Leung, MD, and Benjamin Barankin, MD
Plexiform (multinodular schwannoma) is a benign tumor originating from the Schwann cell of the nerve sheath, characterized by growth patterns.
03/10/2017
Cardiovascular Diseases
Cardiovascular Diseases
Hypertrophic Cardiomyopathy: Contemporary Evaluation and Management
03/10/2017

Suwen Kumar, MD; Howard Song, MD, PhD; Meghan Chirpich, MS, CGC; and Stephen Heitner, MD

Suwen Kumar, MD; Howard Song, MD, PhD; Meghan Chirpich, MS, CGC; and Stephen Heitner, M...
Hypertrophic cardiomyopathy is a phenotypically heterogeneous cardiac condition with a multitude of physiologic effects.
03/10/2017
Cardiovascular Diseases
Cardiovascular Diseases
Hypertrophic Cardiomyopathy: Contemporary Evaluation and Management
03/10/2017

Suwen Kumar, MD; Howard Song, MD, PhD; Meghan Chirpich, MS, CGC; and Stephen Heitner, MD

Suwen Kumar, MD; Howard Song, MD, PhD; Meghan Chirpich, MS, CGC; and Stephen Heitner, M...
Hypertrophic cardiomyopathy is a phenotypically heterogeneous cardiac condition with a multitude of physiologic effects.
03/10/2017
Cardiovascular Diseases
Cardiovascular Diseases
Hypertrophic Cardiomyopathy: Contemporary Evaluation and Management
03/10/2017

Suwen Kumar, MD; Howard Song, MD, PhD; Meghan Chirpich, MS, CGC; and Stephen Heitner, MD

Suwen Kumar, MD; Howard Song, MD, PhD; Meghan Chirpich, MS, CGC; and Stephen Heitner, M...
Hypertrophic cardiomyopathy is a phenotypically heterogeneous cardiac condition with a multitude of physiologic effects.
03/10/2017
Geriatrics
Geriatrics
Screening, Staging, and Assessment of Colorectal Cancer: A Cautionary Case
03/10/2017

Luis L. Perez, DO; Karen Sheehan, MD; and Shawn Warner, MS-III

Luis L. Perez, DO; Karen Sheehan, MD; and Shawn Warner, MS-III
A 78-year-old man was referred to a general surgeon’s office with concern for rectal bleeding and symptomatic external hemorrhoids of 2 months’ duration.
03/10/2017
Reader Reactions and Timely Responses from Experts
03/10/2017
Two Letters to the Editor are answered by our experts, as well as a printed correction from last issue.
03/10/2017
March Is the Month for Colorectal Cancer Awareness and Screening
03/10/2017
Colorectal cancer affects more than 135,000 Americans. March is designated as Colorectal Cancer Awareness Month.
03/10/2017