Clinical Features

Rectal exam tried as 
assault

Informed consent becomes muddled during an emergency to check 
for spinal injury.

Derm Dx: Large, pedunculated nodule in an obese patient

A moderately obese patient, aged 59 years, presented for evaluation of a bothersome lesion on his buttock that had been present for several years.

Diabetes control in a patient with multiple hospitalizations

A patient with type 2 diabetes for ten years experienced three recent hospitalizations and a COPD exacerbation that required an increase in maintenance steroids.

Image of the Week: Poisonous mushrooms

This patient presented with decreased consciousness, twitching, drooling, and urinary incontinence after ingesting poisonous mushrooms.

Small steps provide big benefits for weight loss

Smaller and more gradual changes in diet and physical activity can help patients lose weight and improve health.

Web Exclusives

How does the public perceive medical malpractice?

How does the public perceive medical malpractice?

A survey of Massachusetts residents concluded overwhelming public support for more transparency from providers and hospitals.

First generic esomeprazole approved by FDA

First generic esomeprazole approved by FDA

The FDA has approved esomeprazole magnesium delayed-release capsules, the first generic version of AstraZeneca's Nexium.

Updates to U.S. childhood, adolescence vaccine schedule released

Updates to U.S. childhood, adolescence vaccine schedule released

Changes in the 2015 childhood and adolescent immunization schedule include column changes to reflect the availability of influenza vaccines.

The Waiting Room Tips for surviving a nurse practitioner program

Tips for surviving a nurse practitioner program

Budgeting your time, working collaboratively with your peers, and investing in technology are just three tips for surviving a nurse practitioner program.

The Waiting Room Exploring the lidocaine with epinephrine myth

Exploring the lidocaine with epinephrine myth

Research suggests that injecting lidocaine with epinephrine may not be as dangerous as previously thought.

The Waiting Room Neck-to-waist ratio can help predict pediatric obstructive sleep apnea

Neck-to-waist ratio can help predict pediatric obstructive sleep apnea

Research from Canada demonstrated that a neck-to-waist ratio of >0.41 has sufficient sensitivity and specificity to be considered a predictor of obstructive sleep apnea.

Latest Videos

Advisor Forum

Gluten-free diet resolves symptoms in a non-celiac patient

Gluten-free diet resolves symptoms in a non-celiac patient


A gluten-free diet alleviated a patient's fatigue, brain fog, bloating, and constipation.

Don't hit 'send' until you read this

Don't hit 'send' until you read this


Medical professionals need to keep in mind that e-mail etiquette can affect their reputation.

Yellow lights, digoxin toxicity

Yellow lights, digoxin toxicity


A woman complaining of seeing yellow lights is diagnosed with digoxin toxicity.

'Addicted' babies are misclassified

'Addicted' babies are misclassified 


Referring to infants as "addicted" to opiates is clinically incorrect and creates stigma surrounding treatment.

Help smokers quit on the 'DOT'

Help smokers quit on the 'DOT'

The Department of Transportation's new physical examination requirement helps employees quit smoking.

Weighing the pros, cons of craniosacral therapy

Weighing the pros, cons of craniosacral therapy

The benefits of CranioSacral Therapy may not outweigh the intensive training and medical costs associated with the treatment.

Education

January 2015 CME/CE feature

January 2015 CME/CE feature

Nodule on scaphoid fossa of the ear

Nodule on scaphoid fossa of the ear

A 22-year-old man presented with concerns about several bumps that had developed on both of his ears. The patient reported ...

Vesiculobullous rash with atopic dermatitis

Vesiculobullous rash with atopic dermatitis

A girl, aged 4 years, presented with a 1-week history of fever, malaise, sore throat, and a new rash. She ...

Purple plaque on foot after swim in river

Purple plaque on foot after swim in river

A previously healthy 45-year-old white woman was transferred from an external health-care facility with vomiting, abdominal pain, and painful lesions ...

More

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