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

Eating blueberries may reduce blood pressure in postmenopausal women

Eating blueberries may reduce blood pressure in postmenopausal women

Nitric oxide levels were greater in the blueberry powder group compared with baseline levels, while no changes were observed in the control group.

Protein, probiotic combo shows promise for pediatric peanut allergy

Protein, probiotic combo shows promise for pediatric peanut allergy

A new oral therapy that combines a probiotic and peanut protein appears to be a successful immunotherapy for peanut allergy.

Women, providers unhappy with cervical cancer screening changes

Women, providers unhappy with cervical cancer screening changes

Results of a survey revealed that many female patients would be more comfortable with routine Pap and HPV tests to screen for cervical cancer.

The Waiting Room Work-life balance is crucial

Work-life balance is crucial

Although providers do not have a typical nine-to-five jobs that end when the shift does, it's important to find time to de-stress with enjoyable hobbies.

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.

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 ...

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