Clinical Features

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.

Image of the Week: Poisonous mushrooms

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

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.

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.

PAs address Saudi Arabia's health-care challenges post-Arab Spring

After the 2010 Arab uprisings, the physician assistant profession was created to address the rapidly changing health-care complications in Saudi Arabia.

Web Exclusives

Omega-3s may offset mercury toxicity in fish

Omega-3s may offset mercury toxicity in fish

Only children whose mothers had high levels of meat-related omega-6 fatty acids but low levels of omega-3s from fish oil had associated developmental damage.

Nurse practitioners, physician assistants linked to higher ICU survival rates

Nurse practitioners, physician assistants linked to higher ICU survival rates

Intensive care unit teams with nurse practitioners and physician assistants saw higher survival rates compared with teams made up of only residents.

E-cigarette vapor contains high levels of formaldehyde

E-cigarette vapor contains high levels of formaldehyde

High-voltage e-cigarettes released enough formaldehyde-containing compounds to increase a patient's lifetime risk of cancer five to 15 times higher than the risk caused by long-term smoking.

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.

The Waiting Room What keeps clinicians motivated?

What keeps clinicians motivated?

In order to stay motivated and avoid burnout, some clinicians find inspiration in their patients.

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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