Clinical Features

Image of the Week: Bullous emphysema

This patient presented with purplish markings accompanied by a burning and itching sensation.

Taking action against acute 
kidney injury in primary care

With acute kidney injury often encountered in the outpatient setting, 
primary-care providers should know the basics of diagnosis and treatment.

Diabetes Expert Challenge

Are you a prepared primary-care provider?

Ugly battle in the California Academy of Physician Assistants needs mediation

Problems within the California Academy of Physician Assistants and the state's PAs has escalated to such a degree that it impacts all PAs.

Derm Dx: History of basal cell carcinomas with pitting on the palms and soles

A patient, aged 15 years, presented for a skin check. Her past medical history is significant for several basal cell carcinomas on her face. She ...

Web Exclusives

Mentally challenging jobs preserve cognitive skills in later life

Mentally challenging jobs preserve cognitive skills in later life

Patients who had mentally stimulating jobs appeared to retain sharper thinking even years after retirement.

Abuse-resistant hydrocodone approved by FDA

Abuse-resistant hydrocodone approved by FDA

Hydrocodone bitartrate is difficult to crush, break, or dissolve, making it resistant to abuse.

Diabetes costs United States $322B annually

Diabetes costs United States $322B annually

In 2012,the cost of prediabetes was $44 billion, while the cost of undiagnosed diabetes was $33 billion.

The Waiting Room Where have all the male OB/GYNs gone?

Where have all the male OB/GYNs gone?

Men have a more difficult road to pave when it comes to choosing the specialty of obstetrics and gynecology.

The Waiting Room Be careful of sleepy drivers

Be careful of sleepy drivers

Patients who may be impaired by their medications or sleep disorders have a higher risk of fatal motor vehicle accidents.

The Waiting Room 'What's an NP?' too common a question

'What's an NP?' too common a question

Many primary care health-care providers, not just nurse practitioners, struggle with repeatedly explaining their duties and responsibilities.

Latest Videos

Advisor Forum

Vertigo, then headache: what is 
the diagnosis?

Vertigo, then headache: what is 
the diagnosis?


A man, aged 56, presented with complaints about episodes of vertigo and disabling headaches.

Recommitting to universal precautions in the Ebola era

Recommitting to universal precautions in the Ebola era


Reviewing precautions for blood and body fluids will help protect both healthcare workers and the public.

Consider alternatives to drug therapy for geriatric depression

Consider alternatives to drug therapy for geriatric depression


Geriatric patients who are not responding well to antidepressants may benefit from a combination of pharmacotherapy and psychotherapy.

Discussing advance directives
 during a patient's first visit

Discussing advance directives
 during a patient's first visit

Doctors should start a dialogue about advance directives upon a patient's first visit to help them make decisions regarding their health care.

Make a permanent mark on your patient's asthma treatment

Make a permanent mark on your patient's asthma treatment


I have my patients bring all of their pumps to me and will write on the plastic canister with a Sharpie permanent marker.

Easing a female patient into her first pelvic exam

Easing a female patient into her first pelvic exam


Always, always hand the speculum to a woman who has come in for her first pelvic exam, and allow her to check it out.

Education

Pharmacologic interventions for weight-related health risks

Pharmacologic interventions for weight-related health risks


Evidence-based guidelines for obesity support the use of pharmacologic therapy in collaboration with lifestyle interventions.

A desquamating rash on an infant

A desquamating rash on an infant

A black male infant, aged 3 months, presents to the emergency room with a rash and fever. His mother reports ...

Acne-like rash around the nose and mouth

Acne-like rash around the nose and mouth

A 71-year-old woman presents with a worsening rash of red bumps on her face that burned and was itchy for ...

Fluid-filled lesion on a child's leg

Fluid-filled lesion on a child's leg

A white male, aged 5 years, presents to the dermatology clinic for diagnosis and management of a lesion on his ...

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