Clinical Features

Derm Dx: Thickened toenails

A patient aged 64 years presented with complaints of thickened toenails for the past 2 years. He denied other medical problems.

Handling my first 'real-world' medical situation as a physician assisant

You can never predict when your first medical emergency may occur or who may be around to help.

Preoperative management in a type 2 diabetes patient

After a patient's elective surgery was postponed due to glucose readings, an assessment of his medical profile and history were evaluated to manage his type ...

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Web Exclusives

Genetic factors affect impact of exercise on type 2 diabetes risk

Genetic factors affect impact of exercise on type 2 diabetes risk

Exercise does not provide its usual benefit against diabetes in patients with high genetic risk for developing type 2 diabetes and insulin resistance.

Opioids too risky for long-term use in chronic pain patients

Opioids too risky for long-term use in chronic pain patients

New guidelines offer strategies for clinicians on how to effectively and safely manage opioid prescription use in chronic noncancer pain patients.

The Waiting Room Continuous positive airway pressure treatment may improve cognition

Continuous positive airway pressure treatment may improve cognition

CPAP treatment helps patients diagnosed with obstructive sleep apnea regain memory.

The Waiting Room Caring for friends as patients

Caring for friends as patients

For health-care providers, there are many positive aspects to caring for a friend, particularly during pregnancy.

Latest Videos

Advisor Forum

Patient receives a kidney diagnosis and a life lesson

Patient receives a kidney diagnosis and a life lesson


Patient with back pain and blood in urine is diagnosed with autosomal dominant polycystic kidney disease.

Abdominal rash spreads to entire trunk: making the diagnosis

Abdominal rash spreads to entire trunk: making the diagnosis


A 23-year-old white female had one lesion on her lower abdomen that spread to a rash over her entire trunk.

Acute or chronic pancreatitis?

Acute or chronic pancreatitis?

How can a clinician distinguish chronic pancreatitis from acute pancreatitis in a patient with alcohol-abuse history?

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.

Electronic medical records:
 this time, it's personal

Electronic medical records:
 this time, it's personal 


I requested from our EMR [electronic medical record] provider the ability to add a "sticky note" to our client records.

Education

Lifestyle interventions for obesity 
and weight-related complications

Lifestyle interventions for obesity 
and weight-related complications


Behavioral strategies for sustainable weight loss can significantly improve clinical outcomes in obese patients.

Red-brown lesions on the upper body

Red-brown lesions on the upper body

A 29-year-old white man presented to the dermatology clinic with multiple lesions on his left arm and shoulder. The lesions ...

Multiple facial papules on a young girl

Multiple facial papules on a young girl

An 8-year-old Hispanic female presented to the dermatology clinic with her mother for evaluation of lesions that had been on ...

Solitary plaque on dorsal hand

Solitary plaque on dorsal hand

Audrey Chan, MD

A 29-year-old white male presented to the dermatology clinic with an eruption on the left hand that had ...

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