Clinical Features

Hypoglycemia in an ambulatory care setting

A type 1 diabetes patient presents to an outpatient facility agitated and slurring his words. Emergency medical help was called to assist the patient.

Derm Dx: Warty papules on the chest, ears

A patient, aged 50 years, presented with complaints of bumps on her chest, behind her ears, and in her ear conchae.

Pharmacologic interventions for weight-related health risks


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

Image of the Week: Pneumoperitoneum

This x-ray demonstrates a dramatic case of pneumoperitoneum, sometimes called free air under the diaphragm.

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Web Exclusives

Soda may be a catalyst for aging

Soda may be a catalyst for aging

Shorter telomeres were associated with increased soda consumption, which is an indication of cellular aging.

Twice-yearly PCP visits yield improved hypertension control

Twice-yearly PCP visits yield improved hypertension control

Health insurance and being treated for high cholesterol improved chances of keeping hypertension under control.

The Waiting Room Death with dignity: Who gets to decide?

Death with dignity: Who gets to decide?

Clinicians' personal beliefs cannot influence end-of-life care.

The Waiting Room Try absorbable sutures for facial lacerations

Try absorbable sutures for facial lacerations

Absorbable sutures take the guesswork out of when to remove sutures while saving the patient time and money.

Latest Videos

Advisor Forum

Why your patients seek primary care from the emergency department

Why your patients seek primary care from the emergency department

Primary-care practitioners should change to accommodate patients seeking primary care from emergency departments.

Pain in a person with hepatitis C and a fatty pancreas

Pain in a person with hepatitis C and a fatty pancreas


An obese patient with chronic hepatitis C, diabetes, advanced cirrhosis, and fatty pancreas presents with chronic right-to-middle upper-abdomen pain.

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.

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

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.

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 ...

Annular plaques on the foot, shin, hand

Annular plaques on the foot, shin, hand

A woman, aged 26 years, presents with circular rashes that developed 3 months earlier. She reported that the rashes first ...

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 ...

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