Tender, rupturing pustule on the chin
A man complained of mild-to-moderate sensitivity in his lower incisor whenever he chewed for the past year. Four months ago, a painful tender swelling developed on his chin.
Print Issue: July 02, 2009
New-onset neck and shoulder pain in an arthritis patient
A UTI triggers complications in a patient with two forms of arthritis.
Intractable bilateral leg swelling and recurrent infections
A man presented with a one-year history of progressive bilateral swelling and recurrent infections of the lower extremities. Maggots were observed in the skin crevices.
Clinician confronts an all-too-common ethical dilemma
Should the shocking confession of a depressed patient become a discoverable part of the medical record?
When patients’ BP just won’t come down
A wide-ranging evaluation is required to identify the multifactorial causes of resistant hypertension. Treatment goes beyond the usual antihypertensives.
Whose job is it to break bad news?
A patient is left in the dark when a state-mandated chest x-ray discloses a cancerous lung lesion.
Determining when men need testosterone
Deficiency can lead to sexual dysfunction and osteoporosis. Here are approaches to diagnosis and some factors to consider before treating.
Is every heart attack foreseeable?
The ECG and stress test were normal, so a pair of clinicians saw no reason to order emergency care.
Recognizing autism spectrum disorder
Diagnosis of the less severe forms of autism may require a high level of suspicion and recognition of “soft” clues on the part of the clinician.
Impetigo: Taking on a common skin infection
Seen frequently in children, this skin disease can affect patients of all ages. Knowing the proper therapy and how to prevent dissemination is crucial.
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