Oncology
- Is a detailed neurologic physical examination always necessary?
In medicine, we need all the help we can get.
- Is Pap testing still needed after hysterectomy?
There is no need to continue Pap testing after hysterectomy for a benign indication.
- Hyperkeratotic fissured plaques on both hands: Mechanic’s hands
This sign is seen in about 30% of patients with antisynthetase syndrome.
- Are serum troponin levels elevated in conditions other than acute coronary syndrome?
Yes. Troponin elevation is a nonspecific sign.
- Primary livedo reticularis of the abdomen
Livedo reticularis can be the manifestation of a wide range of conditions—or not.
- Ascites from intraperitoneal urine leakage after pelvic radiation
Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.
- A 67-year-old woman with bilateral hand numbness
Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.
- Paraneoplastic acral vascular syndrome
The patient presented with a painful blue great toe, abdominal pain, and unintentional weight loss.
- Scapular rash and endocrine neoplasia
A woman in her 30s presents with an itchy skin-colored rash over her scapula of 8 years’ duration.
- Disparities in cervical cancer in African American women: What primary care physicians can do
African American women are disproportionately affected, but equal access to care may eliminate most of the disparity.