topic
- Dactylitis from Mycobacterium intracellulare infection
A 69-year-old man presents with 6 months of progressive swelling of the right middle finger, with no systemic symptoms.
- Which ICU patients need stress ulcer prophylaxis?
An examination of the controversy surrounding stress ulcer prophylaxis in critically ill patients, with guidance for its appropriate use in this setting.
- Unraveling a challenging diagnosis: Role of a TNF inhibitor
Painful swelling of the dorsum of the right hand had been diagnosed as chronic cutaneous sarcoidosis with tenosynovitis, treated unsuccessfully with prednisone and methotrexate.
- Mondor disease of the breast
A 43-year-old woman had 2 weeks of pain and skin tightness over the right breast. Ultrasonography revealed a noncompressible, dilated, subcutaneous vein without flow.
- Women’s health update: A literature review impacting primary care
The authors review cardiovascular disease, bone health, breast cancer risk, cervical cancer prevention, postpartum depression, pelvic pain, and emergency contraception.
- Acute anxiety and tachycardia in a hospitalized 59-year-old woman
The patient presented with neck pain, painful swallowing, headache, and fever. She had contracted lymphoproliferative disease after liver transplant. She had stage 3 chronic kidney disease.
- Metastatic bone disease: Early referral for multidisciplinary care
A lack of awareness and recognition of symptoms continues to delay referral to specialist teams. The authors provide guidance for early diagnosis and referral.
An unexpected turn: A 71-year-old man with myocardial infarctionThe patient’s temperature was elevated, pulse rate 98 beats per minute, respiratory rate 16 breaths per minute, and blood pressure 100/60 mm Hg. Cardiac and pulmonary examinations were normal.
- A clinical trial and another clinical practice bites the dust, or should there not be an appendix?
Studies over the past 2 decades have assessed an alternative approach to acute appendicitis: treatment with systemic antibiotics and observation.
- Atypical erythema as a clinical presentation of tinea incognito
The lesions were originally diagnosed as contact allergic dermatitis and treated with topical corticosteroids, but culture revealed Trichophyton rubrum.