Increased pigmentation on her lower back is noted by a 38-year-old woman who has used a heating pad for several months for low back pain. What condition are you looking at here?
One hour after sustaining a puncture wound to the left ankle, a 2-year-old boy was brought the emergency department. The father, a commercial fisherman, was attempting to free a catfish from a crab trap...
Although widespread outbreaks of food poisoning attract public attention, the latest data from the CDC show that incidences of foodborne disease are decreasing.
Alex Ianonne, DO; William Hicks, MD; Christopher Swift, DO; Christopher Malozzi, DO; Gregory W. Rutecki, MD
<p>For 5 days, a 30-year-old man has had fever, rigors, and diaphoresis. He admits to intravenous (IV) cocaine use. &nbsp;His temperature is 38.6°C (101.4°F); pulse, 108 beats per minute...
<p><strong><em>How safe is the use of sodium phosphate enemas and laxatives in elderly persons?</em></strong></p>
<p>In an age of polypharmacy, a variety of...
<p>This article features several cases of skin lesions caused by leisure activities, such as swimming, beach-going, and sports. &nbsp;It features curaneous larva migrans, swimmer's itch,...
<p>A 44-year-old woman is hospitalized for evaluation and management of an excessively elevated international normalized ratio (INR). She takes warfarin for a thromboembolic diathesis of 10 years’...
<p>When insulin secretion by the pancreatic ß-cell is not sufficient to maintain normal blood glucose levels,&nbsp;diabetes develops. Although the exact cause of defective insulin secretion is not...
<p>All doctors are writers. We write about providing medical care and about our patients over and over, every day, in the form of history and physicals, progress notes, and consultant’s letters. These...