Clinical Topics

Articles

Developed by researchers from the University of Pennsylvania Health System, the model uses a referral management system to support primary care patients with mental health needs. 

New Collaborative Care Model May Improve Mental Health Needs of Primary Care Patients

In a new survey of patients with severe asthma, COVID-19-related anxiety was found to be a potential risk factor for clinical worsening of disease and decline in quality of life. 

High COVID-19-related Anxiety a Risk Factor for Worsening of Asthma, Quality of Life

Irregular sleeping patterns can increase risk of depression and lower daily mood over the long term, according to a new study of first-year medical students.

Irregular Sleeping Patterns Linked to Depression, Bad Mood in First-Year Medical Students

A 24-year-old African American man presents for a routine eye examination. Theocular findings are unremarkable; however, well-circumscribed areas of whitenedskin are noted on his forehead and hands (A and B). The patient reportsthat the patchy loss of pigment has been progressing over a number of years.

Can You Identify These Facial Findings?

A 56-year-old man presented tothe emergency department with ahistory of constipation, abdominalpain, and blood-stained mucusdrainage from the rectum. The patienthad no fever; vital signs werestable. A vague fullness was felt in thelower abdomen. Rectal examinationrevealed anal warts; a patulous analsphincter; and a smooth, mobile, firmmass above the dentate line.

Air-Filled Foreign Body in Lower Abdominal and Pelvic Regions and Chondrodermatitis Nodularis Chronica Helicis

A 42-year-old woman sought medical advice for a facial rash of 4 weeks' duration. She denied any drug allergies, changes in her routine, or use of new laundry products.

Neurotic Excoriation

A 72-year-old man slipped and fell backward in the bathroom, hitting hishead on the toilet seat; he suffered only minimal discomfort. The followingday, he presented with mild back pain and extensive bruising.

Extensive Ecchymoses After a Fall: Aspirin- and Ginkgo-Related and Arm Pain Caused by Tip of a Broken Needle in Patient With a History of Injection Drug Use

Psychiatry