10-Month-Old With Macular Spreading Rash
A macular rash has been spreading for 5 days after the cheerful child started amoxicillin therapy. What’s the most likely cause?
Stroke Risk Spikes After Cancer Dx
Cancer may be an under-appreciated, but common risk factor for stroke, which is most common the first month after cancer diagnosis.
Vitamin D Highlights: A Bedroom Boost
Italian researchers have found yet another area where the vitamin/hormone may help out: the bedroom.
Chest Pain and Hematemesis in a 48-year-old Man
Two hours earlier the patient had vomited to dislodge food stuck in his throat. This had been effective in the past but had never produced blood. Chest and epigastric pain worsened when he lay down.
Pneumomediastinum Caused by Boerhaave Syndrome
Vesicular Rash in a Teenage Wrestler
This rash began as a small red patch about 10 days earlier while the patient was at wrestling camp.
FluMist Not Effective Vs H1N1 (Maybe): What Next?
What flu vaccine should you recommend this year for children over age 2? A look at the data . . .
Early Detection of OA Key to Treatment
Synovitis predates and is associated with the development of radiographic osteoarthritis, new findings suggest. Treating synovitis in knee OA may help reduce disease progression and relieve symptoms. Details here.
Severe Mental Illness Means Dying Young
The merging of primary psychiatric care with primary medical care is urgently needed. Here’s why.
5 Curious Medical Cases From 2014
Here: a gallery of 5 unusual clinical cases and images from our partner Figure 1.
Circumcision and Vaccines: Twins Separated at Birth?
If we had a vaccine that was as effective at reducing HIV infection as circumcision, it would be a recommended vaccine here in the US, argues this pediatrician.
Do “Yellow Bumps All Over” Spell Diabetes?
Eruptive xanthomas; smooth-shaped, deeply placed nodules; a solitary itchy patch . . . how much do you know about these and 2 other disorders?
Diagnosing and Curing Our Sick Health System
I recently saw a great cartoon. A patient is surrounded by doctors, all turned away from him viewing their respective computer screens. The caption: patient-centered medicine.
4-Year-Old With Widespread Weepy Rash
Does this rash look like impetigo? Herpes? Tinea? Cellulitis? Here's a close look and a link to the answer and discussion.
Green Fingernail? Not Your Average Manicure
Subungual infection; “raccoon eyes;” bed bug bites. . . a quiz to challenge you.
Questioning Medicine: The Vitamin D Craze
The verdict is in: there’s not enough evidence to support screening of asymptomatic individuals for low vitamin D. Here: a look behind the curtain.
Myocardial Infarction - or Something Else?
Radiating chest pain and sweating in a middle-aged man who describes a history of anxiety: looks like classic MI, but is it? Watch the video for clues.
Swollen Hands-What’s Biting?
These 2 patients presented with a swollen hand and rapidly proximally progressive edema secondary to a bite. What creature did the biting?
More Evidence That Sperm Quality Decreases With Age
A new study suggests that DNA fragmentation and progressive motility may be more accurate and consistent predictors of sperm quality than traditionally measured traits.
Testosterone Replacement Does Not Increase CV Risks in Men With Low Testosterone Levels
Results of a new large study may offer some clarity in an area replete with conflicting findings from small studies in older men or registry studies in special populations.