Guttate psoriasis often appears in conjunction with an upper respiratory infection, particularly streptococcal tonsillitis, as it did in this patient. This phenomenon is more common in children.

Most doctors are burned out, overworked, or exhausted. Physicians rarely ask for help.

Numerous short- and long-term adjustments are underway to address an anticipated shortage in HIV care clinicians. One of the important alternatives may be shifting more care to nurses.

(AUDIO) The HIV Medicine Association has released a document that identifies the key characteristics of a medical provider qualified to manage the long-term care of patients infected with HIV. Here the chair of the organization describes the qualifications and tells why they are important.

The patient, an active 49-year-old man, had an HbA1c of 8.6 after diabetes was first diagnosed. It’s now 7.6 with metformin and lifestyle measures. Is the current A1c goal adequate, or should you treat more aggressively?

Managing chronic disease and HIV in the over-50 population leads to a high risk of adverse drug interactions. Here are the most common polypharmacy culprits for HIV patients, and tips for avoiding these dangerous mishaps.

Our brains can be trained to function better as we age, and it doesn't take the Fountain of Youth to get there. In this podcast, geriatric psychiatrist Helen Lavretsky prescribes strategies to challenge our brains. She notes: "The more we challenge our brain, the more new nerve pathways and circuits we form."

Preseptal cellulitis, myasthenia gravis, squamous cell carcinoma, atheromatous embolism, calciphylaxis are shown here.

Despite the considerable toll clinical practice is taking on primary care physicians, most don't seem to be hanging up their stethoscopes . . . at least not yet.

Erik R. Vanderlip, MD, is a senior fellow and acting instructor in the University of Washington Department of Psychiatry. As a dually trained family physician and psychiatrist, Dr Vanderlip is active in national health system redesign efforts with a particular interest in newer models of the medical home. He practices family medicine in a hybrid primary care clinic within a mental health center in Seattle.

News and updates from the American Society of Hypertension Conference. ASH is the largest organization of hypertension researchers and health care providers in the United States committed to preventing and treating hypertension and its consequences. The editors of ConsultantLive bring you updates from the 2013 ASH conference in San Francisco, CA.

Recommendations consider the whole patient, the spectrum of risks and complications for the patient, and evidence-based approaches to treatment.

Shorter sleep is associated with increases in BMI in adolescents aged 14 to 18 years, especially in heavier adolescents.

The ankle-brachial index is a noninvasive screening tool that can improve cardiovascular event risk stratification.

Tamoxifen and raloxifene reduce the incidence of invasive breast cancer in women without cancer, but they also increase the risk of blood clots and other risks.

A seasoned family physician remembers the day she met her mentor, Dr McLarty-a 70-year-old cowboy who was eating Metamucil wafers while puffing on a pipe. He wore Wrangler corduroys and a crew cut with some gray hairs shooting through. With his thick Texas twang, he slurred his words together around southern slangisms and medical anecdotes.