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Discussing care decisions and agreeing on how to go forward is a skill that can be learned-by physicians and patients alike.

A little bit of knowledge can be a dangerous thing, and I am proof. There is a lot more to the saga and much of the information is essential to decision making in primary care practice on whether or not testosterone replacement is indicated.

Polycystic ovary syndrome (PCOS) is the most common endocrinopathy among reproductive-aged women; the prevalence is 5% to 10%.1 Like women with PCOS, affected adolescents often present with irregular menses, hirsutism, and acne. However, despite widespread agreement that the metabolic derangements of PCOS arise during puberty, the condition is diagnosed more often in adults than in adolescents.

About a third of HIV-positive patients have high blood pressure. Is this a predictable consequence of ordinary aging, or do their history of HIV infection and treatment play a role? Whatever the explanation, many of these patients don't take the problem seriously enough.

These wounds occurred when this 77-year-old woman fell when chasing her dog. Such wounds-a combination of ecchymoses and erosion caused by blunt and sheering forces on fragile skin-are common in the elderly, even after relatively mild trauma. Simple interventions will promote healing.

ACG 2013 intro

This year's ACG Annual Scientific Meeting will be held October 11-16, 2013 in San Diego, California. ACG 2013 will deliver an overview of recent advances in the diagnosis and treatment of various GI disorders, ranging from ulcerative colitis to fructose intolerance in children. ConsultantLive has captured the highlights of the meeting with reports on key presentations.

Early identification of childhood disorders is essential for achieving the best possible outcomes. This week’s photo quiz tests your ability to recognize some of the possible presentations.