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Ramsay Hunt syndrome (Herpes zoster oticus) classically features the triad of ipsilateral facial paralysis, ear pain, and vesicles in the auditory canal and auricle (Figure).

Are these tender, vesicular erythematous lesions symptomatic of HIV/AIDS? Of Ramsay Hunt syndrome? Of herpes simplex or varicella-zoster virus? What's your diagnosis?

Herpes simplex virus (HSV) is in the same herpesvirdae family as VZV, and can be difficult to distinguish based simply on the presence of a “vesicular rash.”

This patient has had unprotected sexual intercourse with numerous partners, which increases the likelihood of acquiring a sexually transmitted infection – including HIV, Hepatitis B and C, and syphilis.

Are these tender, vesicular erythematous lesions symptomatic of HIV/AIDS? Of Ramsay Hunt syndrome? Of Herpes simplex or varicella-zoster virus infection?

Dike Drummond, MD, is an expert in stress management and burnout prevention for physicians. He is a high-energy speaker, trainer, and consultant on how to create physician engagement, healthy life balance, and a physician-friendly workplace. He is CEO of TheHappyMD.com, where his newsletter reaches doctors in 63 countries around the world. Dr Drummond is the creator of the Burnout Prevention Video Training Series and the 1 Minute Mindfulness Program for Physicians.

IDA is commonly seen in IBD as a result of iron malabsorption and, ironically, chronic blood loss through disrupted mucosal surfaces.

Primary care physicians need to pay more attention to this common medical disorder that frequently is unrecognized or misdiagnosed.

Just 3% of primary care physician compensation comes from quality measures. The rest? Productivity.

In the current milieu, the clinician should assume that MRSA is responsible for furuncles, until culture proves otherwise. Incision and drainage is the most important part of therapy, but oral antibiotics should be considered in large lesions, very young or very old patients, and when cellulitis surrounds the boil.

(AUDIO) Antiviral drugs have reduced intrauterine transmission of HIV dramatically. But what are the effects on the pregnancy itself? Here an infectious diseases expert discusses the risks and the benefits.

Among the NSAIDs used for relieving the pain of inflammatory arthritis, naproxen may have the best benefit to risk ratio on cardiovascular disease.

What is this asymptomatic lesion?

Neurological manifestations of HIV are at least as common as they were before the introduction of HAART. The challenge is that they are milder, and more difficult to recognize. But early treatment is essential.

Behavioral change requires clincal systems that support tracking and follow-up over time.

This biker asked that his wound be rinsed with hydrogen peroxide, which is now felt to be irritating to tissue and no longer recommended for use in rinsing out a traumatic wound. Water or saline is preferable. Also, superficial abrasions heal better when kept moist.

Among many considerations when ordering or interpreting a stress test are the limitations and adequacy of the stress modality (exercise, vasodilator, ionotrope) as well as the imaging modality used. Here, top-line reminders for primary care practice.