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Studies in Africa have shown that a new strain of the HIV virus leads to more rapid progression than previous strains, and other research suggests that in general HIV is becoming more aggressive. What does this mean for control of transmission?  

Oral plaques; Post-MI depression; Weakness; Polycystic kidney disease

In an era characterized by an expanding array of expensive gout therapies, it may be that cherries have been overlooked.

Patients who present with congenital hand deformities in association with cardiac disorders require a detailed evaluation.

Organizations from the Centers for Disease Control and Prevention (CDC) to the World Health Organization are looking for ways to engage adults and teenagers online in discussions about HIV prevention, testing, and treatment.

This is a case in which we believe vancomycin and piperacillin/tazobactam caused DIHS with lung involvement in form of bilateral pleural effusions, a very rare presentation.

Nearly a fourth of new HIV infections are among adolescents or people in their early 20s. An adolescent AIDS expert tells how their management should differ from that of adult patients infected with HIV.

What are first signs and symptoms of hepatic encephalopathy? When should you start treating-at the first episode? How to measure ammonia levels? When to send the patient for transplant evaluation?

Oral Pain; Bruising; Poisoning; MS; Foot Odor

How does your personal income last year compare with the previous year? What was your practice’s overhead as a percentage of medical revenue? How many hours per week do you work, on average? Here: the results of a survey of your peers . . .

How Primary Care Physicians Are FaringThese charts are culled from the annual Physicians Compensation Survey, which is conducted by the editorial staff of Physicians Practice-a sister publication of ConsultantLive. This year, more than 1311 physicians of all specialties completed the survey .The charts you see here show how primary care physicians responded to just a few of the survey questions. We invite you to visit the Physicians Compensation Survey in its entirety to see how your colleagues responded to such questions as: How does your personal income last year compare with the previous year? What was your practice’s overhead as a percentage of medical revenue? How many hours per week do you work, on average?-The Editors 

Sodium levels are known to be elevated inside the brain stem, cerebellum, and temporal poles early in the course of MS. This study showed total sodium concentrations to be significantly increased in advanced disease-particularly in normal-appearing brain tissues, concomitant with disability.

This patient had unilateral petechiae on the dorsum of the left foot. If the petechiae were symmetric, the first condition on the differential diagnosis would be thrombocytopenia. Here, though, the platelet count was normal. The patient also had a duplex of both the arterial and venous systems that showed complete thrombosis of both the arterial AND venous systems.

The patient has a stage 1 decubitus ulcer on her left heel. Both feet are cool but are the same temperature. Distal pulses are palpable but weak on the good foot; they are not palpable on the left and can only be heard faintly with a handheld Doppler. You note unilateral petechiae on the dorsum of the left foot.

Here: a battle plan to address obesity-the root problem of our current epidemic of metabolic syndrome, hypertension, and diabetes mellitus-that involves kicking a sedentary lifestyle.

Pamela Wible, MD, pioneered the first community-designed ideal medical clinic in America. An expert in patient-centered care, Dr Wible helps citizens design cutting-edge clinics and hospitals nationwide. Her model is taught in medical schools and featured in Harvard School of Public Health's newest edition of Renegotiating Health Care. Dr. Wible is a medical reporter for the Oregonian, has been interviewed by CNN, ABC, CBS, and is a frequent guest on NPR.