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A 48-year-old woman was hospitalized for acute-onset abdominal pain. She had a history of adult-onset Still disease and severe osteoarthritis. She had been taking 650 mg of aspirin every 4 hours to relieve her arthritis pain and fevers.

Two skin carcinomas that are in close proximity can be removed in a single excision.

Based in Atlanta, Elizabeth Woodcock is a speaker and author with more than 20 years of experience in the practice management industry. Author of ten best-selling books, she holds an MBA from The Wharton School. Learn more at www.elizabethwoodcock.com. You can also reach her directly at [email protected].

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Bacterial meningitis and herpes simplex virus type 1 (HSV-1) encephalitis are both associated with significant morbidity and mortality. Thus, hospitalization and prompt initiation of therapy are essential.

While currently receiving chemotherapy with mitoxantrone for Gleason grade 7 prostate cancer, a 64-year-old man presented with rectal bleeding.

For several months, a 28-year-old man has had these changes to his nails, which have also become more brittle. He denies any history of trauma to the nails.

Here is a tip that can help you cover all the elements of the review of systems: Ask the question as you examine the relevant body part.

Maintain a “murmur log” to record compliments and complaints from your patients.

Assign one clinical staff member to check the expiration dates on all prescription samples once a month, and keep a log of these inspections.

At sites where cosmesis is critical, such as on the face, use aluminum chloride and pressure for hemostasis rather than electrocautery.

I advise patients with diabetic neuropathy to break in new shoes gradually.

About 70% of patients with gout are treated exclusively in the primary care setting. Because the prevalence of gout is rising, particularly among older patients, you are increasingly likely to encounter this disease in your practice.

A 41-year-old woman presents to the emergency department with chest pain and dysphagia. Routine laboratory studies reveal profound neutropenia. She denies recent fever, chills, or weight loss.

Sandeep Juahar, who wrote an excellent warts-and-all account of his medical education in Intern: A Doctor’s Initiation, is now old enough to be having a midlife crisis. In a recent New York Times essay, he may or may not have been projecting his own current feelings of disillusion onto the entire medical profession. He writes about the sorry state of medical practice today.

In the next 5 minutes, Wilmer L. Sibbitt Jr, MD-one of the world's leading authorities on the subject-offers succinct answers to questions.