Eruptive xanthomas; smooth-shaped, deeply placed nodules; a solitary itchy patch . . . how much do you know about these and 2 other disorders?
Dyspnea and blood-streaked sputum; severe URI followed by rash; chronic pain; Lemierre syndrome . . . how well will you do on this quiz?
Allergic rhinitis and the “allergic triad,” allergy tests for children, allergic asthma, acute urticaria, a lipstick allergy, allergic contact dermatitis of the scalp—these images show a range of common allergic conditions.
A 61-year-old man with an 80 pack-year smoking history presented with hoarseness, dyspnea, and cough productive of blood-streaked sputum, all of several week’s duration. The physical examination was unremarkable. What do you suspect and what would you do next?
In my customized Google news, I have a category for cosmetic surgery. Most items that turn up are self-serving PR announcements, but recently there was lengthy coverage of the death during cosmetic surgery of aspiring Chinese pop star Wang Bei.
Physical clues to allergic rhinitis include the allergic crease on the dorsum of the nose and allergic "shiners" or periorbital ecchymosis.
For my patients who use nasal spray, I advise them to use the right hand to spray into the left nostril and the left hand to spray into the right nostril.
Many pharmacological options exist for allergic rhinitis. Intranasal corticosteroids are the most effective medication class for patients with moderate to severe symptoms; those with milder intermittent symptoms can be treated with a second-generation oral or intranasal antihistamine.
A 14-year-old girl is seen because of long-standing nasal itch, intermittent nasal congestion, and clear nasal discharge. Allergies to house dust mites and to cats shown on prior skin testing. Often has marked eye swelling when exposed to cats. Receives antihistamines when in flare-up and prior to cat exposure. The consumption of dairy products exacerbates all of the above.
A 62-year-old woman presents with epistaxis from the right nostril. The
nosebleed has lasted about 90 minutes, and she has become alarmed
by the amount of blood on the tissues and washcloth she has applied to her