The elderly patient has had type 2 diabetes for 15 years is now home bound after a stroke. Her HbA1c is 9.6 and she takes only metformin. Review the rest of her laboratory results and propose a management plan.
A 47-year-old man sees you for a check-up. He complains only of low energy and attributes it to recent weight gain. But, there is much more.
Contact stomatitis can occur as a result of cinnamon exposure. The condition can easily be managed by withdrawal of the antigen. A short course of systemic corticosteroid can produce dramatic improvement if symptoms are severe.
A 26-year-old white male aviator presents to his primary care physician for
his annual military physical examination. The patient is healthy, takes no
medications, and has no history of serious medical disorders. Genital examination reveals multifocal, confluent, slightly variegated,
hyperpigmented macules with irregular borders located in a circumferential
distribution on the penile shaft and glans.
A papular lesion developed rapidly during the previous 11 days on the left forearm of an 89-year-old man. Another patient noticed a similar growth that developed over a 3-week period on his finger.
A 72-year-old woman came to the emergency department with a tender, swollen left leg.
This pruritic eruption appeared on the arms, thighs, and buttocks of a 28-year-old woman after the uneventful delivery of her second child.
At 1 week postpartum, a 32-year-old woman presents with an itchy rash of sudden onset. Famciclovir, 500 mg bid, is prescribed, but the rash persists.
In cases of PEA, a rapid, narrow-QRS-complex rhythm is associated with an improved chance of survival.