Skin Surgery Techniques: Shave Biopsy

Overscheduled and undertrained, primary care clinicians shoulder a significant portion of the US wound care burden. Author Nima Ahmadi offers a technology-based solution.

At one time or another, every primary care physician will likely see a patient who is a hypochondriac, a chronic complainer, or a substance abuser. Rather than seeing these patients as difficult and avoiding them as much as possible, the physician can reframe the problem as an opportunity for growth and development. Dr Lieberman suggests that keeping the sessions brief but allowing more frequent visits and addressing medical and psychosocial concerns will make your relationship with your patient more positive. Managing hypochondriacal patients, chronic complainers, and substance abusers will be much easier after listening to Dr Lieberman’s suggestions.

Patients infected with COVID-19 have overwhelmed hospitals and their personnel. The consequences of depleted resources, severe stress, and inexperience hold essential lessons.

A 68-year-old woman presents with a new 6-mm nodule with central ulceration and a rolled border on the right cheek. What's your diagnosis? How would you treat?

Patient claims pruritic full-body rash is from a course of vancomycin. Is he correct? Could it be something else?

Patient is 54 y/o man; the cough has been present for 2 weeks, the rash on the lower extremities for 2 months; the rash is getting worse. What's your dx?