September 3rd 2024
The updated COVID-19 vaccine targets the currently circulating Omicron variant JN.1 strain of SARS-CoV-2.
Autosomal Dominant Polycystic Kidney Disease in a 38-Year-Old Woman
Autosomal dominant polycystic kidney disease (ADPKD) is common. Presenting symtpoms include hypertension, hematuria, proteinuria, and renal insufficiency.
Orbital Pseudotumor Disguised as Orbital Cellulitis and Sinusitis
May 10th 2012A 58-year-old man with a past medical history of chronic sinus disease and hypothyroidism presented with left periorbital pain and erythema that worsened despite outpatient treatment with topical antibiotics. An outpatient CT scan showed pansinusitis and orbital stranding. The diagnosis was orbital cellulitis and sinusitis.
An Elderly Woman With IgA Lambda Multiple Myeloma and Kidney Disease
A 92-year-old woman presented with a 6-month history of progressively worsening fatigue, weight loss, generalized bone pain, and dyspnea on exertion. A skeletal survey found lytic lesions in the pelvis, sacrum, and calvarium (shown here).
Hepatitis B Virus: 5 Things Primary Care Physicians Need to Know Now
March 22nd 2012Did you know: The hepatitis B virus is the only human virus that is routinely tested for by measuring a marker, or “footprint,” of the virus in the blood? Here, an explanation for this and 4 more things you need to know about HBV.
Foodborne Illnesses: 5 Things Primary Care Physicians Need to Know Now
March 20th 2012Obtain an accurate food/water ingestion history; be suspicious of bacteria, protozoa, and environmental toxins; educate patients on good kitchen hygiene. Here, a few more essentials to keep in mind when you suspect a foodborne illness.
Myalgias in a 55-Year-Old Man, After a Camping Trip
March 9th 2012A 58-year-old man presents with myalgias of approximately 1 week’s duration. He had been recently treated for sinusitis and symptoms resolved. His only medications were hydrochlorothiazide for hypertension and simvastatin for hyperlipidemia. He and his wife had gone camping 1 month before this visit.
Young Woman With Meningeal Signs
March 7th 2012A woman in her 20’s presents for care after 9 days of sore throat and subjective fevers followed by neck stiffness that developed over the last 2 to 3 days. The pain is exacerbated by swallowing and any neck motion. She has had sore throats before, but never this bad or this long and never that made her neck stiff.
Cephalic Tetanus Associated With Dental Caries and Root Canal
February 28th 2012A 47-year-old man in no apparent distress presented with intermittent facial pain, involuntary right facial muscle contractions, bilateral muscle spasms, trismus, involuntary tongue protrusions, tongue trauma, and an excessive gag reflex. He had taped a pacifier to his face to prevent tongue damage during involuntary clenching.