Visual Hallucination: Charles Bonnet Syndrome
Here, a case of an elderly woman who begins to experience visual hallucinations shortly after undergoing cataract surgery. Although the exact etiology of Charles Bonnet syndrome is unclear, this case and the discussion following provide an excellent review of the possibilities. (Source: Consultant Live)
Source: Consultant Live - September 27, 2013 Category: Primary Care Source Type: news
Low Testosterone Syndrome Rx: Still Waiting for Godot
Testosterone is not a malicious vascular toxin—and other lessons learned in this category. (Source: Consultant Live)
Source: Consultant Live - September 26, 2013 Category: Primary Care Source Type: news
Learning the Ropes of Medical School: A Boxer’s Wisdom
Training is crucial in medicine, says this fourth-year medical student, as it is in boxing, to ensure you can absorb the body blow, and go back out into the ring. Here, he extends the analogy. (Source: Consultant Live)
Source: Consultant Live - September 26, 2013 Category: Primary Care Source Type: news
Blame These Bumps on Mosquitoes?
Multiple itchy red bumps on a man’s ankles; relative contraindications to lumbar puncture; stroke in an addict. . . 5 more questions for you to test the breadth of your clinical knowledge. (Source: Consultant Live)
Source: Consultant Live - September 26, 2013 Category: Primary Care Source Type: news
Medication Errors in Adults—Case #3: Duplicate Therapy
This case focuses on duplicate therapy resulting from the use of prescription medications, which can result in serious adverse effects. (Source: Consultant Live)
Source: Consultant Live - September 24, 2013 Category: Primary Care Source Type: news
Wellens Syndrome
Wellens syndrome is characterized by ECG findings that are specific for high-grade stenosis of the proximal left anterior descending (LAD) coronary artery. (Source: Consultant Live)
Source: Consultant Live - September 23, 2013 Category: Primary Care Source Type: news
Postprandial Pain in a 66-Year-Old Woman
Occasional postprandial epigastric pain in this 66-year-old woman may cancel scheduled hernia surgery. Can you see why? (Source: Consultant Live)
Source: Consultant Live - September 23, 2013 Category: Primary Care Source Type: news
Wellen's Syndrome
Wellens syndrome is characterized by ECG findings that are specific for high-grade stenosis of the proximal left anterior descending (LAD) coronary artery. (Source: Consultant Live)
Source: Consultant Live - September 23, 2013 Category: Primary Care Source Type: news
Is Screening for Pre-dementia a Good Idea?
The drive to screen older persons for minor memory changes is leading to unnecessary investigation and potentially harmful treatment, according to some experts. (Source: Consultant Live)
Source: Consultant Live - September 23, 2013 Category: Primary Care Source Type: news
For Persistent GERD Symptoms, What Next?
Once-daily and then twice-daily PPI dosing has not ameliorated this patient's regurgitation. What would you do next? (Source: Consultant Live)
Source: Consultant Live - September 21, 2013 Category: Primary Care Source Type: news
Slowly Progressive Pearly Papule
This long-standing papule has been slowly enlarging. Its pearly translucence suggests a skin cancer. What’s your impression? (Source: Consultant Live)
Source: Consultant Live - September 20, 2013 Category: Primary Care Source Type: news
For Recalcitrant GERD Symptoms, Order 24-h pH/Imepdance Study
The symptom of regurgitation is generally less responsive to acid suppressants than heartburn. In the absence of red flag signs, however, upper endoscopy is not warranted. (Source: Consultant Live)
Source: Consultant Live - September 20, 2013 Category: Primary Care Source Type: news
Potassium: Overlooked and Underappreciated in the Battle Against Hypertension
Interventional studies that assessed the impact of K+ supplementation found the added micronutrient was effective in lowering blood pressure in hypertensive individuals. (Source: Consultant Live)
Source: Consultant Live - September 19, 2013 Category: Primary Care Source Type: news
Quinolone Antibiotics: Still Reliable Against Gram-negative Species?
Is there sufficient data now to mitigate against empiric therapy with these agents? Some of that data is discussed, here. (Source: Consultant Live)
Source: Consultant Live - September 19, 2013 Category: Primary Care Source Type: news
A New Enemy in the Hypertension Wars: Aldosterone
As the severity of hypertension increases, so does the likelihood of aldosterone excess. In fact, up to 13% of hypertensive patients have primary aldosteronism. (Source: Consultant Live)
Source: Consultant Live - September 18, 2013 Category: Primary Care Source Type: news
