MKSAP: 34-year-old man with slow-growing lesions
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 34-year-old man is evaluated for several slow-growing lesions on his penis. He first noticed the wart-like growths 3 years ago, and they have progressively enlarged. He was treated with topical cryotherapy six times and topical imiquimod over the past year without improvement; the lesions have continued to enlarge. Medical history is significant for HIV infection. Medications are tenofovir, emtricitabine, and efavirenz.
On physical examination, vital signs are normal. Multiple red to brown verrucous papules wi...
Source: Kevin, M.D. - Medical Weblog - October 20, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Infectious Disease Source Type: blogs
MKSAP: 24-year-old woman with atopic dermatitis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 24-year-old woman with longstanding atopic dermatitis is evaluated for an acute worsening of her disease in the past week. She has had increased pruritus and now has multiple painful areas within the involved skin. She has been applying petrolatum jelly and triamcinolone ointment and washing with gentle cleansers without improvement. She is otherwise well and takes no medications.
On physical examination, vital signs are normal. She has eczematous plaques with scattered pustules in the involved areas. The rema...
Source: Kevin, M.D. - Medical Weblog - July 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Dermatology Infectious Disease Source Type: blogs
RE: Cycling and the use of anti-inflammatory triamcinolone
A certain well-known cyclist has been accused of crossing an ethical line, not of breaking any rules, just of not being as moralistic as politicians would expect. In the words of Mick Jagger back in the 1960s: “We do have morals, they’re just not the same as yours”.
The cyclist has been accused of being dosing up on triamcinolone. It’s a corticosteroid (which is an anti-inflammatory agent). This compound does not work like anabolic steroids which are more usually talked about as the bodybuilding drugs in the context of sport).
So, what is the supposed enhancement to sporting performance of this dru...
Source: David Bradley Sciencebase - Songs, Snaps, Science - March 5, 2018 Category: Science Authors: David Bradley Tags: Science Source Type: blogs
Losing (and Regaining) Your Grip
Tennis elbow, also known as lateral epicondylitis, is a painful and persistent problem that can be transient or chronic. The syndrome is caused by overuse of the elbow, although not always caused by one too many games of tennis.Lateral epicondylitis is an inflammation of the tendons that join the forearm muscles to the outside of the elbow. Overused and abused tendons can be damaged or even destroyed. Performing the same repetitive motions over and over again can irritate and annoy the tendons, resulting in severe pain, tenderness, and even inability to use the affected extremity.Many treatments are available for latera...
Source: The Procedural Pause - August 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Losing (and Regaining) Your Grip
Tennis elbow, also known as lateral epicondylitis, is a painful and persistent problem that can be transient or chronic. The syndrome is caused by overuse of the elbow, although not always caused by one too many games of tennis.Lateral epicondylitis is an inflammation of the tendons that join the forearm muscles to the outside of the elbow. Overused and abused tendons can be damaged or even destroyed. Performing the same repetitive motions over and over again can irritate and annoy the tendons, resulting in severe pain, tenderness, and even inability to use the affected extremity.Many treatments are available for latera...
Source: The Procedural Pause - August 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
MKSAP: 21-year-old woman with mosquito bites
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 21-year-old woman is evaluated for mosquito bites on her arms and legs that she received 1 week ago that she has been scratching regularly. One of the bites on her left thigh is now painful with a small amount of drainage. She otherwise feels well, has no significant medical history, and takes no medications.
On physical examination, vital signs are normal. A weeping red papule with overlying honey-colored crust is present on the anterior left thigh. There is no surrounding or extension of the redness, no lymp...
Source: Kevin, M.D. - Medical Weblog - July 1, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Infectious disease Source Type: blogs
MKSAP: 72-year-old man with community-acquired pneumonia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 72-year-old man is hospitalized for treatment of community-acquired pneumonia. Despite 4 days of treatment with intravenous fluids and antibiotics appropriate for the bacteria cultured from sputum and blood, he remains febrile with mild tachycardia. The patient subsequently develops mild hypotension and is transferred to the intensive care unit. Results of two subsequent blood cultures are negative for bacteria. Medical history is significant for hypertension treated with amlodipine and recurrent osteoarthriti...
Source: Kevin, M.D. - Medical Weblog - August 9, 2014 Category: Journals (General) Authors: mksap Tags: Conditions Endocrinology Hospital Source Type: blogs
