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Painful Buttock Lesion in a Pregnant Woman

A 36-year-old pregnant woman at 27 weeks gestation presented to the obstetrical triage for evaluation of possible abscess due to a lesion on her buttock that first appeared 1 week ago. Since that time, it has become increasingly painful and itchy. Although she denies any systemic symptoms, her pregnancy is complicated by gestational diabetes and obesity. However, she is HIV negative and her other prenatal labs were unremarkable.

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Coronary artery disease in asymptomatic diabetic patients

We evaluated the effectiveness of the current American Diabetes Association guidelines for the detection of coronary artery disease (CAD) in asymptomatic patients with type 2 diabetes and assessed whether a more aggressive diagnostic strategy would permit detection of silent CAD at an earlier stage. The prevalence of myocardial perfusion defects and CAD in asymptomatic diabetic patients was high independent of risk factor profile, and an aggressive diagnostic approach in patients who would normally be excluded from screening permitted identification of CAD at an earlier stage, when coronary anatomy is more likely to respond to treatment.

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Community-acquired MRSA pericarditis

Only 2 cases of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) pericarditis have been reported in the English literature. Over the last 15 years, CA-MRSA has emerged as an increasingly common pathogen that is genetically and epidemiologically different from hospital-acquired MRSA (HA-MRSA).

First Once-Daily Oral Therapy Promising Option for Relapsing MS

Late mortality with sirolimus-eluting stents in diseased saphenous vein grafts

In a secondary post-hoc analysis of the Reduction of Restenosis in Saphenous Vein Grafts with Cypher (RRISC) trial, we compared the long-term safety of sirolimus-eluting stents (SES) with bare-metal stents (BMS) in diseased saphenous vein grafts

Pain Management after Hip Fracture in Older Patients

According to a recent systematic review, limited evidence exists to guide clinicians on the best approaches for managing pain in older (> 50 years of age) patients who have suffered a hip fracture. The strongest evidence supports nerve blockade to improve acute pain and to reduce risk for delirium. Data also suggest that preoperative traction does not improve relief from acute pain.

Cardiac tumor versus thrombus differentiation: Role of cardiac magnetic resonance imaging

When to Perform Reconstructive Surgery in Children with Facial Birth Defects

Birth defects can set a family up for a lifetime of challenges, but thanks to some amazing advances in modern cosmetic surgery, there are options available to improve a child's quality of life.

Left ventricular apical ballooning syndrome: A case report of an unusual syndrome

A 65-year-old woman with a history of anxiety disorder, dyslipidemia, and recently diagnosed celiac sprue was transferred to the heart center after presenting to a peripheral community hospital with marked fatigue, progressively worsening dyspnea on exertion, and bilateral lower extremity swelling with associated bilateral arm tingling.

The Deceptive Income of Physicians

Physicians are among the most well-compensated professionals in the US, right? Well, it depends on how you look at it.

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