January 2015

How Should I manage This Young Woman's Painful Genital Ulcers

February 02, 2015

Consultant's Corner

A 29-year-old female accountant is seen by you for painful lesions in the vulva. Her past medical history is notable only for the use of the hormonal contraceptive patch. She has been married for one year and denies a past history of herpes. Examination reveals two mildly tender grouped ulcerative lesions on the left labia.

CPAP Usage Causes Weight Gain

February 02, 2015

FPR Journal Club

Patients with high body mass indexes and obesity are at greater risk for developing obstructive sleep apnea. This meta-analysis looked to determine if the use of Continuous Positive Airway Pressure for sleep apnea would result in weight loss or weight gain.

Interoperability is Next Goal for EHR Programs

February 02, 2015

The HIT List

As electronic health records become more prevalent in the healthcare community, the number of software options doctors can choose from seems to range as widely as the practices themselves.

A Simple Solution to Embolism in Atrial Fibrillation

February 02, 2015

FPR Journal Club

For patients with non-valvular atrial fibrillation, preventing stroke using anti-coagulation medication is the standard of care. This study looked at using a device that closes off the left atrial appendage of the heart to determine if it too would lower the risk of stroke.

Vegetarian Diet Reverses Coronary Artery Disease

February 02, 2015

FPR Journal Club

This study was a prospective cohort of 198 self-selected, adult patients with documented coronary artery disease, cerebrovascular disease, carotid artery disease, or peripheral arterial disease who followed a strict, plant-based dietary intervention in addition to standard medical therapy. The study examined compliance with diet as well as adverse cardiovascular events in both adherent and nonadherent patients.

60-Year-Old Man With Skipped Heartbeat, Shortness of Breath and Light-headedness

February 02, 2015

Cardio Corner

A 60 year-old man presents with complaints of a skipped heartbeat, shortness of breath and some light-headedness while sitting. When he is active, he has none of these symptoms. He is able to walk, climb stairs and even exercise on his elliptical without symptoms.

Young Girl with a Pruritic Rash

February 02, 2015

Dermatology Quiz

This 8-year-old girl came down with this itching rash following a horseback ride and a soak in a whirlpool spa. Other than itching, she has no symptoms and is in good health with no significant past medical history or medications.

Why Does This Patient Have Acute Severe Abdominal Pain Following Barium Enema

February 02, 2015

Radiology Rounds

One day following sigmoidoscopy for an anal stricture, this 61-year-old obese woman was admitted to the emergency department in shock. Earlier that morning, she had a barium enema without evidence of free air inferior to the diaphragm. Acute abdominal pain developed several hours later.

Another Viral Update: Making a Case for Herd Immunity

February 02, 2015

Editor's Letter

Another viral outbreak has hit the United States causing fear and hysteria as well as action from public health officials. The index case for this outbreak occurred in my home state, California, and its spread has far exceeded that seen with Ebola virus.