Pub Date : 2023-01-01DOI: 10.25270/con.2023.09.000002
Aashir Siddique, Michelle Gallagher
{"title":"What Are These Multiple Papules on a 2-Month-Old’s Face?","authors":"Aashir Siddique, Michelle Gallagher","doi":"10.25270/con.2023.09.000002","DOIUrl":"https://doi.org/10.25270/con.2023.09.000002","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135400935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.01.00006
R. Rubin
A 22-year-old woman presents to urgent care with a 2-day history of progressive abdominal discomfort. She first noticed the vague onset of generalized abdominal discomfort and anorexia. This was not relieved by bowel movements. Over the next 2 days, the discomfort lateralized to the right lower quadrant and has progressively worsened. She did not report any emesis. She is otherwise quite healthy with no chronic major medical diagnoses. She has used oral contraceptives for several years without difficulty. Her menses are light but normal and are not accompanied by cramps. Her last menstrual period was 2 weeks ago. She attends university and is a scholarship varsity basketball athlete. Basketball is in the off season, but she has a program to maintain cardiovascular and muscular fitness until the formal preseason training program begins 3 months from now, with the regular season starting thereafter. Physical examination findings showed a well-developed woman most comfortable in a flexed hip position. She has a temperature of 37.5 ̊C, a pulse rate of 92 beats/min, and a blood pressure of 110/70 mm Hg. Pertinent findings include 3+ tenderness to direct palpation in the right lower quadrant with a component of rebound. Rectal examination findings were negative, including results of a hematest of her stool. Results of a laboratory screening showed normal levels of hemoglobin and platelets with a white blood cell count of 10,800/mm3, with 88% polymorphonuclear leukocyte forms and 4% band forms. A urinalysis was negative for red and white blood cells. A discussion of management was initiated pending a radiologic study.
一名22岁的女性，因2天进行性腹部不适而接受紧急护理。她首先感到全身不适和厌食。排便并不能缓解这种症状。在接下来的2天内，不适向右下腹侧移，并逐渐恶化。她没有报告任何呕吐。除此之外，她非常健康，没有慢性重大疾病诊断。她已经毫无困难地使用口服避孕药好几年了。她的月经清淡但正常，没有痉挛。她最后一次月经是在两周前。她上大学，是一名获得奖学金的大学篮球运动员。篮球正处于休赛期，但她有一个保持心血管和肌肉健康的计划，直到3个月后正式的季前赛训练计划开始，之后开始常规赛。体格检查结果显示，一个发育良好的女性在臀部弯曲的位置最舒服。患者体温37.5℃，脉搏92次/分，血压110/70 mm Hg。相关表现包括右下腹触诊3+压痛，有反弹成分。直肠检查结果为阴性，包括大便血肿。实验室筛查结果显示血红蛋白和血小板水平正常，白细胞计数为10,800/mm3，有88%的多形核白细胞形态和4%的带状白细胞形态。尿检中红细胞和白细胞呈阴性。在放射学研究之前，开始讨论管理问题。
{"title":"A 22-Year-Old College Athlete With Abdominal Symptoms","authors":"R. Rubin","doi":"10.25270/con.2022.01.00006","DOIUrl":"https://doi.org/10.25270/con.2022.01.00006","url":null,"abstract":"A 22-year-old woman presents to urgent care with a 2-day history of progressive abdominal discomfort. She first noticed the vague onset of generalized abdominal discomfort and anorexia. This was not relieved by bowel movements. Over the next 2 days, the discomfort lateralized to the right lower quadrant and has progressively worsened. She did not report any emesis. She is otherwise quite healthy with no chronic major medical diagnoses. She has used oral contraceptives for several years without difficulty. Her menses are light but normal and are not accompanied by cramps. Her last menstrual period was 2 weeks ago. She attends university and is a scholarship varsity basketball athlete. Basketball is in the off season, but she has a program to maintain cardiovascular and muscular fitness until the formal preseason training program begins 3 months from now, with the regular season starting thereafter. Physical examination findings showed a well-developed woman most comfortable in a flexed hip position. She has a temperature of 37.5 ̊C, a pulse rate of 92 beats/min, and a blood pressure of 110/70 mm Hg. Pertinent findings include 3+ tenderness to direct palpation in the right lower quadrant with a component of rebound. Rectal examination findings were negative, including results of a hematest of her stool. Results of a laboratory screening showed normal levels of hemoglobin and platelets with a white blood cell count of 10,800/mm3, with 88% polymorphonuclear leukocyte forms and 4% band forms. A urinalysis was negative for red and white blood cells. A discussion of management was initiated pending a radiologic study.","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69417314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.06.00006
D. Kirwin, John F Linabury, Kevin T. Wright
{"title":"Sorafenib-Induced Hand, Foot, and Skin Reaction","authors":"D. Kirwin, John F Linabury, Kevin T. Wright","doi":"10.25270/con.2022.06.00006","DOIUrl":"https://doi.org/10.25270/con.2022.06.00006","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.06.00013
R. Rubin
{"title":"A 39-Year-Old Man With Microscopic Hematuria","authors":"R. Rubin","doi":"10.25270/con.2022.06.00013","DOIUrl":"https://doi.org/10.25270/con.2022.06.00013","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.07.000011
R. Yassine, M. Gallagher
{"title":"A 1-Year-Old With an Atopic Dermatitis Flare","authors":"R. Yassine, M. Gallagher","doi":"10.25270/con.2022.07.000011","DOIUrl":"https://doi.org/10.25270/con.2022.07.000011","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.07.00005
Patricia Zhao, Nicole Edmonds, R. Flowers
Background. Lichen sclerosus (LS) is a chronic, inflammatory skin condition of unknown etiology that shows a predilec-tion for the anogenital region. Although LS primarily affects postmenopausal women, some cases do occur in children. However, in the pediatric setting, LS almost always affects the anogenital region with exclusively extragenital involvement very rarely diagnosed in childhood. Here, we present a 6-year-old girl with a 2-year history of thin, pink macules and plaques on her chest and back, which biopsy revealed to be extragenital LS. A review of this case and the literature describes the epidemiology, clinical features, pathophysiology, and treatment options for pediatric extragenital LS.
{"title":"A Rare Case of Exclusively Extragenital Lichen Sclerosus in a Child","authors":"Patricia Zhao, Nicole Edmonds, R. Flowers","doi":"10.25270/con.2022.07.00005","DOIUrl":"https://doi.org/10.25270/con.2022.07.00005","url":null,"abstract":"Background. Lichen sclerosus (LS) is a chronic, inflammatory skin condition of unknown etiology that shows a predilec-tion for the anogenital region. Although LS primarily affects postmenopausal women, some cases do occur in children. However, in the pediatric setting, LS almost always affects the anogenital region with exclusively extragenital involvement very rarely diagnosed in childhood. Here, we present a 6-year-old girl with a 2-year history of thin, pink macules and plaques on her chest and back, which biopsy revealed to be extragenital LS. A review of this case and the literature describes the epidemiology, clinical features, pathophysiology, and treatment options for pediatric extragenital LS.","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.11.000007
P. Alebna, Manilo Hernandez Castillo, Rany Mekhail, V. Marian
{"title":"Seroconversion in a Case of Granulomatosis with Polyangiitis – Treatment Considerations","authors":"P. Alebna, Manilo Hernandez Castillo, Rany Mekhail, V. Marian","doi":"10.25270/con.2022.11.000007","DOIUrl":"https://doi.org/10.25270/con.2022.11.000007","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69421633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.01.00003
Albert Chang, Bilen Kassu, C. Ivonye, J. Volcy
{"title":"Cannabis-Induced Psychosis in a Young Man With Traumatic Brain Injury","authors":"Albert Chang, Bilen Kassu, C. Ivonye, J. Volcy","doi":"10.25270/con.2022.01.00003","DOIUrl":"https://doi.org/10.25270/con.2022.01.00003","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69416661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.02.00006
Andrea A. Hauser, Kylie S. Durand, A. Dutta
{"title":"Hemophagocytic Lymphohistiocytosis Disease Mimic Due to Brucellosis","authors":"Andrea A. Hauser, Kylie S. Durand, A. Dutta","doi":"10.25270/con.2022.02.00006","DOIUrl":"https://doi.org/10.25270/con.2022.02.00006","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69417156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.02.00012
Shane M. Clark, M. Bhatta, Casey J. Beal, Kathryn E Wheeler, Rachel Coleman
{"title":"Ptosis and Rhythmic Eye Movement in a Young Child","authors":"Shane M. Clark, M. Bhatta, Casey J. Beal, Kathryn E Wheeler, Rachel Coleman","doi":"10.25270/con.2022.02.00012","DOIUrl":"https://doi.org/10.25270/con.2022.02.00012","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69417189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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