Pub Date : 2022-01-01DOI: 10.25270/con.2022.02.00005
Amanda Nayberg, Linda Liu, Tanya Kappor-Maini, D. Ledoux
{"title":"Paraneoplastic Neurological Syndrome Presenting as New-Onset Refractory Status Epilepticus","authors":"Amanda Nayberg, Linda Liu, Tanya Kappor-Maini, D. Ledoux","doi":"10.25270/con.2022.02.00005","DOIUrl":"https://doi.org/10.25270/con.2022.02.00005","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":"69417594","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.2022.06.00008
Lexi M Crawford, Manju Korattiyil, Gabrina Dixon, Ashley L Siems
{"title":"Acholic Stools as a Primary Presenting Symptom of Incomplete Kawasaki Disease","authors":"Lexi M Crawford, Manju Korattiyil, Gabrina Dixon, Ashley L Siems","doi":"10.25270/con.2022.06.00008","DOIUrl":"https://doi.org/10.25270/con.2022.06.00008","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":"69418123","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.2022.07.00007
Jacob Moser, A. Bourland, Richard W. Byrd
{"title":"Rapid, Spontaneous Resolution of Adolescent Idiopathic Scoliosis","authors":"Jacob Moser, A. Bourland, Richard W. Byrd","doi":"10.25270/con.2022.07.00007","DOIUrl":"https://doi.org/10.25270/con.2022.07.00007","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":"69418533","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.2022.08.000002
R. Brubaker, Rudy Schmiedecke
{"title":"Pyoderma Gangrenosum on the Lower Extremity","authors":"R. Brubaker, Rudy Schmiedecke","doi":"10.25270/con.2022.08.000002","DOIUrl":"https://doi.org/10.25270/con.2022.08.000002","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":"69418746","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.2022.10.000007
R. Sims, IV, Richard W. Byrd
{"title":"Lingual Osseous Choristoma in a 7-Year-Old","authors":"R. Sims, IV, Richard W. Byrd","doi":"10.25270/con.2022.10.000007","DOIUrl":"https://doi.org/10.25270/con.2022.10.000007","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":"69420400","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.2022.10.000001
Resham Khan, M. Zafar, Bianca Leuzzi
{"title":"A Potential Alternative Therapy for MPO-ANCA Vasculitis with IVIG in a Patient with COVID-19","authors":"Resham Khan, M. Zafar, Bianca Leuzzi","doi":"10.25270/con.2022.10.000001","DOIUrl":"https://doi.org/10.25270/con.2022.10.000001","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":"69419617","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.2022.01.00001
N. Lam, Patricia Campbell
A 21-year-old woman with no significant medical history presented to our clinic with “something hanging” from her uvula. She had noticed it a few months prior to presentation when she felt a tickling sensation at the back of her throat. At presentation, she said it now felt like it grew, because it was causing her to gag at times when swallowing. She denied any pain, difficulty swallowing, difficulty breathing, snoring, bleeding, or any changes in her voice. She is concerned because she believes her uvula is now connected to her tongue and is worried it may be cancerous. On physical examination, her vital signs were stable with 100% oxygen saturation on room air. Results of a head, eyes, ears, nose, and throat examination were normal except for the uvula abnormality. An oropharynx examination revealed a thin strand of tissue connecting the tip of her uvula to the base of her tongue (Figure). No cervical lymphadenopathy was noted, and the rest of her examination was unremarkable. Based on the patient’s history and physical examination, which one of the following is the most likely diagnosis?
{"title":"A Concerning Uvula Abnormality","authors":"N. Lam, Patricia Campbell","doi":"10.25270/con.2022.01.00001","DOIUrl":"https://doi.org/10.25270/con.2022.01.00001","url":null,"abstract":"A 21-year-old woman with no significant medical history presented to our clinic with “something hanging” from her uvula. She had noticed it a few months prior to presentation when she felt a tickling sensation at the back of her throat. At presentation, she said it now felt like it grew, because it was causing her to gag at times when swallowing. She denied any pain, difficulty swallowing, difficulty breathing, snoring, bleeding, or any changes in her voice. She is concerned because she believes her uvula is now connected to her tongue and is worried it may be cancerous. On physical examination, her vital signs were stable with 100% oxygen saturation on room air. Results of a head, eyes, ears, nose, and throat examination were normal except for the uvula abnormality. An oropharynx examination revealed a thin strand of tissue connecting the tip of her uvula to the base of her tongue (Figure). No cervical lymphadenopathy was noted, and the rest of her examination was unremarkable. Based on the patient’s history and physical examination, which one of the following is the most likely diagnosis?","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":"69417100","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.2022.02.00008
Sierra Crowe, E. C. Schmidgal
A 20-year-old woman with a Fitzpatrick score of 2 presented via telehealth with “divots” on her forehead and scalp. She reported that 2 months prior to presentation she had received multiple steroid injections into her forehead and posterior skull by a neurologist for treatment of migraines. She had soon thereafter developed fat atrophy in 3 areas: 2 on her forehead and 1 on her occipital scalp. Although they were not painful or otherwise symptomatic, she was unhappy with the cosmetic appearance. She had no other skin or systemic symptoms. She visited the office the following day, and on examination, 2 atrophic plaques were noted on her bilateral forehead around the mid-pupillary lines, with a larger atrophic plaque on the occipital scalp (Figures 1 and 2). Given the location and timing of the lesions, they were consistent with skin atrophy induced by her prior steroid injections. Therefore, a biopsy was not performed.
{"title":"Intradermal Injection of Normal Saline for Treatment of Fat Atrophy Following Corticosteroid Injection","authors":"Sierra Crowe, E. C. Schmidgal","doi":"10.25270/con.2022.02.00008","DOIUrl":"https://doi.org/10.25270/con.2022.02.00008","url":null,"abstract":"A 20-year-old woman with a Fitzpatrick score of 2 presented via telehealth with “divots” on her forehead and scalp. She reported that 2 months prior to presentation she had received multiple steroid injections into her forehead and posterior skull by a neurologist for treatment of migraines. She had soon thereafter developed fat atrophy in 3 areas: 2 on her forehead and 1 on her occipital scalp. Although they were not painful or otherwise symptomatic, she was unhappy with the cosmetic appearance. She had no other skin or systemic symptoms. She visited the office the following day, and on examination, 2 atrophic plaques were noted on her bilateral forehead around the mid-pupillary lines, with a larger atrophic plaque on the occipital scalp (Figures 1 and 2). Given the location and timing of the lesions, they were consistent with skin atrophy induced by her prior steroid injections. Therefore, a biopsy was not performed.","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":"69417523","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.2022.06.00004
Ebony Beaudoin, Malvi Mehta, Stephanie A Valek
Background. A 7-year-old boy presented with a 3-week history of an ulcerated vesicle on his left cheek, left-sided facial swelling, and left submandibular lymphadenopathy after being scratched by a kitten. The swelling wors-ened despite a course of cephalexin for an assumed case of lymphangitis. Given his history of contact with a cat and clinical presentation, he was given a presumptive diagnosis of cat-scratch disease. He was prescribed a 5-day course of azithromycin and had full resolution of his symptoms approximately 2 weeks later. Cat-scratch disease, a bacterial infection caused by Bartonella henselae , is a common pediatric condition characterized by local lymphadenopathy and fever after being scratched by a cat. It can be diagnosed clinically based on history and physical exam findings and is usually a benign and self-limited condition in immunocompetent pediatric patients. afebrile, alert, active, and in no acute distress. Examination of the skin revealed a 1-cm raised, firm, nontender, erythematous circular nodule adjacent to the nose on the left cheek with an overlying 3-4 mm vesicle. The vesicle was open, circular, and appeared to be healing well without exudate. The submandibular area was swollen, painless to palpation, nonerythematous and nonfluctuant. The patient had mildly boggy nasal turbinates with no Physical examination was otherwise unremarkable.
{"title":"Unilateral Submandibular Lymphadenopathy in a 7-Year-Old Boy","authors":"Ebony Beaudoin, Malvi Mehta, Stephanie A Valek","doi":"10.25270/con.2022.06.00004","DOIUrl":"https://doi.org/10.25270/con.2022.06.00004","url":null,"abstract":"Background. A 7-year-old boy presented with a 3-week history of an ulcerated vesicle on his left cheek, left-sided facial swelling, and left submandibular lymphadenopathy after being scratched by a kitten. The swelling wors-ened despite a course of cephalexin for an assumed case of lymphangitis. Given his history of contact with a cat and clinical presentation, he was given a presumptive diagnosis of cat-scratch disease. He was prescribed a 5-day course of azithromycin and had full resolution of his symptoms approximately 2 weeks later. Cat-scratch disease, a bacterial infection caused by Bartonella henselae , is a common pediatric condition characterized by local lymphadenopathy and fever after being scratched by a cat. It can be diagnosed clinically based on history and physical exam findings and is usually a benign and self-limited condition in immunocompetent pediatric patients. afebrile, alert, active, and in no acute distress. Examination of the skin revealed a 1-cm raised, firm, nontender, erythematous circular nodule adjacent to the nose on the left cheek with an overlying 3-4 mm vesicle. The vesicle was open, circular, and appeared to be healing well without exudate. The submandibular area was swollen, painless to palpation, nonerythematous and nonfluctuant. The patient had mildly boggy nasal turbinates with no Physical examination was otherwise unremarkable.","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":"69417915","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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