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Occipital Hair Loss in a 26-Year-Old Man 一位26岁男性的枕部脱发
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.07.000019
Rachel Ruda, Ford M. Lannan, K. Handfield
{"title":"Occipital Hair Loss in a 26-Year-Old Man","authors":"Rachel Ruda, Ford M. Lannan, K. Handfield","doi":"10.25270/con.2022.07.000019","DOIUrl":"https://doi.org/10.25270/con.2022.07.000019","url":null,"abstract":"A 26-year-old man with no significant medical history presented to our clinic with an area of hair loss on his posterior scalp (Figure). He reported first noticing the hair loss 4 years prior to presentation and denied any changes to the area or development of new lesions since onset. He denied any associated symptoms, including pruritus or tenderness. A physical examination was notable for a 2.0 × 1.5 cm oval, slightly depressed, partially hairless patch on the occipital scalp. Trichoscopy demonstrated a normal scalp with vellus hairs scattered throughout the patch.","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":"69418483","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}
引用次数: 0
A 51-Year-Old With Musculoskeletal Symptoms 51岁，有肌肉骨骼症状
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.07.000020
R. Rubin
{"title":"A 51-Year-Old With Musculoskeletal Symptoms","authors":"R. Rubin","doi":"10.25270/con.2022.07.000020","DOIUrl":"https://doi.org/10.25270/con.2022.07.000020","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":"69418484","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}
引用次数: 0
Adult Obesity Management for Primary Care 初级保健成人肥胖管理
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.07.000021
Jeffrey Budd
{"title":"Adult Obesity Management for Primary Care","authors":"Jeffrey Budd","doi":"10.25270/con.2022.07.000021","DOIUrl":"https://doi.org/10.25270/con.2022.07.000021","url":null,"abstract":"Background. Along with the global prevalence of obesity, the associated health and economic impacts are rapidly multiplying. The challenge to primary care is to identify and treat obesity as a chronic disease. Patients should receive specific advice about diet, lifestyle, and physical activity rather than a vague or terse recommendation to simply eat less and exercise. Regular monitoring and follow-up visits are critical, as with any chronic disease. When nonpharmacologic methods do not lead to weight loss, select patients should be offered supplementary pharmacotherapy. Bariatric surgery is a safe and effective treatment for some patients with persistent severe obesity or obesity with complications despite nonpharmacologic efforts and medications.","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":"69418516","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}
引用次数: 12
Staphylococcus lugdunensis Infection of the Bilateral Axillaries 双侧腋窝葡萄球菌感染
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.07.00006
Ethan Loftspring, Karen Cuartas, Brandon Hood, D. Lin
{"title":"Staphylococcus lugdunensis Infection of the Bilateral Axillaries","authors":"Ethan Loftspring, Karen Cuartas, Brandon Hood, D. Lin","doi":"10.25270/con.2022.07.00006","DOIUrl":"https://doi.org/10.25270/con.2022.07.00006","url":null,"abstract":"Background. We present a case of a 29-year-old woman admitted to the hospital with hidradenitis suppurativa and found to have Staphylococcus lugdunensis bacteremia . Due to concern for the pathogenicity of this organism and recurrence of her axillary infection, a transthoracic echocardiogram was performed. The results did not demonstrate endocarditis. She was successfully treated with a course of oral doxycycline and topical agents. In contrast to other coagulase-negative staphylococci (CoNS), S lugdunensis has been shown to have a virulence pattern rivaling that of Staphylococcus aureus . It is important to educate clinicians on prompt management and treatment when patients are found to be bacteremic with this organism, as it can cause deep-seated and suppurative infections.","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":"69418529","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}
引用次数: 0
Recurrent Abdominal Pain in a Boy With Delayed Appearance of Palpable Purpura 男孩复发性腹痛伴可触性紫癜延迟表现
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.08.000005
F. Cooper, N. Mathews, Gift Kopsombut
{"title":"Recurrent Abdominal Pain in a Boy With Delayed Appearance of Palpable Purpura","authors":"F. Cooper, N. Mathews, Gift Kopsombut","doi":"10.25270/con.2022.08.000005","DOIUrl":"https://doi.org/10.25270/con.2022.08.000005","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":"69418900","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}
引用次数: 0
A Rare Case of Staphylococcus Aureus Causing Emphysematous Cystitis 罕见的金黄色葡萄球菌引起肺气肿性膀胱炎1例
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.09.000001
Stephanie Brode
{"title":"A Rare Case of Staphylococcus Aureus Causing Emphysematous Cystitis","authors":"Stephanie Brode","doi":"10.25270/con.2022.09.000001","DOIUrl":"https://doi.org/10.25270/con.2022.09.000001","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":"69419364","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}
引用次数: 0
Naltrexone as an Adjunctive Treatment for Adolescents With Deliberate Self-Harm Behavior and Cannabis Use: A Case Series 纳曲酮作为青少年故意自残行为和大麻使用的辅助治疗:一个案例系列
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.11.000006
A. Wei, Melva Navarro, Violet Yeager, Bishoy Goubran, R. A. Moran
{"title":"Naltrexone as an Adjunctive Treatment for Adolescents With Deliberate Self-Harm Behavior and Cannabis Use: A Case Series","authors":"A. Wei, Melva Navarro, Violet Yeager, Bishoy Goubran, R. A. Moran","doi":"10.25270/con.2022.11.000006","DOIUrl":"https://doi.org/10.25270/con.2022.11.000006","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":"69421372","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}
引用次数: 0
Right Lower Eyelid and Cheek Tenderness and Swelling 右下眼睑及脸颊有压痛及肿胀
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.11.000012
Melissa M Warne, D. Buscaglia
{"title":"Right Lower Eyelid and Cheek Tenderness and Swelling","authors":"Melissa M Warne, D. Buscaglia","doi":"10.25270/con.2022.11.000012","DOIUrl":"https://doi.org/10.25270/con.2022.11.000012","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":"69422169","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}
引用次数: 0
Pulmonary Pitfalls: The Case of the "Frequent Exacerbator" with COPD 肺陷阱:慢性阻塞性肺病的“频繁加重者”病例
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.11.000013
K. Craddock, Reshma Gupta, S. Louie, B. Kuhn
{"title":"Pulmonary Pitfalls: The Case of the \"Frequent Exacerbator\" with COPD","authors":"K. Craddock, Reshma Gupta, S. Louie, B. Kuhn","doi":"10.25270/con.2022.11.000013","DOIUrl":"https://doi.org/10.25270/con.2022.11.000013","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":"69422214","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}
引用次数: 0
What Do You Need to Know About GLP-1 Receptor Agonists? 关于GLP-1受体激动剂你需要知道什么?
Consultant Pub Date : 2022-01-01 DOI: 10.25270/con.2022.02.00004
K. Carmichael
{"title":"What Do You Need to Know About GLP-1 Receptor Agonists?","authors":"K. Carmichael","doi":"10.25270/con.2022.02.00004","DOIUrl":"https://doi.org/10.25270/con.2022.02.00004","url":null,"abstract":"Glucagon-like peptide 1 (GLP-1) agonists are an important class of medications for patients with type 2 diabetes and should be considered for long-term therapy. A study of noninsulin treatment of type 2 diabetes in the United States showed that there has been a gradual decline in metformin use (from 57.0% in 2015 to 46.0% in 2019), an increase of GLP-1 agonist monotherapy use (from 4.3% in 2015 to 8.5% in 2019), and an increase in overall combined therapy use (from 9.8% in 2015 to 18.2% in 2019).1 Adequate management of diabetes with safe glycemic control is essential for reducing progression of chronic kidney disease, cardiovascular disease, and nonalcoholic fatty liver disease (NAFLD).","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":"69417557","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}
引用次数: 0
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