David Effron, MD

January 01, 2007

For the past 3 days, a 45-year-old man has had discomfort andloss of hearing in one ear. There is no fever or history of trauma. The manwas recently treated for an ear infection at a local clinic. Physical examinationreveals erythema of the postauricular area and purulent exudate from the earcanal.

January 01, 2007

A 45-year-old womanpresents with redness in the righteye, which she noticed that morning.She has not sustained trauma to theeye and reports no discomfort or lossof visual acuity. Recently, the patienthad a bout of bronchitis with a numberof severe coughing episodes. Herhistory is significant for asthma andcigarette smoking.

January 01, 2007

A 13-year-old girl reportsthat her right eye has beendraining and uncomfortable for thepast several days. She is also concernedabout several "bumps" on theupper lid of her left eye. She has hadthese bumps in the past, but theyhave always resolved spontaneously.

December 31, 2006

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October 17, 2006

Acute Dx: What Cause of Sudden Illness?

September 15, 2006

A 4-year-old girl presents with a highly pruritic rash. The day before, she had been playing outdoors at her grandmother's house. No pets were present, and the patient does not recall being stung or bitten by insects. There are bushes on the grandmother's property.

July 01, 2006

A 40-year-old man complains of worsening lower extremity discomfort.

May 01, 2006

A woman has white, numb, cold hands after vigorous exercise, emotional stress, and exposure to cold. Is this caused by Buerger disease (thromboangiitis obliterans), acute arterial occlusion, Raynaud disease, or acrocyanosis?

April 01, 2006

The mother of this 3-year-old boy noticed that his smile was asymmetric when he awoke that morning. He had been seen 3 days previously for left ear discomfort, sore throat, and a low-grade fever. Otitis media was diagnosed, and amoxicillin was prescribed.

March 01, 2006

A 56-year-old man presents with diffuse erythema. He has not changed his routine or eaten anything unusual. The rash initially appeared the previous night as asymptomatic erythema on the face and body. On awakening in the morning, the patient noticed that the erythema had spread over most of his body and had become pruritic. Over-the-counter diphenhydramine did not relieve the symptoms.