Polls

Asymptomatic, Enlarging Plaque: Your Dx?
November 07, 2014

This annular violaceous plaque, which had been present for a few months, was unresponsive to treatment for tinea corporis with topical antifungals. Which of the following statements is true?

Would you be willing to treat a patient with Ebola?
November 07, 2014

Few primary care clinicians in the US are likely to face this rare but deadly disease in daily practice. But if one of your patients had symptoms or was infected, would you make the decision to help treat?

Thousands of Colorectal Polyps: Your Dx?
November 03, 2014

A 26-year-old man reports worsening fatigue and weakness for a few months. The patient’s father and grandfather had colon cancer when they were in their 40s. Colonoscopy revealed innumerable polyps carpeting the mucosa from the rectum to the cecum. Your diagnosis?

Acromegaly: A Pop Quiz
October 30, 2014

Acromegaly was diagnosed in a 36-year-old woman who presented with loss of vision in the right eye that had initially involved the peripheral field. Which statement about acromegaly is NOT true?

What Course to Take for Back-Related Leg Pain
October 24, 2014

A 62-year-old man has moderate to severe leg pain after playing 36 holes of golf. The pain originates from the lumbar spine and radiates into his lower extremities. What is the best course of treatment?

“Swimsuit Area” Rash: Your Dx?
October 24, 2014

A 66-year-old woman had a mildly pruritic rash on the buttocks, lower back, abdomen, and upper posterior thighs. The eruption had been present for approximately 18 months. Your diagnosis?

Knee Osteoarthritis Pain: Which Brace Works Best
October 23, 2014

A 45-year-old man with knee pain has medial osteoarthritis, and you prescribe NSAIDs. He plans to attend tennis camp. Do you recommend he wear a brace?

Osteoarthritis and Pain Go Hand in Hand
October 23, 2014

A 56-year-old woman presents with persistent pain and tenderness in both hands. A workup reveals she has erosive osteoarthritis. Which factors are most strongly associated with increased pain?

Multiple Nonpainful Lesions: Your Dx?
October 17, 2014

A 62-year-old man had multiple, randomly distributed, flesh-colored nodules on his trunk, arms, and face. The lesions measured 0.5 to 1.0 cm and appeared slightly pedunculated. Tissue biopsy showed Schwann cells. Your diagnosis?

Firm, Nontender Mass on the Neck: Your Dx?
October 17, 2014

For several years, an asymptomatic, firm, nontender mass had been growing on the neck of a 54-year-old-man, slightly left of midline at the level of the hyoid bone. Thyroid function tests were normal. What does it indicate?