Alternative Medicine 28-1 Coining/Spooning Michael Greenberg Clinical Presentation Patients who have undergone coining or spooning present with multiple erythematous linear marks on the back and/or chest.1,2 FIGURE 28-1 Characteristic skin…
Environmental 25-1 Snake Bite: North American Crotalid Anthony Morocco Clinical Presentation Dry bites, which occur in up to 20% of cases, result in no significant symptoms. After true envenomation, patients…
Psychosocial 27-1 Munchausen’s Syndrome Michael Greenberg Clinical Presentation Patients with Munchausen’s syndrome (MS), who usually are men, can present with any of a myriad of symptoms and complaints referable to…
Rheumatologic 23-1 Rheumatoid Arthritis Robert Hendrickson Clinical Presentation Rheumatoid arthritis (RA) affects less than 1% of the U.S. population1 and most commonly occurs in women aged 40 to 70 years.2…
Infectious Diseases 20-1 Rocky Mountain Spotted Fever Rakesh D. Mistry Clinical Presentation The clinical presentation of Rocky Mountain spotted fever (RMSF) is characterized by fever, headache, and a petechial rash….
Orthopedic 15-1 Salter-Harris Classification Robert Hendrickson Clinical Presentation Patients with fractures described by the Salter-Harris (SH) classification system present with pain, tenderness, and possibly swelling. Injuries may occur after minimal…
Wound Care 19-1 Cellulitis Jay Itzkowitz Clinical Presentation Patients with cellulitis present with a painful, indurated area of subcutaneous/cutaneous tissue with warm and erythematous overlying skin that may be smooth…
Hematologic/Oncologic 21-1 Pernicious Anemia Robert Hendrickson Clinical Presentation Patients with pernicious anemia may present with symptoms of anemia (fatigue, lightheadedness, end-organ ischemia) or vitamin B12 deficiency (neuropathy, diarrhea). Physical examination…
