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The management of abnormal uterine bleeding and other gynecologic disorders in patients past adolescence frequently requires endometrial evaluation.[1] As office procedures, hysteroscopy and endometrial sampling probably represent the best tools [...]

Acute facial paralysis is a devastating condition. The person with facial disfigurement often feels isolated and despondent. In fact, according to a 1991 poll, Americans felt that disfigured facial features [...]

Tuberculosis has reemerged as a serious national problem. From 1985 through 1993, the number of new cases of tuberculosis increased 14%. An estimated 10 to 15 million persons in the [...]

Ovarian carcinoma remains one of the most difficult malignancies to screen for, to treat, and to cure. It is the second most common gynecologic cancer among women, and it is [...]

ABSTRACT: Ruling out coronary artery disease (CAD) is the first step in assessing chest pain. If initial findings make you strongly suspect angina pectoris, proceed to coronary angiography and appropriate [...]

A 68-year-old woman was admitted to the hospital with rapidly increasing, painful swelling of the left eye. She had moderately severe corticosteroid-dependent chronic obstructive pulmonary disease. Clinical examination revealed a [...]

A Q&A Session With Donald Kaye, MD MCP Hahnemann School of Medicine Q: Which measures most effectively protect against infective endocarditis in patients with high- and moderate-risk cardiac conditions? A: [...]

A 15-year-old boy presented with sharp, right lower quadrant abdominal pain, nausea, vomiting, and fever of 2 days' duration. His white blood cell count was 15,000/μL with a shift to [...]

A 46-year-old woman sought treatment of vaginal pruritus of 6 months' duration. She also was bothered by generalized skeletal aching that was most prominent in her legs. The patient had [...]

After 4 days of fever and a very sore throat, an 18-year-old man requested medical treatment. The patient's speech was barely intelligible because of the fullness in his throat. He [...]

An 87-year-old woman was referred for a newly discovered neck mass. She denied any history of neck mass, dysphagia, odynophagia, stridor, shortness of breath, or globus sensation. She had experienced [...]

A 71-year-old woman was brought to the hospital with blunt abdominal trauma suffered in an automobile accident. She complained of pain in the chest and abdomen. A nasogastric tube was [...]

A red papule developed on the scalp of a 52-year-old man who had a history of adenocarcinoma of the lungs. The patient was a former cigarette smoker. The asymptomatic lesion, [...]

Pneumocystis carinii pneumonia (PCP) is a clinical challenge because of the disease's insidious, slowly progressive onset and the difficulty in distinguishing this infection from other pathogenic processes. Often, PCP is [...]

Since 1950, stroke rates have dropped 70% and deaths from heart disease have decreased 56%. The CDC has designated this decline in morbidity and mortality from cardiovascular disease (CVD) one [...]

A 49-year-old woman with a history of alcoholic cirrhosis, esophageal varices, coronary artery disease, diabetes mellitus, and hypertension presented to the emergency department with a 2-day history of fever, chills, [...]

This 20-month-old girl was born to a 28-year-old mother (gravida 2, para 1) at 38 weeks' gestation. The pregnancy was uncomplicated, and vaginal delivery was normal. The Apgar scores were [...]

Tables 1 and 2 outline the prophylactic dosages of antibiotics recommended by the American Heart Association for patients at risk for infective endocarditis. [1] This group includes those with predisposing [...]

A 3-day-old infant had marked swelling and erythema below the right eye, with involvement of at least the lower lid. The gestation and birth history were unremarkable, and the parents [...]

Allergic fungal sinusitis occurs most often in younger patients (from preadolescence to early middle age), but it is occasionally seen in older persons. Patients typically have extensive nasal polyposis; chronic, [...]

Although most cases of acute purulent sinusitis are bacterial, they may be preceded by a viral infection of the upper respiratory tract. CT scanning can detect sinus abnormalities that result [...]

The three radiographic hallmarks of sinusitis are mucoperiosteal thickening of 8 mm in adults (4 to 5 mm in children), air-fluid level, and opacification. However, sinus radiographs may appear normal [...]

University of California, Los Angeles Each year, rhinosinusitis develops in an estimated 31 million Americans and accounts for more than 18 million primary care office visits. [1] Acute rhinosinusitis is [...]

A 29-year-old HIV-infected homosexual man presented for routine follow-up. He had no symptoms and was taking saquinavir and zidovudine. His past medical history included oral candidiasis and Kaposi's sarcoma, which [...]

Sinusitis is a very common medical condition that causes discomfort in many people. This Guide will explain what it is and how it can be treated. What is sinusitis? Sinusitis [...]

ABSTRACT: The history and physical examination are the most important elements of your evaluation of adolescents with musculoskeletal complaints. Look specifically for cutaneous signs of rheumatic illnesses, such as swelling [...]

1. Swollen right foot A 47-year-old man comes to your office complaining of a chronically swollen right foot He tells you that this condition has been 'going on for some [...]

Wortmann RL (ed) Philadelphia, Lippincott Williams & Wilkins, 2000, 380 pages, $99 hardcover This book provides a broader review of the disorders of skeletal muscle than is available in subspecialty [...]

Fibroadenomas are the most common benign solid tumors of breast tissue. They may develop at any time after puberty, but they are found most frequently in women in their 20s [...]

About 10% of the US population is estimated to have abnormal thyroid-stimulating hormone (TSH) levels; 5% of women have overt hypothyroidism or hyperthyroidism.[1] Thyroid dysfunction is linked to disorders such [...]

Baker MD, Bell LM, Avner JR, Children's Hospital of Philadelphia and the University of Pennsylvania, Philadelphia. Outpatient management without antibiotics of fever in selected infants. N Engl J Med. November [...]