Color Atlas of Family Medicine, 2e Color Atlas of Family Medicine
Second Edition
Richard Usatine, Mindy Ann Smith, Jr. Mayeaux, Heidi Chumley, James Tysinger
ISBN: 9780071769648 / 0071769641


Sample Chapters

CHAPTER 20: Hypertensive Retinopathy

Heidi Chumley, MD
Kelly Green, MD


PATIENT STORY
A 38-year-old man saw a physician for the first time in 10 years after noticing visual loss in his left eye. His history revealed many risk factors for and symptoms of diabetes mellitus (DM). On an undilated funduscopic examination, his physician was able to see some hemorrhages and hard exudates. A fingerstick in the office showed a blood glucose level of 420 mg/dL. He was treated for DM and referred to an ophthalmologist to be evaluated for his diabetic retinopathy.

Read the entire chapter...

CHAPTER 179: Other Bullous Diseases

E.J. Mayeaux, Jr., MD
Richard P. Usatine, MD


PATIENT STORY
A 21-year-old woman presented with a 3-day history of a painful Purpuric rash on her lower extremities (Figure 179-1 and Figure 179-2). The lesions had appeared suddenly, and the patient had experienced no prior similar episodes. The patient had been diagnosed with a case of pharyngitis earlier that week and was given a course of clindamycin. She had not experienced any nausea or vomiting, fever, abdominal cramping, or gross hematuria. Urine dipstick revealed blood in her urine, but no protein. The typical palpable purpura on the legs is consistent with Henoch-Schönlein purpura (HSP).

Read the entire chapter...