A Surfeit of Possibilities: Nonhealing Ulcers

Slides:

Advertisements

Similar presentations

Low-Dose Aspirin in Patients with Stable Cardiovascular Disease: A Meta-analysis Jeffrey S. Berger, MD, MS, David L. Brown, MD, Richard C. Becker, MD The.

Advertisements

An Unusual Electrocardiogram in a Heart Transplant Recipient Hamish I. MacLachlan, BSc, MBBS, Jonathan R. Dalzell, MD, MRCP The American Journal of Medicine.

Anne B. Yates, MD The American Journal of Medicine

Severe Tuberculosis Sepsis in an Immunocompetent Patient

Paul D. Stein, MD, Fadi Matta, MD, Mary J. Hughes, DO

Pneumothorax Recurrence Related to High-speed Lift

Bleeding Toes in Diabetic Neuropathy

Amay Parikh, MD, MBA, MS, Kunal Gupta, MD, MBA, Alan C

Sexuality The American Journal of Medicine

An Unusual Cause of Leg Ulcerations

Richard V. Milani, MD, Carl J. Lavie, MD, Robert M

Bleeding Toes in Diabetic Neuropathy

Seemed Like Cellulitis: Intravascular Large B-Cell Lymphoma

The Great “Infiltrator”: An Uncommon Cause of Hepatitis

Trends in Comorbidity, Disability, and Polypharmacy in Heart Failure

Tim McAlindon, MD, MPH, Margaret Formica, MSPH, Christopher H

Death Delusions and Myoclonus: Acyclovir Toxicity

Systematic Review and Meta-analysis of Adverse Events of Low-dose Aspirin and Clopidogrel in Randomized Controlled Trials Kenneth R. McQuaid, MD, Loren.

Gastric Diverticulum: A Rare Cause of Refractory Epigastric Pain

Overview of Current Learning Theories for Medical Educators

Schizophrenia for Primary Care Providers: How to Contribute to the Care of a Vulnerable Patient Population Mark Viron, MD, Travis Baggett, MD, MPH, Michele.

Illicit Drug, Ischemic Bowel

Epidemiology of Myelodysplastic Syndromes

On the Palms of His Hands: ACTH-Induced Hyperpigmentation

Carotid Sinus Massage in Patients with Suspected Acute Myocardial Infarction, Tachycardia, and Left Bundle Branch Block Teddy Weiss, MD, Yair Elitzur,

Robert Goulden, MBBS, MSc, MPhil, MA The American Journal of Medicine

A Plethora of Protein The American Journal of Medicine

What's in Her Pocket: Worsening Diverticulitis

Tick Tock The American Journal of Medicine

Medical professionalism and the generation gap

Looking Back at Lyme Carditis

Andre J. Gauri, MD, Andrew Davis, MD, Thomas Hong, MD, Martin C

The Reply The American Journal of Medicine

Type III hyperlipoproteinemia unmasked by HIV anti-retroviral therapy

Hong-Tao Tie, MD, Rui Shi, MD The American Journal of Medicine

Gun Ownership and Firearm-related Deaths

Gout in African Americans

Treatment of hepatitis C

An Enlarging Ulcer The American Journal of Medicine

Carlos Aguilar, MD, Valentin del Villar, MD

Cory A. Gaiser, MD, Natasha Dhawan, BSc

Fusobacterium nucleatum Bacteremia Presenting with Portal Vein Thrombosis: An Abdominal Lemierre Syndrome? Joseph A. Moore, MD, Siayareh Rambally, MD

A Genetic Origin? Purpura Fulminans

Acute Cytomegalovirus Colitis Mimicking Exacerbation of Ulcerative Colitis: Precipitating or Coincidental? Owolabi Ogunneye, MD, MRCP, Jaime Hernandez,

Geographic Tongue The American Journal of Medicine

Insomnia in the Elderly: Cause, Approach, and Treatment

Sharan Prakash Sharma, MD, Karleung Siu, MD

To Reduce Stroke with PFO Closure, Respect the Shunt

John-Michael Gamble, BScPharm, MSc, Dean T. Eurich, PhD, Thomas J

A Picture's Worth: Giant Cell Arteritis

Should the Routine Physical Examination Include Squat Maneuvers?

Purple Urinary Bag Syndrome

A Post-cure Complication

Thyroid Bruit and the Underlying ‘Inferno’

Sister Mary Joseph's Node

Plasma Lactescence in Acute Pancreatitis

A Plethora of Pustules: Acute Generalized Exanthematous Pustulosis

Primary Care Management of Skin Abscesses Guided by Ultrasound

Rebecca D. Chason, Joan S. Reisch, PhD, Don C. Rockey, MD

Direct Observation of Residents: A Model for an Assessment System

Painful Violaceous Purpura on a 44-Year-Old Woman

‘Krokodil’—A Designer Drug from Across the Atlantic, with Serious Consequences Dany V. Thekkemuriyi, MD, Santhosh Gheevarghese John, MD, Unnikrishnan.

Falls in Older Adults: Risk Assessment, Management and Prevention

Emily G. McDonald, MD, MSc, Ramy R. Saleh, MD, Todd C. Lee, MD, MPH

Matthew W. Martinez, MD, Keith G. Rasmussen, MD, Paul S

Longer Lengths of Stay and Higher Risk of Mortality among Inpatients of Physicians with More Years in Practice William N. Southern, MD, MS, Eran Y. Bellin,

Toward a More Responsible News Media

David Tian, MD, Ram Jhingan Mohan, MD, Gary Stallings, MD

Hypophosphatemia: Diagnostic Significance in Legionnaires’ Disease

A Hard Place: Calcified Neck Mass

Presentation transcript:

A Surfeit of Possibilities: Nonhealing Ulcers Janelle Gooden, MD, Elfriede Agyemang, MD, Jason Post, MD The American Journal of Medicine Volume 126, Issue 6, Pages 491-493 (June 2013) DOI: 10.1016/j.amjmed.2013.02.007 Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 1 The patient had posterolateral stellate ulcerations with purple purpuric and erythematous borders, centrally necrotic tissue, and eschar formation. The American Journal of Medicine 2013 126, 491-493DOI: (10.1016/j.amjmed.2013.02.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 2 A biopsy of an ulcer showed pannicular intravascular calcification that may be present on histopathology in cases of calciphylaxis or Martorell's ischemic ulcers. The American Journal of Medicine 2013 126, 491-493DOI: (10.1016/j.amjmed.2013.02.007) Copyright © 2013 Elsevier Inc. Terms and Conditions