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Erythema, edema, and fissuring around mouth
A 61-year-old man has a 3-month history of a persistent irritation at the corners of his mouth. He has type 2 diabetes mellitus and is being treated with insulin. Otherwise, he is in good health.
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DERMATOLOGY CASE CHALLENGE: Papules on the neck
An 8-year-old boy and his mother come to the clinic because of papules on his chest, upper arms, and neck. The papules are mildly pruritic, and some have been present for 2 months, but new ones are still appearing. There were no sick contacts, and the child feels well otherwise.
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CASE & COMMENT: An athletic young woman with acute back pain
A healthy, athletic 24-year-old woman presents with acute low back pain that began after she stepped forward with her back fully extended while playing Ultimate Frisbee earlier in the day. The pain is midline, sharp, without radiation, and rates a 10 on a scale of 1 to 10. She denies direct trauma, lower-extremity numbness or tingling, and bowel or bladder dysfunction.
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What bug, which drug? Optimizing empiric antimicrobial therapy
How do you choose an antimicrobial agent wisely when the clinical situation necessitates it yet neither the pathogen nor its susceptibility is apparent? The authors organize the principles, and pitfalls, of empiric prescribing into a practical outpatient and inpatient guide.
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