Month: August 2019

Case Report Answer: 18 year old with increasing neck mass

Case Report Question: 18 Year Old With Increasing Neck Mass Answer: Neck abscess caused by Fusobacterium necrophorum The patient was found to have an abscess on CT scan 4.7cm x3.8cm x 9cm. Initially mass was aspirated with 10cc of foul-smelling purulence removed. The Gram stain revealed Gram negative […]

Case Report Question: 18 Year Old With Increasing Neck Mass

History of Present Illness: 18 year old female presents with a worsening neck mass over the last few weeks.  Three weeks weeks ago, she reports initially having fevers, aches, chills and severe sore throat. One week ago, she was seen in the clinic for sore throat and neck […]

About: Case of the Month

The Case of the Month features an infectious diseases case related to how a patient would present in the clinic or hospital. After the case summary, questions and comments will follow. A review of the findings with a summary of the disease process will then be added. This […]

Finding Health: The History of an Elusive Goal (part 2)

This is a 2-part series on finding health.  In this post, I will describe two models in which to compare health and how they might be integrated.   Reductionism and Holism: Complimentary Approaches to Understand the Body A physician may diagnose high blood pressure in an obese patient (BMI > 30) based on vital signs during […]

Finding Health: The History of an Elusive Goal (part 1)

“Health is a state of complete mental, social and physical well-being, not merely the absence of disease or infirmity.” – World Health Organization, 1948 When you look in the mirror, do you ask yourself if you are as healthy as you can be?  Like me, you might find yourself searching for ways to get healthier – maybe […]

Factors Associated with an Increase in Sexually Transmitted Disease Rates

There has been a looming public health emergency with increased rates of sexually transmitted infections, such as syphilis, gonorrhea and chlamydia.  Other than not using condoms, what other factors may be associated with this increase? Decrease in public health funding to sexually transmitted disease control and education programs.  There has […]

On the climb to wellness: Surpassing health and fitness plateaus

”The summit is what drives us, but the climb itself is what matters.” – Conrad Anker  Wellness is an ever-allusive journey.  The moment that you think you learned about yourself in a way that leads closer to health, something comes up again that gets in the way.  The […]

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