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Biomedical subjects

Richard P Usatine

Publications and source records attributed to Richard P Usatine.

At least 19 recordsLinked to original sources
PubMed2005

Palpable purpura and a visible sock line.

A 21-year-old woman came to the clinic, frightened by a painful purpuric rash on her lower extremities. The lesions appeared suddenly 3 days before, with no prior similar episodes. The pain, and some swelling that happened when she stood, had finally driven her to take some time off from her job and seek medical advice. She was diagnosed with a case of pharyngitis earlier that week; due to multiple drug allergies, she was prescribed a course of clindamycin. She had not experienced any nausea or vomiting, fever, abdominal cramping, or gross hematuria. On examination, the patient was friendly and good-humored, although she was concerned about her rash and visibly uncomfortable. She was walking with the aid of a borrowed cane, but her lesions were no longer tender to palpation. The rash consisted mainly of purpuric papules almost entirely limited to her legs, although some isolated lesions were on her back as well. The papules were concentrated around her distal lower extremities, with a clear line of lesions encircling her calves bilaterally where her knee-high socks had applied pressure for the last 2 days. Mild edema was noted, but the rest of her physical exam was normal. By dipstick, the patient had blood in her urine but no protein. What is the diagnosis? What is the treatment for this condition?

Adrenal Cortex Hormones↗
PubMed2005

Skin rash and muscle weakness.

A 48-year-old Hispanic woman came to the clinic as a new patient--her chief complaint was a rash that appeared on her face 3 months before and had recently spread to her chest and hands. It itched occasionally and seemed to worsen after exposure to the sun. She also said that for the last month she had been feeling very weak-she had difficulty rising from a seated position and walking up the stairs to her apartment. She also felt as if her arms were heavy, making it difficult for her to brush and dry her hair in the morning. The patient was otherwise healthy with no known medical conditions, and she was not taking any medications. Her family history was noncontributory. What is your diagnosis? What diagnostic tests would you order for confirmation?

Dermatomyositis↗
PubMed2003

Curricular reform of the 4th year of medical school: the colleges model.

BACKGROUND: The practice of medicine has changed dramatically over the last 3 decades. Medical education has struggled to keep up with these changes, with only limited success. The 4th year of medical school offers a tremendous opportunity for curricular innovation, but little change has occurred in the past 30 years. DESCRIPTION: This article traces the history of the 4th year, from the Flexnerian era in which the classic preclinical-clinical model for medical education was developed, through the 1970s, when virtually every medical school adopted a largely elective 4th year, to the present. Although the classic 4th-year curriculum has a number of strengths such as flexibility and relative autonomy of scheduling for students, it also has significant weaknesses. EVALUATION: A major educational initiative for the 4th year-the "College Phase"-has been implemented at the David Geffen School of Medicine at UCLA. It is designed to remedy many of the weaknesses of the 4th-year curriculum while preserving the benefits. CONCLUSION: Five colleges have been created: acute care, applied anatomy, medical science, primary care, and urban underserved. Students participate in a number of different college-specific activities that are hoped to produce a more engaging, rigorous, and enriching experience for students and faculty alike

Career Choice↗
PubMed2003

A swollen knee.

Explore the source record for details and available documents.

Anti-Inflammatory Agents, Non-Steroidal↗
PubMed2003

A terrible itch.

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Aged↗