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Regulations have been amended under the Mammography Quality Standards Act  of 1992 to ensure women receive quality mammography for early breast cancer detection and prevention.

Mammography Centers Now Mandated to Disclose Breast Density 

The FDA approved the oral medication to treat anemia in adult patients with chronic kidney disease on dialysis for at least 3 months.

FDA Approves Vadadustat for Treatment of Anemia due to CKD in Patients on Dialysis

A 67-year-old woman noted the appearance of several non-tender, rock-hard, purple-colored nodules on her legs. Her medical history was significant for distant non-Hodgkin lymphoma.

A 67-year-old woman noted the appearance of several non-tender, rock-hard, purple-colored nodules on her legs. Her medical history was significant for distant non-Hodgkin lymphoma. The violaceous color and configuration of the skin lesions suggests which of the following? 

Clinical Topics

Hard Purple Nodules: Your Dx?

A 5-year-old boy with a history of atopic dermatitis since 6 weeks of age, presents with a rash around his mouth that has been present for approximately 1 year. The patient’s mother reports that desonide topical cream was applied to the affected area for about 5 days, which initially resulted in improvement, however the rash returned after this medication was discontinued. The rash also recently improved after the patient took amoxicillin for an infection. She also notes that the patient has been licking his lips more frequently.

On examination there is an erythematous papulopustular eruption restricted to the perioral region, with sparing of the vermillion border. Mild hyperpigmentation is noted on the patient’s neck. There is no active involvement of other areas of the body.

The eruption has been present for 1 year and is restricted to the perioral region. What is included in your differential? 

Rash Around the Mouth of a 5-year-old Child

A 3-year-old boy is seen for unilateral swelling on the left side of the face, in front of and behind the left ear. Findings on examination of ears, oral cavity, and teeth are normal. He is afebrile (temp, 37°C [98.6°F]), cooperative, and in no distress. He is otherwise healthy. Past medical history includes 1 MMR vaccination.

The child is bright and alert and has no fever. The swelling is on the left side of the face only. Find other clues to a diagnosis in the accompanying video.  

3-Year-Old Boy With Unilateral Facial Swelling 

A 76-year-old woman seeks your attention for an asymptomatic “red spot” on her neck. She has a history of multiple non-melanoma skin cancers.

Squamous cell carcinoma in situ (Bowen  disease)

Lichenoid keratosis (an inflammatory variant of seborrheic keratosis)

A 76-year-old woman seeks your attention for an asymptomatic “red spot” on her neck. What does this look like to you?

What's This "Red Spot"?

A 67-year-old woman seen in clinic for unrelated concerns is incidentally noted to have a “rash” on her flank. She says it appeared in adulthood and has been stable for some years. On the right lower back, there is an asymptomatic reticulated erythema without scale or ulceration

. The patient admits to regular heating pad use on her lower back for pain. The remainder of the skin examination is within normal limits.

The patient says the incidental finding appeared in adulthood and has been stable for years. Can you identify this reticulated erythema?

An Asymptomatic Rash on the Low Back of an Older Woman 

People who become aware that they have lingering symptoms after a COVID-19 infection will most likely consult their primary care clinician first, says American Academy of Physical Medicine & Rehabilitation (AAPM&R)

Flanagan, in a recent conversation with Patient Care, said that while the number of specialty clinics established to care for this expanding population is growing, the current estimate that 27 million Americans have or have had post-acute sequelae of COVID-19 signals that the supply of health care services is already significantly outstripped by demand.

In this video, Flanagan underscores the huge task ahead for primary care clinicians. He also highlights AAPM&R work with multidisciplinary collaborators to define standards of care for long COVID and to widely disseminate educational materials, particularly to primary care. More information on the AAPM&R work is below.

is president-elect of the American Academy of Physical Medicine and Rehabilitation and Chair, Rehabilitation Medicine, New York University Grossman School of Medicine Medical Director, Rusk Rehabilitation, New York University Langone Health, in New York, New York.  (Twitter: 

In March 2021, AAPM&R launched the multidisciplinary post-acute sequelae of COVID-19 (PASC) Collaborative of experts with an overarching goal to foster engagement and share experiences across disciplines and specialties that will move the US health care system towards defining standards of care for persons experiencing long COVID-19/PASC.

To date the Collaborative has published 4 consensus guidance statements on the assessment and treatment of complications in patients with post-acute sequelae of SARS-CoV-2. Please take time to 

 on long COVID-associated cardiovascular complications, cognitive symptoms, breathing discomfort, and fatigue.

NYU Langone Rusk Rehabilitation medical director Steven Flanagan, MD, discusses the "second crisis" of the pandemic and the impact on primary care.  



The Brunt of the Long COVID Patient Burden May Fall on Primary Care, says Rehabilitation Medicine Expert

Cameron Santoro

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