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For 2 months, a 29-year-old man had pain and circular, soft swelling (7 x 7 cm in diameter) over the anterior left knee, superficial to the patellar ligament. Your dx?

Bone problems run the gamut from low bone density and osteoporosis to sports and exercise injuries to congenital disorders. Take this week’s photo quiz to test your knowledge of bone disease and related concerns.

HIV-positive status no longer equates with emaciation. In fact, if anything, patients are more likely to be over- than under-weight, and this can affect the success of their treatments. Here, some guidance for clinicians on how to address the issue.

Depression is common among HIV-positive patients, and clearly affects adherence. Treating depression improves adherence, but is also justified in its own right as improperly treated depression can be as devastating as inadequately treated AIDS.

(AUDIO) In a brief podcast, the director of the University of North Carolina infectious diseases center ponders the implications of new HIV strains that lead to AIDS symptoms significantly faster than in the past. To him, the response is obvious. What troubles him is that not everyone seems to sense the urgency

Oral Lesions

A 27-year-old woman intermittently experiences painful oral lesions such as this one on her upper lip. Your impression?

Headaches have been awakening a man in his mid-40s at about 3 in the morning for a period of 2 weeks. On this, his second visit to the ED for the symptom, he claims numbness in one arm and reports vomiting earlier that evening. More details of the case, here.

A 34-year-old woman presents for follow-up of her type 2 diabetes mellitus and starts therapy with lisinopril. She thinks she also may be pregnant. What is the problem?