Each month, First Consult highlights a timely disease or condition, including a current summary and a link to the topic within First Consult, which is freely available. This month’s theme is Listeriosis.
Visit the First Consult home page to take the Order Set Quiz on Listeriosis.
By Margaret Trexler Hessen, M.D.
First Consult Medical Editor, New Content
(Originally posted on the First Consult home page)
A 72-year-old African American man is brought to the emergency department by his daughter, who complains that her father is “just not right.” She first noticed a change in his behavior two days earlier, when he appeared listless and had a poor appetite. Yesterday afternoon, he forgot to attend his weekly poker game and went to bed early without eating dinner or saying goodnight. This morning he stayed in bed and refused breakfast.
The patient’s medical history is significant for hypertension, diabetes, and chronic renal failure, for which he undergoes hemodialysis three times a week. His last dialysis was three days ago. The medications he takes include insulin, lisinopril, and simvastatin. He is retired from the postal service and lives with his daughter. He does not smoke or drink alcohol and has no recent travel history…
Click here to read the rest of the case presentation on First Consult’s home page, access for free First Consult’s Listeriosis topic, and test your clinical knowledge via the free First Consult Order Set Quiz. READ MORE >>