• Nasolaryngoscopy in a family medicine clinic: indications, findings, and economics.

      Wilkins, Thad; Gillies, Ralph A; Getz, April; Zimmerman, Dave; Kang, Larry; Department of Family Medicine (2010-09)
      Nasopharyngeal complaints are common among patients who present to primary care. Patients with these complaints are often referred for nasolaryngoscopy evaluation to exclude serious conditions such as laryngeal cancer.
    • Salmonella newport bacteremia in a 12-day-old infant.

      Singh, Abhijit; Wilkins, Thad; Schade, Robert R.; Department of Family Medicine (2011-03)
      In the United States, Salmonella infections (salmonellosis) cause multiple medical problems. Although the most common presenting symptom is diarrhea, bacteremia can also occur. An estimated 1.4 million cases of salmonellosis occur annually in the United States. We present a case of Salmonella bacteremia in a 12-day old infant. We discuss the presenting signs, symptoms, and management strategies for a patient younger than 28 days old (neonate) presenting with fever and diarrhea.
    • Split peroneus brevis tendon: an unusual cause of ankle pain and instability.

      Chauhan, Bindiya; Panchal, Pina; Szabo, Edward; Wilkins, Thad; Department of Family Medicine; Department of Orthopaedic Surgery (2014-03)
      Tears of the peroneus brevis tendon may cause ankle pain, swelling, and instability. Supportive therapy with ankle bracing and analgesics is the mainstay of therapy, but surgical repair is often required in patients with ongoing symptoms. Surgical options include debridement, tubularization, or, in severe cases, resection of the damaged tendon and tenodesis. We describe a 64-year-old woman with a split peroneus brevis tendon presenting with lateral ankle pain, swelling, and instability, and we review the literature regarding presentation, diagnostic testing, pathophysiology, predisposing factors, and treatment recommendations. Primary care physicians should consider peroneal tendon injuries in patients with chronic lateral ankle pain and instability.