A Reticular Rash on the Leg.

A man presented with a nontender, flat rash with pigmentary alteration ranging from light brown to dark brown on his left leg. How would you treat this patient?

Infectious Diarrhea: Norovirus and Clostridium difficile in Older Adults.

Norovirus infection usually results in acute gastroenteritis, often with incapacitating nausea, vomiting, and diarrhea. It is highly contagious and resistant to eradication with alcohol-based hand sanitizer. Appropriate preventative and infection control measures can mitigate the morbidity and mortality associated with norovirus infection. Clostridium difficile infection is the leading cause of health care-associated diarrhea in the United States. Antibiotic use is by far the most common risk factor for C difficile colonization and infection. Appropriate preventive measures and judicious use of antibiotics can help mitigate the morbidity and mortality associated with C difficile infection.