The Case The patient presented with an upper respiratory infection after vertebroplasty. A chest x-ray was ordered to rule out pneumonia. View the image taken (Figure 1) and consider what your diagnosis would be.
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Man with Painful Genital Ulcers
A 37-year-old man with a history of human immunodeficiency virus (HIV) presents to a free clinic in sub-Saharan Africa with painful genital ulcers that have a dirty surface, undermined border, and surrounding erythema. He also has tender inguinal lymph nodes. View the image taken (Figure 1) and consider what your diagnosis would be.
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Man with Decreased Vision in One Eye
A 68-year-old man with a long history of uncontrolled hypertension and hyperlipidemia presents with vision that has been decreased in one eye for the preceding 3 weeks. On examination, you see a fundus with diffuse retinal hemorrhages and swelling. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge: April, 2015
The Case The patient presented with wrist pain after a fall on an outstretched hand (FOOSH). View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge 2: March, 2015
The Case The patient presented with fever and difficulty swallowing. He was visibly anxious, leaning forward on the examination table and spitting into a cup. View the image taken (Figure 1) and consider what your diagnosis would be.
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Woman with Papules on the Hand
A 40-year-old woman with a history of human immunodeficiency virus (HIV) presents with flat-topped verrucous papules on her hands. Her most recent CD4 count was approximately 150 cells/μL. She notes that she regularly uses sunscreen on her face but not on her hands, and she is wondering whether the lack of sunscreen could be a cause of the lesions. View the image taken (Figure 1) and consider what your diagnosis would be.
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Boy with Leg Rash, Knee Pain, and Abdominal Pain
This photograph was taken of a 6-year-old boy who presented with a rash on his legs. Two weeks earlier, he had an upper respiratory infection. His father said that he had 2 weeks of fever and headache before the rash began. The boy also reported knee pain and diffuse abdominal pain. On physical examination, purpuric papules were apparent on his lower extremities. View the image taken (Figure 1) and consider what your diagnosis would be.
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Baby Born with Pustules on the Neck
A new mother is concerned because her baby boy was born with scattered pustules on his neck. The baby is full term and was born to a mother who had adequate prenatal care and no evidence of sexually transmitted infections. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge 2: January, 2015
Case A 68-year-old man with a long history of uncontrolled hypertension and hyperlipidemia presented with unilateral decreased vision for the last 3 weeks. On exam, you saw a fundus with diffuse retinal hemorrhages and swelling.
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Child with Lymphedema of the Neck and Parotid Glands
This image was taken of a 3-year-old boy who presented with history of 3 days of fever and headache and 1 day of diffuse lymphedema of his neck and parotid glands. The area surrounding each parotid gland was tender to palpation. View the image taken (Figure 1) and consider what your diagnosis would be.
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