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.
Read More
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.
Read More
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.
Read More
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.
Read More
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.
Read MoreClinical Challenge: January, 2015
Case An 80-year-old man woke up with a localized area of erythema on his forehead. He didn’t think much of it, until the lesion slowly became white and then started turning blue over a few hours. He says that the lesion is painful and is getting larger and darker. He denies the presence of headaches, muscle pain, abdominal pain, sweating, and tremors.
Read More
Man with blood in the eye
This image was taken of a 35-year-old man who presented to the urgent care center with blood in the anterior chamber of his eye after he was hit in the eye with a baseball. He bled from his nose, and his right eye swelled shut because of eyelid edema. Initial nasal hemorrhage was controlled, but he was referred to the emergency department because of pain in the inferior orbit. View the image taken (Figure 1) …
Read More
Boy with swollen foot
This image was taken on a 6-year-old male who was wrestling with his cousins when he developed severe pain in his right foot. There was bruising and swelling over the dorsum of the right foot. View the images taken (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge: December, 2014
THE CASE This x-ray was taken on a woman who fell off a ladder. View the image taken (Figure 1) and consider what your diagnosis would be.
Read More