Practice Management
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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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.
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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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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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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.
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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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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) …
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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.
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This image was taken of a 44-year-old female who presented to the urgent care center with an itchy rash on her arms and legs that she has never had before. Four 4 days ago, she returned from a church retreat at a camp where she slept in a cabin in the woods. Most of the retreat was indoors. She is the only one with a rash and her husband, who slept in a different bed, …
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These x-rays were taken on a 47-year-old male who presented to an urgent care clinic 3 days after punching a wall. He had pain, massive swelling, and bruising at the base of the 3rd, 4th and 5th metacarpals of the right hand. View the images taken (Figure 1) and consider what your diagnosis would be.
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