Case Files

A Diagnostic Dilemma

A Diagnostic Dilemma

A middle-aged black woman has been experiencing swelling of her arms and legs for the past 5 years.

Kennedy Terminal Ulcer

Kennedy Terminal Ulcer

A 91-year-old Hispanic woman was referred for wound care services with a stage III sacral pressure ulcer.

Subcutaneous Groin Abscess

Subcutaneous Groin Abscess

A mass located above the left groin of an 85-year-old woman was found to be a subcutaneous abscess.

Hyperpigmentation of the Upper Back

Hyperpigmentation of the Upper Back

An 80-year-old man was referred by his cardiologist for assessment of an asymptomatic rash on his upper back.

<i>Mycobacterium Tuberculosis</i> Infection

Mycobacterium Tuberculosis Infection

A 50-year-old man with a history of HIV presents with 2 weeks of fevers, chills, night sweats, dry cough, and malaise.

Subperiosteal Orbital Hematoma

Subperiosteal Orbital Hematoma

A 26-year-old woman was referred for evaluation of a left orbital mass.

Prevertebral Swelling From Puncture

Prevertebral Swelling From Puncture

A 23-month-old female sustained a trip-and-fall with a pencil in her mouth.

Arthralgias After Cancer

Arthralgias After Cancer

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Pam was a 54-year-old woman who had recently been diagnosed with endometrial and ovarian cancer.

Cat Scratch Disease in a Young Girl

Cat Scratch Disease in a Young Girl

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A normally healthy 7-year-old female complained of "not feeling good," and her pediatrician noted that she had a unilateral lymphadenopathy in her right axilla.

Postobstruction diuresis

Postobstruction diuresis

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Mr J was an 89-year-old man with a long history of problems voiding due to increasing benign prostatic hyperplasia.

Fever, chills, and nausea after beginning long-acting reversible contraception

Fever, chills, and nausea after beginning long-acting reversible contraception

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During presentation to the emergency department, she was found to have a white blood cell count of 18,000 with a left shift, urinalysis positive for leukocytes and nitrites.

Wilms tumor in a child

Wilms tumor in a child

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A 2-year-old boy was having worsening daily episodes of explosive diarrhea. He had no fevers, and his appetite and diet were unchanged.

A man with sneezing fits

A man with sneezing fits

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There was no warning, he had no allergies, and they were not associated with any cold symptoms or other conditions.

Pulsatile tinnitus: a pounding sound inside the ear

Pulsatile tinnitus: a pounding sound inside the ear

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In this case, the patient not only subsequently had a stroke 2 years later, but he also required coronary artery bypass surgery within 5 years.

Military sexual trauma: A primer for clinicians

Military sexual trauma: A primer for clinicians

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Military sexual trauma includes any sexual activity in which a service member is involved against his or her will, ranging from sexual harassment to rape.

Picking cherries leads to a case of pseudohyperglycemia

Picking cherries leads to a case of pseudohyperglycemia

The elevated blood glucose measurement was associated with the presence of fructose on the patient's fingers from picking cherries.

Premature thelarche in a young girl

Premature thelarche in a young girl

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Premature thelarche can often be confused with precocious puberty and will resolve over time without intervention.

Providing care for veterans exposed to Agent Orange

Providing care for veterans exposed to Agent Orange

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Evidence suggests that exposure to Agent Orange is linked with a number of serious and potentially fatal diseases.

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