Clinical Challenge

A spreading shin rash signifies systemic disease

A spreading shin rash signifies systemic disease

A "bruise" from a minor injury continues to linger for weeks.

Hair loss in a post-menopausal woman with diabetes

Hair loss in a post-menopausal woman with diabetes

Are hormonal changes to blame, or something else?

A schizophrenic patient with poorly controlled diabetes

A schizophrenic patient with poorly controlled diabetes

Dietary supervision may have driven the patient out of his facility.

Misdiagnosed with type 2 diabetes

Misdiagnosed with type 2 diabetes

Despite adhering to lifestyle modifications, a woman's glycemic control remains inadequate.

Young man presents with findings suspicious for occult fracture

Young man presents with findings suspicious for occult fracture

A teenager complains of pain in the left wrist, yet manifests no localized swelling and exhibits symmetric bilateral range of motion.

Identifying and addressing infant allergy to cow's milk protein

Identifying and addressing infant allergy to cow's milk protein

Cow's milk protein allergy is relatively common during the first year of life. Unfortunately, the condition is easily missed or mislabeled.

Difficulty lifting the right arm drives a young man to seek help

Difficulty lifting the right arm drives a young man to seek help

An adolescent presented with persistent upper-extremity pain, redness, and 
axillary swelling upon lifting weights.

Hypertension and ­substance abuse mask an underlying condition

Hypertension and ­substance abuse mask an underlying condition

A middle-aged man presents with 
palpitations, tachycardia, tremors, 
and extreme anxiety.

Accidental hand ­amputation requires ­extensive surgery

Accidental hand ­amputation requires ­extensive surgery

A woman is rushed to the ­emergency department after severing her hand in a woodworking accident at home.

An obese woman ­presents with polyuria and blurred vision

An obese woman ­presents with polyuria and blurred vision

A patient recently diagnosed with diabetes complains of worsening malaise and fatigue as well as bilateral extremity cramps.

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