Ortho Dx: Assessing Chronic Lower Back Pain in an Older Man
A 71-year-old man presents with chronic lower back pain for many years that is affecting his ability to walk.
Clinical Quiz
Derm Dx: White streak on the leg
A mother brings her 4-year-old daughter to the dermatology clinic for her first consultation for a white streak on the leg, which was not present at birth. Twelve months prior, the patient developed very fine pink papules in a linear distribution along the leg and thigh, the mother reports. Subsequently, the papules disappeared leaving only…
Derm Dx: A dome-shaped growth on the upper thigh
The patient is a 57-year-old man requesting removal of a growth on his left upper thigh. The lesion has been increasing in size for at least 1 year’s duration and is frequently traumatized by clothing.
Image of the Week: What audible finding is consistent with this presentation?
A 40-year-old man presents to the emergency department with sharp chest pain and palpitations. He says the pain is worse when he lies down and is exacerbated by coughing, but it improves when he moves to a seated position.
Derm Dx: A teen with palmar desquamation
A 19-year-old Hispanic male presents complaining that the skin on his palms has been peeling for several months. He denies any new activities or exposures. The skin is not itchy or painful and, there were no preceding blisters. The patient denies fever or other illness prior to the onset of the condition. He is otherwise…
Ortho Dx: Diabetic complication of the foot
A 73-year-old man with insulin-dependent diabetes presents with right foot pain that has been ongoing for several months.
Erythematous papules and plaques
Case #1 A 46-year-old white woman presents with a 2-week history of a rash on her back and feet. She denies any associated pain, pruritus, or fever, and her medical history is unremarkable. Her social and family histories are noncontributory. Physical examination is notable for erythematous papules scattered across her back, with some coalescing into…
Derm Dx: Hair loss and absent follicles
A 44-year-old woman presents for evaluation of hair loss, which has progressively worsened over the past several years. She denies itching, pain, or antecedent redness or irritation, and family history is negative for baldness. She has no history of systemic disease and takes no medications or herbal supplements. She also denies the use of straighteners…
Ortho Dx: Valgus deformity of the knee
A 57-year-old man presents with knee pain and valgus deformity of his right knee.
Derm Dx: An uncommon pruritic eruption
A 53-year-old nurse presents for evaluation of a minimally pruritic eruption affecting her arms and legs that has been present for 5 months.
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