Cutis Rhomboidalis
A 78-year-old man presented with thickened, heavily lined skin on his posterior neck that had been present for an indeterminate period of time.
Case Files
A Case of Floppy Baby Syndrome
A previously healthy 4-month-old infant presents with weak cry, inability to feed, and having the appearance of a “floppy rag doll.”
Early Pregnancy and Painless Spotting
A 30-year-old woman who is 6 weeks pregnant calls into the after-hours Ob/Gyn line over the weekend with reported spotting.
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
A 91-year-old Hispanic woman was referred for wound care services with a stage III sacral pressure ulcer.
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
An 80-year-old man was referred by his cardiologist for assessment of an asymptomatic rash on his upper back.
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
A 26-year-old woman was referred for evaluation of a left orbital mass.
Prevertebral Swelling From Puncture
A 23-month-old female sustained a trip-and-fall with a pencil in her mouth.
Arthralgias After Cancer
Pam was a 54-year-old woman who had recently been diagnosed with endometrial and ovarian cancer.
Cat Scratch Disease in a Young Girl
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
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
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
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
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
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 includes any sexual activity in which a service member is involved against his or her will, ranging from sexual harassment to rape.
Soft tissue sarcoma of the thigh in an adolescent male
A young boy’s complaint of a tender mass on his left thigh is diagnosed as osteosarcoma.
Blue skin in an elderly woman
The patient’s use of minocycline was associated with patchy hyperpigmentation as a result of iron deposition in the dermal cells.
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