A 41-year-old man presents with left-flank pain. His past medical history is unremarkable. An incidental finding is evident on images of the kidney, ureter, and bladder. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
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Adult with Painful Lesion That Enlarges and Darkens
An 80-year-old man reports waking up with a localized area of erythema on his forehead. He says that he did not worry about it until the lesion slowly became white and then started turning blue over a few hours. He says that the lesion is painful and is getting larger and darker. He reports no headaches, muscle pain, abdominal pain, sweating, or tremors. View the image taken (Figure 1) and consider what your diagnosis would …
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Skin Rash with Pustules on a Newborn
A healthy, full-term baby girl was born to a healthy mother who had adequate prenatal care and no signs of infectious diseases. Three days after birth, the baby developed multiple 1-mm pale-yellow to yellow pustules within a large inflammatory wheal on her cheek. Several hours later, the rash starts to resolve. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge 2: July/August, 2015
The Case A patient presents after a backward fall off a ladder. View the image taken (Figure 1) and consider what your diagnosis would be.
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Eye Redness, Pain, and Light Sensitivity
A 30-year-old woman presents with a red eye, associated with eye pain, light sensitivity, and slightly decreased vision, which started 4 days earlier. She was previously treated with tobramycin, but she has not noticed any change in the condition of her eye. Examination shows an injected conjunctiva and a hypopyon. On further examination with a slit lamp, inflammatory cells are evident in the anterior chamber. View the image taken (Figure 1) and consider what your …
Read MoreClinical Challenge 2: June, 2015
The CaseA child presents after a fall on an outstretched arm from monkey bars. Pain and voluntary guarding of the elbow are noted. View the image taken (Figure 1) and consider what your diagnosis would be.
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Adult with Eye Pain, Photophobia, and Decreased Vision
A 35-year-old woman presents with a history of 1 day of pain in her right eye, photophobia, and decreased vision. There is no history of trauma. One day earlier, she was seen at an urgent care center, where the diagnosis was a corneal abrasion, and she was treated with topical trimethoprim-polymyxin. Her symptoms have worsened, so she has returned for further evaluation. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge: May, 2015
The Case The patient presented with an upper respiratory infection after vertebroplasty. A chest x-ray was ordered to rule out pneumonia. View the image taken (Figure 1) and consider what your diagnosis would be.
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Man with Painful Genital Ulcers
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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Man with Decreased Vision in One Eye
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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