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.
Read MoreClinical Challenge: April, 2015
The Case The patient presented with wrist pain after a fall on an outstretched hand (FOOSH). View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge 2: March, 2015
The Case The patient presented with fever and difficulty swallowing. He was visibly anxious, leaning forward on the examination table and spitting into a cup. View the image taken (Figure 1) and consider what your diagnosis would be.
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Woman with Papules on the Hand
A 40-year-old woman with a history of human immunodeficiency virus (HIV) presents with flat-topped verrucous papules on her hands. Her most recent CD4 count was approximately 150 cells/μL. She notes that she regularly uses sunscreen on her face but not on her hands, and she is wondering whether the lack of sunscreen could be a cause of the lesions. View the image taken (Figure 1) and consider what your diagnosis would be.
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