Blurred Vision and Painful Red Eye in a 40-Year-Old Patient

Blurred Vision and Painful Red Eye in a 40-Year-Old Patient

A 40-year-old man presents to an urgent care center with an acutely painful red eye in which he has blurred vision. He notices a bit of a headache and that there are some halos around lights, but he says that he has not experienced nausea or vomiting. When reviewing his medical history with you, he notes that he recently started taking a new antidepressant. View the image taken (Figure 1) and consider what your diagnosis …

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Flashes of Light, Floaters, and Blurred Vision

Flashes of Light, Floaters, and Blurred Vision

A 70-year-old man presents with blurred vision and a nasal-field defect in one of his eyes. He reports that before arriving in the emergency department, he saw flashes of light and floaters, accompanied by a shower of black dots blocking his vision. Figure 1 shows what the physician sees when examining the patient’s eye with indirect ophthalmoscopy and scleral depression. Consider what your diagnosis would be.

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Adult with Painful Lesion That Enlarges and Darkens

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

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.

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Rash, Facial Palsy, and Ear Pain

Rash, Facial Palsy, and Ear Pain

A 65-year-old woman presents with a rash that appeared simultaneously with the onset of ipsilateral facial palsy. She reports severe ear pain in the affected ear, along with hearing loss. Physical examination reveals grouped bullae and vesicles on an erythematous base ipsilaterally involving the auricle, external ear canal, and tympanic membrane, as well as the mouth and anterior two-thirds of the tongue. View the image taken (Figure 1) and consider what your diagnosis would be.

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Eye Redness, Pain, and Light Sensitivity

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 …

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Adult with Eye Pain, Photophobia, and Decreased Vision

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.

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Woman with Papules on the Hand

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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