More articles from The Clinical Picture
- V1: The most important lead in inferior STEMI
A 63-year-old woman with diabetes and hypertension developed chest tightness. Her electrocardiogram showed ST-segment elevation in leads II, III, aVF, V1, and V2.
- A 60-year-old man with abdominal bruising
A man with liver cancer developed abdominal ecchymoses resembling the Cullen sign and flank ecchymoses resembling the Grey Turner sign.
- A woman with a swollen uvula
A woman on patient-controlled analgesia with morphine suddenly develops shortness of breath because of uvular swelling obstructing the airway. What is the diagnosis?
- Flashing lights, floaters, and reduced vision
A 62-year-old woman has numerous lobulated, yellowish, choroidal lesions in the left eye, and two similar but smaller lesions in the right eye. What is the cause?
- A farmer with chest pain and lung nodules
The patient, age 50, was treated 25 years ago for brucellosis. But he is also a 30-pack-year smoker. What does he have?
- Patchy hair loss on the scalp
A 12-year-old girl has a large, irregular area of hair loss. What is going on?
- A skin lesion after cardiac catheterization
Two days after coronary angiography, the patient developed pain, cyanosis, and lesions on the sole of his foot. What is the most likely diagnosis?
- Superior vena cava syndrome
A 60-year-old man developed superior vena cava syndrome due to thrombosis of a central venous catheter used for dialysis.
- Anemia, leukocytosis, abdominal pain, flushing, and bone and skin lesions
Physical examination revealed hepatosplenomegaly and an erythematous, maculopapular, confluent rash on the trunk. What is the most likely diagnosis?
- Hyperpigmentation and hypotension
A 65-year-old man presents after 2 months of weakness, dizziness, and blurred vision. What test should be ordered?