More articles from The Clinical Picture
- Oral plaques and dysphagia in a young man
A 23-year-old man presents with oral plaques, a sore throat, dysphagia, malaise, and weight loss. What is the most likely diagnosis?
- Unmasking gastric cancer
Screening with diagnostic imaging may be justified in high-risk groups, although the issue is debatable.
- Electrocardiography in aortic regurgitation: It’s in the details
Although not routinely reported, a negative U wave indicates underlying structural or ischemic heart disease.
- Rash from hepatitis C treatment
Although the combination of interferon and ribavirin is the standard of treatment for chronic hepatitis C, some patients experience adverse reactions.
- Scar reactivation and dry cough
A 52-year-old woman has swelling and redness of seven old scars and a dry cough. What diagnostic test should be performed?
- Subphrenic abscess from a perforated duodenal ulcer
A 55-year-old man presents after 3 weeks of sharp epigastric pain radiating to the right upper quadrant, fever, and generalized weakness.
- Facial swelling and ulceration with nasal destruction
A 12-year-old boy presents with painless swelling and ulceration on and around his nose. What is the diagnosis?
- A 46-year-old man with fever, ST-segment elevation
ST-segment elevation commonly represents acute myocardial infarction, but it is also associated with other conditions.
- Leukemia cutis
This condition occurs in 10% to 15% of patients with acute myeloid leukemia and is a poor prognostic sign.
- Genital lesions and acute urinary retention
A 36-year-old patient has not voided in 48 hours. Catheterization yields 1,250 mL. What is the next step?