More articles from The Clinical Picture
- The eyes: A window into the past
The patient, 33 years old and living in Southern California, has “spots” on the retina. What is the most likely diagnosis?
- Recurrent spontaneous pneumothorax
The patient, a 26-year-old woman, also has many nodular lesions on her face, a hypopigmented lesion on her thigh, and a fleshy plaque on her back. What is the diagnosis?
- An erythematous plaque on the arm
A 68-year-old farmer presents with an asymptomatic lesion that appeared spontaneously 5 months ago and has grown progressively. What is the diagnosis?
- A rash on the legs and palms
The patient has been treated with topical and oral corticosteroids with no improvement. What is the most likely diagnosis?
- A rare complication of infective endocarditis
An 85-year-old woman presents with a 2-hour history of dyspnea, dizziness, generalized weakness, nausea, and diaphoresis. What is the cause?
- Bony bridge of a bifid rib
A 21-year-old man presents with 3 days of cough and hemoptysis. A chest x-ray reveals a congenital anomaly.
- The Courvoisier sign
A 60-year-old woman has had jaundice, dark-colored urine, and light-colored stools for the past several days. On examination, her gallbladder is palpable.
- Giant nodules on the hands
A 78-year-old man with hyperuricemia treated with allopurinol presents with asymptomatic nodules on both hands. What is the most likely diagnosis?
- Palpable purpura
A healthy 47-year-old woman presents with a 3-day history of widespread asymptomatic lesions in the extremities, fever, arthralgias, and mild abdominal pain. What is the diagnosis?
- Calcified cysts in the upper abdomen
A plain chest radiograph reveals multiple calcified cysts in the upper abdomen of a man who has been on dialysis for 15 years. What is the most plausible diagnosis?