More articles from The Clinical Picture
- Acute facial purpura in an 82-year-old woman with a respiratory tract infection
The lesions appeared suddenly and spontaneously and were not associated with trauma. What is the most likely diagnosis?
- Dropped gallstones disguised as a liver abscess
The patient, who underwent laparoscopic cholecystectomy 3 months ago, now has abdominal pain and a spot on computed tomography that could be a liver abscess. But is it?
- Bilateral parotitis and facial nerve palsy
The patient also has anterior uveitis and a small skin lesion. Which underlying condition is most likely?
- A woman with aplastic anemia and a rash
A patient who is receiving multiple drugs, including several antibiotics, develops a rash on her chest, abdomen, and extremities. What is the most likely diagnosis?
- A 48-year-old man with acute, ‘knife-like’ rectal pain
He has lost 90 pounds in the last 9 months and has had white oral plaques, chronic diarrhea, low-grade fever, and anorexia. What is the most likely diagnosis?
- A middle-aged man with asymptomatic chest wall asymmetry
He has no history of trauma or chest wall surgery, and he has been aware of the asymmetry since early childhood. What is your diagnosis?
- An ectopic peripherally inserted central catheter (‘ectoPICC’)
A chest radiograph shows the line to have fractured and embolized to the left pulmonary artery.
- A young man with unexplained dyspnea
He has Wegener granulomatosis, and pulmonary function testing shows flattening of the inspiratory and expiratory limbs of his flow-volume loop. What is the cause?
- A tropical souvenir not worth picking up
The patient recently returned from a beach resort in Jamaica and now has a painful rash on her foot. What is it?
- A young woman withan eroded plaque on the hand
She has a painful, inflamed eroded plaque at the previous site of an intravenous catheter. She is afebrile, and blood cultures and tissue cultures are negative.