More articles from The Clinical Picture
- A middle-aged man with progressive neurologic deficits and bilateral leg lesions
His speech is severely impaired and he cannot swallow liquids or solids. The leg lesions have been present for several years and are painless. What is the likely diagnosis?
- An expanding skin lesion in a patient on immunosuppressive therapy
The lesion, originally diagnosed as pyoderma gangrenosum, now measures 15 cm × 6 cm. What should be the next step in management?
- Severe chest pain in a 32-year-old man
His electrocardiogram shows ST-segment elevation in leads I, II, aVF, and V5 and V6, but no reciprocal changes. What is the diagnosis?
- A 73-year-old woman with chronic nonhealing cellulitis
She has undergone extensive treatment with antibiotics and corticosteroids, without success. What is the likely diagnosis?
- A woman with headache and blurred vision
She has non-small-cell lung cancer and patchy symmetrical areas of subcortical edema in the posterior parietal and occipital lobes of the brain. What is the most likely diagnosis?
- Multiple skin nodules in a 64-year-old woman
The nodules developed about 18 years ago, about 10 years after the onset of proximal muscle weakness and rash. What is the diagnosis?
- A 35-year-old man with recurrent hoarseness
He has undergone laser photoresection of a tracheal mass three times in the past 2 years. What is the diagnosis?
- Multiple leg ulcers in a traveler
One month after a trip to Central America, he has two painful ulcerations and a nodule. What is the cause?
- A 46-year-old intravenous drug user with fever
He has had fever, chills, night sweats, shortness of breath, and productive cough for 3 days. What is the cause?
- A 52-year-old man with sudden onset of a facial rash
Questions and answers on the visible signs of diseases.