More articles from The Clinical Picture
- ‘Kissing tonsils’ and splenic infarction from infectious mononucleosis
A 36-year-old male presented with severe pain in the left upper quadrant after 10 days of cough, sore throat, and fever.
- Asymptomatic oral plaques and erosion
A 45-year-old man presented with a 4-week history of plaques and erosion on the left buccal mucosa and lower lip.
- Eruption of erythema after dieting
During the past 4 weeks, the patient had been increasing his exercise and was on a strict diet for bodybuilding
- Finger nodules: Tip of the gouty iceberg
Recurrent, dramatic flares are the cardinal symptom of gouty disease, but some patients exhibit tophi on physical examination or imaging—without flares or pain.
- Cholesteatoma
The patient’s audiogram showed left-sided conductive hearing loss, and examination revealed an atelectatic tympanic membrane on the left with a retraction pocket and keratin debris.
- Chondrodermatitis nodularis helicis
The patient first noted the mildly tender, nonpruritic lesion on his left ear after he began sleeping on a firmer pillow.
- Brodie abscess in an 87-year-old man
Though Brodie abscess is rare in older adults, timely diagnosis and treatment can prevent exacerbation of the abscess and avoid the need for additional surgical treatment, shortening the duration of hospitalization and preventing long-term complications.
- Mass under the lip
The mass had grown slowly over several weeks while the patient was in rehabilitation after a stroke.
- Oral leukoplakia and oral cancer
A 53-year-old male who had smoked for 36 years was referred by his dentist for worsening vitiligo diagnosed as leukoplakia 3 years earlier.
- Median rhomboid glossitis caused by tongue-brushing
The patient had started vigorous brushing 1 month earlier after being told that she had bad breath.