Menu

Eggs and a brownish lesion

  Question A healthy 35-year-old man presented with small eggs and a brownish lesion on the medial edge of his right big toe Two weeks before presentation, he had returned from a holiday trip to Brazil, where he had been barefoot. The patient was

Man with congestion and ocular itchiness

  A 60-year-old man was evaluated for nasal congestion and ocular itchiness that had been ongoing for several years. Examination was unremarkable, showing normal visual acuity, except for symmetric defects in the iris of both eyes . The patient reported no history of eye

What diagnosis is suggested by these spirography findings?

What is the most likely cause of these retinal changes?

Describe the condition that you see here:

An 83-year-old woman with long-standing atrial fibrillation who had previously undergone atrioventricular nodal ablation

laboratory tests of the patient with papulonodular eruption

Many years ago the man Nanahoa lived with his wife Kawahuna on the island of Moloka’i. One day Nanahoa was admiring a young girl who was staring at her reflection in a pool of water. His wife became jealous and began pulling the young girl’s hair. Nanahoa, in anger, struck his wife, sending her rolling down the hill of Puu Lua, where she turned to stone. Nanahoa himself turned to stone, and a portion of him, shown here (Ka Ule o Nanahoa), is still visible. What congenital anomaly does Nanahoa appear to have?

A 63-year-old man was found to have a new mass on chest radiography.

A 68-year-old man has had increasing dyspnea for the past 10 years. He has had a 5 kg weight loss over the past 3 months. He has had headaches for the past 2 weeks. Laboratory studies show serum calcium 12.9 mg/dL, phosphorus 2.4 mg/dL, and albumin 4.8 g/dL. What is the most likely diagnosis?

What is the diagnosis?

A 26-year-old woman has had an irregular fever with chills, diaphoresis, myalgias, and fatigue for the past 2 weeks. On physical examination her vital signs include T 37.8°C, P 73/minute, RR 16/minute, and BP 110/70 mm Hg. She has mild hepatosplenomegaly but no lymphadenopathy. Laboratory studies show Hgb 12.3 g/dL, Hct 37.1%, MCV 96 fL, platelet count 217,800/microliter, and WBC count 7890/microliter. Her reticulocyte count is 3.2%. Her serum haptoglobin is 0.8 mg/dL. What is the most likely diagnosis?