case of the week

Where Is A Chordoma Most Likely To Occur?

February 27, 2019February 9, 2019 by Figure 1

A 21-year-old female is referred with a one-year history of neck pain, difficulty swallowing, and … Read more

Which testicular malignancy does this patient most likely have?

February 27, 2019January 11, 2019 by Figure 1

A 28-year-old male presents with a three-month history of a chronic cough and weight loss. … Read more

What Changes Would You Expect To See On Repeat X-Ray?

February 27, 2019January 4, 2019 by Figure 1

A 60-year-old man presents to the emergency department with worsening shortness of breath and a … Read more

Which of the Following Treatments Should Be Initiated?

February 27, 2019December 21, 2018 by Figure 1

A 20-year-old mechanic is brought to the emergency room after his co-workers found him exiting … Read more

Which Antibiotic Is Associated With This Presentation?

February 27, 2019December 14, 2018 by Figure 1

A 35-year-old male presents to his family physician with progressive heel pain. He denies any … Read more

Do you recognize this ominous sign?

February 27, 2019December 7, 2018 by Figure 1

What underlying condition is most likely? A 62-year-old female presents with fatigue and innumerable pruritic, … Read more

Why Are These Gallstones Black?

February 27, 2019November 30, 2018 by Figure 1

A 45-year-old female presents to the emergency department with abdominal pain and vomiting. She mentions … Read more

What’s Causing This Cancer Patient’s Painful Rash?

February 4, 2021November 23, 2018 by Figure 1

A 44-year-old female recently diagnosed with acute myeloid leukemia presents with a five-day history of … Read more

Hot Potato Voice and Stridor—What’s the Cause?

February 27, 2019November 16, 2018 by Figure 1

Which medication is the most likely cause of this patient’s reaction? A 75-year-old female presents … Read more

Which Malignancy Is This Patient At Risk For?

February 27, 2019November 9, 2018 by Figure 1

A 62-year-old female presents with a new non-pruritic rash and muscle weakness. She mentions having … Read more

Do recognize this genetic disorder?

February 27, 2019November 2, 2018 by Figure 1

A full-term female infant is born to a healthy 34-year-old woman. Newborn examination reveals a … Read more

Why Did These Lesions Appear?

February 27, 2019September 29, 2018 by Figure 1

A 58-year-old woman presents two days after a cardiac catheterization with malaise, fatigue, and new … Read more

What substance is associated with this presentation?

February 27, 2019September 7, 2018 by Figure 1

A 45-year-old female presents with painful lesions on her lower limbs and ears. She is a smoker, and has a history of recreational drug use. Purpuric, necrotic lesions are noted on both lower extremities, in addition to tender purpura on both ears. A biopsy is performed which demonstrates leukocytoclastic vasculitis. Use of which substance is most likely to be associated with this presentation?

What long-term complication is associated with this condition?

February 27, 2019August 31, 2018 by Figure 1

A five-year-old male with a four-day history of fever presents with a new erythematous rash. His mother says he has been coughing and sneezing for the past few days. Examination reveals conjunctivitis, grayish elevations on the buccal mucosa opposite his molar teeth, and a maculopapular rash on his trunk and extremities. Which of the following is a long-term complication of this patient’s condition?

A. Mitral valve disease
B. Subacute sclerosing panencephalitis
C. Cataracts
D. Infertility

Failure to Thrive in a Child—What’s the Cause?

February 27, 2019August 3, 2018 by Figure 1

A three-year-old African American boy is brought to his new pediatrician over concerns of poor growth, fatigue, and irritability. On examination, he has a large head and generalized muscular hypotonia. His left wrist demonstrates the findings seen here. What next step is most appropriate?