Polls

Hairy Brownish Patch
February 03, 2015

This asymptomatic, hyperpigmented lesion was first noted 5 years earlier on the left upper back of a 16-year-old boy. A nevus? Cafe au lait spot?

Teen With Itchy Papular Rash on Face and Arms
January 30, 2015

This monomorphic papular rash is unrelated to medications, recent sickness, or exposure to poison oak. It developed about 6 days earlier.

16-Year-Old With Pruritic Rash
January 22, 2015

This highly pruritic rash has been present for about 2 weeks. The teen says he believes it is spreading. What's your diagnosis?

10-Month-Old With Macular Spreading Rash
January 15, 2015

A macular rash has been spreading for 5 days after the cheerful child started amoxicillin therapy. What’s the most likely cause?

Perianal Pain Associated With Crohn Colitis: What Next?
January 06, 2015

What would your diagnosis be in this young man and how would that inform your next step?

Swollen Hands-What’s Biting?
December 09, 2014

These 2 patients presented with a swollen hand and rapidly proximally progressive edema secondary to a bite. What creature did the biting?

Pneumatosis Cystoides Intestinalis: What’s the Truth?
December 05, 2014

This radiograph from a 53-year-old woman revealed esophageal stricture with proximal dilatation in addition to pneumoperitoneum. Pneumatosis cystoides intestinalis (PCI) was diagnosed.

Fluid-Filled Blisters: Your Dx?
November 21, 2014

A 60-year-old homosexual man presented to the outpatient clinic with a 3-day history of facial rash associated with pain. The rash did not affect any other part of the body. He was not currently taking any immunosuppressive medication. What’s your diagnosis?

Dime-Sized, Red, Scaly Patch: Your Dx?
November 14, 2014

A 58-year-old man asks about this painless lesion on his left third digit. It does not itch, burn, or sting and there are no other similar lesions. He had a history of basal cell carcinoma on the arm and several more recent actinic keratoses on his scalp. What’s your diagnosis?

Bleed Identified, Infection Ruled Out: What Next?
November 13, 2014

Does this patient need IV PPI, pRBCs, or maybe TLC for now?