Polls

Mediastinal Adenopathy in a Middle-Aged Man: How to Proceed?
January 08, 2014

A PET/CT scan shows uptake of tracer consistent with malignancy in the left lower lobe and mediastinal nodes. What would be your next step?

Swollen Purple Toe
January 03, 2014

A 20-year-old woman presents in mid-winter with a mildly painful, swollen, and discolored left toe of a week’s duration. What cause do you suspect?

Open Leg Wound
January 02, 2014

This lesion in a previously healthy 40-year-old man, which was initially a small pustule, has enlarged into an open wound. What does this look like to you?

Hairy Hyperpigmented Lesion
December 20, 2013

A 16-year-old boy had an asymptomatic, hyperpigmented, hairy lesion on his left upper back. What's your diagnosis?

For Persistent Dysphagia, What Test Next?
December 13, 2013

The patient specifically reports difficulty swallowing at the level of the sternal notch. An upper endoscopy 10 years ago found no abnormality. Which of these tests makes sense now?

Wedge-Shaped Growths in Both Eyes
December 13, 2013

A 45-year-old man of Hispanic ancestry has had mild redness and irritation in both eyes, but he denies any change in vision. What is this?

Are Age-Appropriate Flu Vaccines Interchangeable?
December 12, 2013

A child receives a trivalent inactivated flu shot for his first ever flu vaccine. For his second dose, you only have on hand the quadrivalent live attenuated nasal vaccine. Is this a problem?

Bad Genes, But Which Ones?
December 11, 2013

A young woman with a history of a desmoid tumor as a child undergoes a screening colonoscopy. What gene mutation is suggested by the finding of multiple adenomatous polyps?

Another Non-Melanoma Skin Cancer?
December 06, 2013

This mobile tender nodule was discovered on the left wrist of a 60-year-old woman with a history of many non-melanoma skin cancers. What’s your best diagnostic guess?

Lower GI Distress in an HIV-Positive Young Man
December 06, 2013

A classic sign helps determine the diagnosis. Do you recognize it?