Case In PointA 61-year-old man presented to a family medicine clinic with acute onset pruritus, 40-lb weight loss over the duration of 3 months, and progressively worsening lethargy and fatigue.
PhotoclinicWe present a case on a 22-year-old college student with a pruritic rash on his mid-abdomen and ask you to make the diagnosis and treat the patient. Along the way, we'll provide details about the case, and at the end, we'll share the patient's outcome.
PhotoclinicA 56-year-old man presented with a 4-month history of an asymptomatic rash on his bilateral thighs. He also reported occasional sores in his mouth. On further questioning, the patient reported recent weight loss secondary to poor dietary habits.
Photo QuizA 73-year-old woman presented with a rash on her upper back. She had a history of essential hypertension, hypothyroidism, and breast cancer, the latter of which had been treated with surgery, chemotherapy, and radiation 4 years prior.
What's Your Diagnosis?A 71-year-old woman with a history of chronic obstructive pulmonary disease, coronary artery disease, hypertension, and diabetes presented with dyspnea and septic shock. Volume resuscitation and antibiotics were given; however, she went on to develop progressive hypoxemia and went into cardiac arrest with pulseless electrical activity.
PhotoclinicA 4½-year-old boy who previously had been diagnosed with Williams syndrome presented to a pediatric clinic after the family had immigrated to the United States from Jalisco, Mexico.
PhotoclinicA 12-month-old African American boy presented to his outpatient pediatrician after having had an episode of seizure activity the night before.
What's the Take Home?A 71-year-old Black man presented to the emergency department with an upper gastrointestinal tract bleed. He presented with borderline shock prior to fluid resuscitation and transfusion of 4 units of packed red blood cells.
Photo EssayThis Photo Essay is part of a series describing and differentiating dermatologic lumps and bumps. This column highlights Fordyce spots and acrochordons.
PhotoclinicAn 85-year-old man was admitted to the hospital with altered mental status, uncontrolled hypertension, and tachycardia that had been noted during a regularly scheduled hemodialysis session. The lower part of his right leg was tender, with erythema, edema, and a small ulcer on the lateral aspect of the ankle.