Bilateral Nodular FasciitisAsymptomatic, enlarging growths had been present on the bottom of a 56-year-old woman’s feet for 3 years. The nodules initially arose—first on the left foot, then on the right—at the sites of blisters on the insteps after the patient had taken a long hike in uncomfortable boots.
Fever and LethargyA 5-year-old boy is brought to the emergency department (ED) by his parents. They report that, for the past week, the child has had a high fever (temperature up to 40oC [104oF]), generalized weakness, lethargy, and lack of appetite.
Epidermoid Cyst of the TestisA 25-year-old man sought evaluation of a painless, palpable, left testicular mass that had been present for more than 1 year. There was no personal or family history of cryptorchidism or malignancy. A circumscribed mass was palpated within the anterior superior pole of the left testis. Initial laboratory test results were within normal limits.
Fracture of the ScapulaA 56-year-old man, who was involved in an automobile accident, was brought to the emergency department by ambulance. He was awake, intoxicated with alcohol, and complained particularly of pain in his left shoulder.