AIDSA 36-year-old female with advanced AIDS presented to our HIV clinic with a 2-month history of new facial skin lesions. The patient is not currently on antiretroviral therapy.
pruriticA 63-year-old female presented with a outbreak of slightly itchy and slightly tender papular and vesicular eruption on the inner aspect of the left that appears to follow the dermatome of 1-day duration.
Becker NevusA 55-year-old female presented for evaluation of pigmented lesion on her thigh and was noted to have a dark area on 1 ankle.
morpheaA 12-year-old female presented with a worsening discoloring on her trunk of 6 months duration that was asymptomatic. She is otherwise healthy. She is self-conscious about being in a bathing suit.
intussusceptionA 52-year old white woman with past medical history of right lower extremity deep venous thrombosis, hypertension, asthma, and degenerative joint diseases in both knees and cervical spines, presented to urgent care clinic with diffuse abdominal pain that had awakened her from sleep.
Chilaiditi SignA 94-year-old woman with a history of moderate dementia and chronic pancreatitis with loose stools was admitted to the inpatient medicine service for 1 day of generalized malaise, low-grade fever, and vomiting.
PhotoclinicA 38-year-old woman, who was 28 weeks pregnant, presented with a 2-day history of worsening left lower quadrant abdominal pain.
Foreign-Body IngestionA 17-year-old young man presented to the emergency department shortly after inserting several dozen Buckyballs into his urethra, presumably for self-stimulation purposes.
cardiovascular diseaseThe acute onset of substernal chest pain during vigorous exercise prompted a 70-year-old woman to seek emergency medical attention. She reported chest pressure, left arm numbness, shortness of breath, and severe sweating.
COPDA patient with a history of hay fever and cigarette use presents with wheezing, a cough, and dyspnea. Is it asthma or COPD?
coumadinWe have recently been following KD, a 58-year-old male who was diagnosed with a first unprovoked deep vein thrombosis (DVT). After completing 3 months of treatment with warfarin, KD elected to continue warfarin therapy indefinitely in order to reduce his risk for a future DVT or pulmonary embolism (PE).
Autoimmune diseasesA 29-year-old woman presents for evaluation of changes in her skin. Several months ago, in the spring, she had noticed lightening of her skin in both elbow areas as well as her forehead area where the band of her frequently worn baseball style hat sat on her forehead.
SkinSkin and soft tissue infections are frequent problems in primary care offices.
mastocytomaA mother brought in her 11-month-old daughter for evaluation of a mark on her left lateral eyebrow.
What's Your Diagnosis?A 28-year-old Caucasian woman, who at 28 weeks gestation, presented with a red nodule on the left index finger. The lesion was asymptomatic and was first noted 6 weeks ago.
Primary CareWhile not defining the virtuous physician in specific detail, Edmund D. Pellegrino, MD gives us some hints as to how he or she may be recognized.
PsoriasisAugust is Psoriasis Awareness Month. About 7.5 million Americans suffer from psoriasis; of which, 80% have a condition known as plaque psoriasis—characterized by patches of raised, reddish skin covered with silvery-white scales.