Consultant360

A 3-year-old girl presented to the emergency department with severe abdominal pain, which she rated as 8 of 10 in severity on the Wong-Baker FACES pain scale. The onset of the pain had been that morning during a long car ride.

During the COVID-19 pandemic, a 72-year-old New York woman with an extensive history of cancer presented to her primary care physician via telemedicine with concern for a 1-day history of generalized fatigue, fever, chills, and muscle aches.

An 83-year-old woman presented to our clinic with abnormal swelling in the left thigh. The patient’s swelling had been present for more than 10 years and was progressively increasing in size.

A 67-year-old man with metastatic urothelial cancer was sent to the ophthalmology clinic for baseline testing before start of erdafitinib. His visual acuity was 20/30 in the right eye and 20/25 in the left eye. He denied any vision problems.

This Photo Essay is part of a series describing and differentiating dermatologic lumps and bumps. This column highlights molluscum contagiosum.

A 64-year-old man was seen in an outpatient ophthalmology clinic. Five days prior to presentation, he had begun experiencing painless binocular oblique diplopia (2 images displaced diagonally) with subjective worsened visual acuity in his right eye.

This case highlights a 20-year-old woman who met the criteria for MIS-C and was treated with intravenous immunoglobulin therapy and aspirin with successful results.

A 63-year-old man who has profound deterioration in his condition is brought to his primary care physician by his family.

An 11-year-old boy presented to his primary care provider with a fever of 2 days’ duration. The fever was described as intermittent, particularly occurring in the evenings, and being partially relieved with acetaminophen.

A 15-year-old boy presented to the emergency department with acute onset of right knee pain. While playing basketball, the patient had attempted a layup and had felt a “popping” sensation in midair. He was unable to ambulate after the injury.

A 5-year-old boy with no significant history presented to the emergency department with a 3-day history of progressively worsening difficulty with urination, poor urinary stream, and urinary retention. Urinalysis at the patient's primary care provider’s office showed microscopic hematuria with proteinuria, prompting ED referral for further evaluation.