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From the Journal

Photo Quiz
An image of the patient’s right lower extremity wounds at the time of admission.
Photo Quiz
Identification of a Chronic Lower Extremity Wound in a Patient With a Mechanical Valve
04/14/2026
Rachel Blansfield, BS; Nicholas Jennelly, MD; Thomas N. Helm, MD
A 54-year-old woman with a history of mitral valve replacement and warfarin therapy presented to the emergency department with worsening right lower extremity pain.
04/14/2026
What's Your Diagnosis?
CT head non-contrast axial and coronal views during first visit to emergency department are shown
What's Your Diagnosis?
A Rapidly Enlarging Headache
09/20/2025
Justin Lien, BS; Ananya Narasimhan, BS; Nicholas Basalous; Evan M. Masutani, MD, PhD; Mariam Fahim, DO
A 6-year-old boy with a past medical history of recurrent otitis media presented to an outpatient pediatrician for subacute new-onset headache and photophobia.
09/20/2025
Photoclinic
Pre (left) and Post-contrast (right) axial T1-weighted MR image
Photoclinic
A Rare Extra-Gonadal Sac Tumor Presenting as a Labial Mass in a Child
08/27/2025
Kevin Pierre, MD; Anaiya Meikle; Ana Ruzic Do, MD; Heather Liebe, MD; Ensar Yekeler, MD; Evelyn Anthony, MD; Marianna Rodero Cardoso, MD; Priya Sharma, MD
A previously healthy 2-year-old girl presented to the primary care physician with a right anterior labial mass.
08/27/2025
What's the Take Home?
woman on the edge of a bed
What's the Take Home?
A 62-Year-Old Woman With Right Shoulder Pain
06/18/2025
Ronald N. Rubin, MD
A 62-year-old right-handed woman presents with chronic right shoulder pain that she has been feeling for more than 1 year. The patient noted that her consistent, aching pain becomes more severe in certain...
06/18/2025
photoclinic
figure 1
photoclinic
Chylothorax and Respiratory Failure Following Spontaneous Vaginal Delivery in a Patient with Pre-Eclampsia
05/11/2025
Bruno Hochhegger, MD, PhD; U. George McCann, III, BS; Ali Mirza, BS, MPH; Michael Mathelier, BS; Scotty McGaugh, BA; Kevin Pierre, MD; Ralph Tullo, MD; Yazeed Fraij, DO; Hugh Davis, MD
A 37-year-old gravida two para one woman at 35 weeks and 3 days of gestation presented to labor and delivery triage with a two-day history of gestational hypertension, headaches, and visual disturbances. ...
05/11/2025
What's the take home?
image of elbow pain
What's the take home?
A 66-Year-Old Man With Potential Bleeding Complications: Is Surgery Still an Option?
04/24/2025
Ronald N. Rubin, MD
A 66-year-old man is being evaluated for elective, outpatient surgery on his left elbow. Approximately 30 years prior, the patient sustained a traumatic fracture of his left elbow that required surgical...
04/24/2025
What's The Take Home?
older man rubbing his eyes
What's The Take Home?
A 73-Year-Old Man With Subacute Onset of Diplopia
04/13/2025
Ronald N. Rubin, MD
A 73-year-old man describes subacute onset of diplopia (double vision) occurring for several weeks.
04/13/2025
Photoclinic
Biopsy of right nasal lesion demonstrating pseudocarcinomatous hyperplasia with noncaseating granulomas.
Photoclinic
When Adequate Sampling and Communication between Clinicians and Pathologists Matter: A Case of Cutaneous Sarcoidosis Mimicking Squamous Cell Carcinoma
04/05/2025
Catherine E. Lyons, BS, BA; Aaron D. Smith, BS; Nicole L. Edmonds, MD; Anya S. Chan; Vandana Nanda, MD; Margaret Noland, MD; Richard Hal Flowers, MD, BA
A 60-year-old woman presented for Mohs micrographic surgery to remove a suspected squamous cell carcinoma on the right nasal sidewall.
04/05/2025
Photoclinic
Figure 1
Photoclinic
From Routine to Rare: Splenic Injury Following Colonoscopy
03/13/2025

U. George McCann III, BS1 • Isabella Amador, BS1 • John Ramos Rivas, BS1 • Kevin Pierre, MD2 • Maher Khazem, MD2 • Spaulding Solar, MD2 • Andrew McCurry, MD2 • Jeffrey Vogel, MD2 • Hugh Davis, MD2

U. George McCann III, BS1 • Isabella ...
A 75-year-old man developed sharp left upper quadrant pain immediately following an esophagogastroduodenoscopy (EGD) and colonoscopy performed for persistent generalized abdominal discomfort.
03/13/2025
photoclinic
Picture 1
photoclinic
Less Is More: A Collaborative, Non-Operative Approach to Care for a Patient With Pleural Effusion
12/24/2024
Afolake Mobolaji, MD, MPH, FAAFP; Folashade S. Omole, MD, FAAFP
A 68-year-old woman presented to the emergency room with pleuritic left-sided chest pain associated with shortness of breath and a productive cough with clear sputum but no hemoptysis.
12/24/2024