Clinical

What’s causing this patient’s lung mass?

Figure 1 Quiz of the Week A 60-year-old man presents to the emergency department with worsening shortness of breath and a non-productive cough. He has congestive heart failure and was treated three weeks earlier at a neighboring hospital. On examination, he has normal vital signs and marked bilateral pitting lower limb edema. A chest X-ray...

Accidental poisoning or medication misuse?

Figure 1 Quiz of the Week A 20-year-old mechanic is brought to the emergency room after his co-workers found him exiting the garage inebriated and confused hours earlier. On examination, he is disoriented, ataxic, and complains of nausea. A urine toxicology screen is negative and urinalysis reveals the rhomboid calcium oxalate crystals seen here. Image...

Which antibiotic is associated with this presentation?

Figure 1 Quiz of the Week A 35-year-old male presents to his family physician with progressive heel pain. He denies any recent trauma and mentions the pain has worsened in the last two days, affecting his ability to walk. He has recently completed a course of antibiotics. On examination, there is warmth, erythema, and tenderness...

Do you recognize this ominous sign?

Figure 1 Quiz of the Week A 62-year-old female presents with fatigue and innumerable pruritic, keratotic lesions on her back and neck which she says developed quite suddenly two months ago. A blood test reveals a microcytic anemia with hemoglobin of 9.1 g/dL.    Image credit: @kdh113.   Answer: Gastrointestinal malignancy These lesions are seborrheic keratoses,...