Clinical

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,...

What’s causing this cancer patient’s painful rash?

Figure 1 Quiz of the Week A 44-year-old female recently diagnosed with acute myeloid leukemia presents with a five-day history of a ​fever, malaise, and a painful rash ​approximately three weeks after chemotherapy​. Examination reveals erythematous papules on her back, arms, and the ​dorsum of both hands. A blood test shows an elevated white cell...