Clinical

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...

Do recognize this genetic disorder?

Figure 1 Quiz of the Week A full-term female infant is born to a healthy 34-year-old woman. Newborn examination reveals a broad chest with widely spaced nipples, a webbed neck, and lymphedema of the feet. Investigations including a karyotype analysis are performed, and the results later demonstrate a 45XO chromosomal pattern.    Image credit: @JuliaKirkby....

Why does this patient have difficulty walking?

Figure 1 Quiz of the Week A 24 year-old female presents with a history of multiple ankle sprains and complains of difficulty keeping up with her peers on group walks. An X-Ray of her foot demonstrates pes cavus and hammer toes.   Original image posted by @dimitriusss.   Answer:  Charcot-Marie-Tooth disease This patient has Charcot-Marie-Tooth...

What’s the cause of this milky white fluid?

Figure 1 Quiz of the Week Three days after a coronary artery bypass grafting, a 55-year-old woman presents with dyspnea, fatigue, and heaviness in the chest. 200 mL of milky white fluid is drained by thoracentesis. The fluid has a triglyceride count of 120 mg/dL.   Image Credit: @ILoveICU.   Answer:  Chylothorax Chylothoraces are commonly...