Figure 1 Quiz of the Week A 56-year-old man presents with a three-month history of erectile dysfunction and bilateral buttock pain on exertion, but not at rest. His past medical history is significant for type 2 diabetes, dyslipidemia, and hypertension. Examination reveals bilaterally diminished femoral pulses. Image credit: @surgeon2015. Answer: Leriche syndrome (aortoiliac occlusive…
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A creeping eruption
Figure 1 Quiz of the Week A 40-year-old male presents to his family physician with a pruritic, erythematous lesion on his foot after returning from vacation in coastal Brazil a week earlier. He adds that the lesion has migrated since he first noticed it. On examination, a serpiginous, slightly elevated tunnel can be seen on…
Is this patient high-risk?
Figure 1 Quiz of the Week A 55-year-old female presents with a low-grade fever, a new heart murmur, and Janeway lesions one week following a dental cleaning, and a preliminary diagnosis of infective endocarditis is made. Prophylactic antibiotics are administered prior to dental cleanings to prevent endocarditis in patients considered to be high-risk. Image…