Case In PointA 79-year-old man presented to the emergency department for increasingly severe bilateral proximal upper- and lower-extremity muscle weakness, balance deficit, and loss of strength and mobility.
Photo QuizA 13-year-old girl presented to the clinic with hair loss and a rash in the axillae for 4 months. The lesions initially had appeared as erythematous and coin-shaped and then had evolved into hyperpigmented plaques.
What's the Take Home?A 79-year-old man is being evaluated for aortic stenosis. He is known to have had aortic stenosis for the last several years, with serial clinical follow-up visits for symptoms and noninvasive tests for aortic stenosis parameters.
PhotoclinicA 7-year-old boy with a history of eczema presented with painful peeling of his fingernails of several days’ duration. He denied any trauma or other inciting injury to his fingernails. His mother had a history of a nail fungus that reportedly had been difficult to treat.
PhotoclinicA 43-year-old woman with recently diagnosed hypothyroidism presented with a 3-month history of declining cognition, confusion, disorientation, and an inability to communicate or ambulate. She had become incontinent and had signs of gait ataxia and poor motor control.
Photo EssayThis Photo Essay is part of a series describing and differentiating dermatologic lumps and bumps. This column highlights angiokeratoma of Fordyce and idiopathic scrotal calcinosis.
Case In PointA 76-year-old man presented with cardiac arrest due to massive pulmonary embolism. The patient was stabilized after successful catheter-directed thrombectomy followed by catheter-based thrombolysis.
Diabetes Q&AIn this column, Kim Carmichael, MD, writes about the most common questions he receives about hypoglycemia among patients with diabetes.
PhotoclinicA 10-month-old boy was noted to have an asymptomatic protrusion in the perianal area during a routine physical examination.
PhotoclinicMyxedema coma is a rare life-threatening endocrine emergency whose consequences include varying degrees of altered mental state, hypothermia, bradycardia, low cardiac output, hypoventilation, and pericardial effusion. The authors present the case of a man with a subdural hematoma triggering severe myxedema coma, resulting in a large pericardial effusion with subsequent cardiopulmonary arrest.
What's Your Diagnosis?An 8-year-old boy presented to the emergency department (ED) with a 2-day history of acute worsening of oral cavity pain. His father noted a bright pink swelling over the boy’s hard palate at the midline, which had prompted this ED visit.
PhotoclinicAn otherwise healthy 4-year-old girl with no pertinent medical history presented to a pediatric primary care urgent care clinic due to persistent bilateral knee pain, with more pain in the left knee than in the right.