Skin Carcinomas<div id="article-content-body"><div id="article-content-body"><p><img src="/sites/default/files/old/img_4dbc33723846f.jpg" style="float: left; margin-left: 8px; margin-right: 8px; border: 1px solid black;" width="150"></p></div><p>Two skin carcinomas that are in close proximity can be removed in a single excision. I call this technique the “isthmus excision” (<strong>Figures 1, 2, 3, 4,</strong> and<strong> 5</strong>).</p></div>
QuizA man has had progressive, erythematous plaques across the forehead and temples for the past few weeks and is diagnosed with cutaneous lupus.
Pruritic rash that resists OTC remedies<p><img alt="" src="/sites/default/files/images/tineaCorporisleg.jpg" style="border:1px solid black; height:265px; margin-left:8px; margin-right:8px; width:150px; float:left" />After 6 weeks of scratching a very itchy, worsening rash on his left leg, a 53-year-old man seeks medical evaluation. He has tried over-the-counter (OTC) topical remedies with no success. The patient is otherwise healthy and takes no medications.</p>
Apple Core Lesion<p>A 48-year-old woman was hospitalized for acuteonset abdominal pain. She had a history of adult-onset Still disease and severe osteoarthritis. She had been taking 650 mg of aspirin every 4 hours to relieve her arthritis pain and fevers.</p>
Cryptogenic Strokes<p><strong><span style="font-size: small;"><em><img src="/sites/default/files/images/Gregory%20W%20Rutecki%2C%20MD.jpg" width="150" height="176" style="float: left; margin-left: 8px; margin-right: 8px;"></em></span></strong>On December 18, 2005, Ariel Sharon, Prime Minister of Israel, experienced the sudden onset of aphasia.<sup>1</sup> Despite being overweight, he had none of the traditional risk factors for cerebrovascular disease—hypertension, history of smoking, diabetes, or elevated cholesterol levels. When further workup was pursued, transesophageal echocardiography revealed a large patent foramen ovale (PFO), with an atrial septal aneurysm and spontaneous right- to-left shunt.</p>
Cardiac Manifestations of Cerebrovascular Injury<p><img src="/sites/default/files/images/A_Case_%20of_Heart_vs_Head.jpg" style="margin-left: 8px; margin-right: 8px; float: left; border: 1px solid black;" class="image" width="150" height="98"></p><p>A 50-year-old man was brought to the emergency department (ED) after a witnessed syncopal event. He was awake but confused and unable to provide a history.</p><p> </p>
Incidental ECG AbnormalityMiddle-Aged Man With an Incidental ECG Abnormality- Answer
Incidental ECG Abnormality<p>A 44-year-old man presents for a preemployment physical examination. He is healthy, and he currently takes no long-term medications.</p>