Brain Injury and Fecal Retention<div id="article-content-body"><img src="http://imaging.cmpmedica.com/consultantlive/w_0412ConPCTra.jpg" style="float: left; margin-left: 8px; margin-right: 8px;" width="150">A 31-year-old man with a history of traumatic brain injury was hospitalized because of failure to thrive, constipation, and intermittent diarrhea with soiling.</div>
Diabetes Q&AHigh-grade fever, chills, fatigue, malaise, and anorexia developed in a man following subclavian catheterization because of chronic renal failure of unknown cause.
Discoid Lupus Erythematosus<div id="article-content-body"><p>A 46-year-old man complained of “irritation” in the groin of several months’ duration. Ted Rosen, MD, of Houston noted a tender, macerated, hypopigmented plaque at the junction of the scrotum and upper inner thigh. </p></div>
Juvenile Xanthogranuloma<div id="article-content-body"><p>A male infant was born to a 29-year-old woman (gravida 3, para 2), following an uncomplicated pregnancy and normal vaginal delivery. At birth, a brownish 1-cm nodule was noted on the right side of the upper abdomen. The infant was otherwise healthy.</p></div>
Winged ScapulaSeveral hours after he had installed ceramic tile, a 33- year-old man experienced muscle spasms and felt pressure in his right shoulder. He denied previous injury to the area. Laurie Meng, PA-C, and Jack-Ky Wang, MD, of Palos Heights, Ill, examined the patient and found that he had abduction of his right shoulder to about 110 degrees and forward flexion to about 80 degrees.
Genital Lesions<div id="article-content-body"> <p>A 30-year-old man has had painful genital lesions for the past several days. He recently returned from a business trip during which he had several unprotected sexual encounters.<br /> <em><strong>What is the most likely cause of the patient’s lesions?</strong></em></p> <p> </p> </div>