Photoclinic<div id="article-content-body"><p>This 10-year-old boy presented for evaluation of a rash that developed during a spring vacation on Florida’s Atlantic coast. After he had been swimming in the ocean, a pruritic, erythematous, papular rash developed on his trunk, axillae, and groin. Approximately 24 hours after the onset of the rash, he experienced malaise, chills, and a sore throat. His past medical history was unremarkable. He had been fully immunized and had had varicella infection. </p></div>
Ganglion Cyst<div id="article-content-body"><p>A 72-year-old woman presented for evaluation of a large swelling on her dorsal wrist, which had been present for 2 years. The protuberance was not painful or tender; the patient was otherwise in good health.</p></div>
Clavicle Fractures<p>Clavicle fractures in the pediatric population are very common. Clinical manifestations include decreased movement of the arm on the affected side, crepitus, and/or bony irregularity at the fracture site. In neonates, the Moro reflex may be absent on the affected side.</p>
- <div id="article-content-body"> <div style="width: 120px; float: left; clear: both;"> <div style="width: 100px;"><img alt="XXXXXX" height="79" src="/sites/default/files/old/img_4dbc41d00641a.jpg" width="100" /></div> </div> <p>A 60-year-old woman with hypertension, diabetes mellitus, and intermittent atrial fibrillation presents with nausea, diaphoresis, dizziness, and global weakness that has lasted 1 hour. She denies chest pain, dyspnea, syncope,</p> </div>
Hydrocele<div id="article-content-body"><p>Scrotal enlargement and pain of rapid onset prompted a 28-year-old man to seek medical attention. The testicle was displaced posterior and inferior in the engorged scrotum and was difficult to palpate. A hydrocele may develop from trauma or inflammation of the tunica vaginalis testis, which can impede its ability to absorb secreted fluids.</p></div>
Orbital Floor Fracture<div id="article-content-body"><p>Four hours before he arrived at the emergency department, a 33-year-old man had been struck in the face by a rock. A laceration and periorbital hematoma were noted on the left side of the patient’s face. He complained of pain in this area. There was no history of intraocular disease.</p></div>
Toxic Epidermal Necrolysis<div id="article-content-body"> <p>A 43-year-old woman presented to the emergency department with a 4-day history of worsening erythema, swelling, and pruritus that developed on the face and progressed to the abdomen, back, and lower legs. In the past 2 to 3 days, fluid-filled blisters had arisen, followed by skin sloughing; the patient also reported subjective fevers. Another physician had prescribed naproxen for back pain 6 days earlier.</p> </div>
Cardiovascular RiskDespite the many double-blind, placebo-controlled trials that have demonstrated the efficacy of statins in reducing the risk of cardiovascular events, a large number of patients who are treated with these drugs still experience such events. This may be because patients who require intensive lipid lowering are not receiving adequate dosages of statins.
Necrotic Skin Lesions<p>A 54-year-old white woman presents with extremely tender, firm lesions on the right hip and legs that have been increasing in size and number over the past few months.</p>
PhotoclinicA man with left flank pain that radiated to his abdomen and gross hematuria had bilateral polycystic kidneys with an area of hemorrhage and infection.