A 48-Year-Old Woman With Irregular Vaginal Bleeding
Brian Morse, MD1
, June 10, 2013
A 48-year-old female presents with complaints of irregular vaginal bleeding and postcoital bleeding. Images from a PET/CT and pelvis MRI reveal characteristic findings. What is your diagnosis?
Lower Back Pain in an Elderly Man With a History of Localized Prostate Cancer
James B. Yu, MD1
, May 17, 2013
A 70-year-old man with a history of localized prostate cancer treated with whole-pelvis radiation therapy with a boost to the prostate, in conjunction with androgen deprivation therapy 7 years prior, presented with lower back pain. A bone scan revealed an area of activity in the sacrum. What is the most likely diagnosis?
A 49-Year-Old Woman Develops Thickened and Bound-Down Skin
Ted Rosen, MD
, May 13, 2013
A 49-year-old woman insidiously developed spotty depigmentation of the chest along with thickened and bound-down skin of the upper torso. In addition, all of her fingers were swollen and her facial skin became so tight that she had difficulty smiling. What is her diagnosis?
Parotid Gland Swelling in 45-Year-Old Patient
Cesar Moran, MD
, May 6, 2013
A 45-year-old man presented with swelling of the parotid gland. At physical examination a mass at the level of the parotid gland was found. Surgical resection of the mass was performed. What is your diagnosis?
NSCLC Patient Develops Erythema After Vancomycin Infusion
Ted Rosen, MD
, April 22, 2013
A 71-year-old man with a smoking history of more than 100 pack-years developed non–small-cell carcinoma of the lung. During his an infusion of vancomycin he developed flushing, followed by widespread fixed erythema, muscular spasms in the back, and transient but severe hypotension. Can he ever receive vancomycin again?
Leukocoria (White Pupil) in 3-Year-Old Patient
Cesar Moran, MD
, April 1, 2013
A 3-year-old child is evaluated for leukocoria (white pupil) of the right eye. Ophthalmic evaluation revealed the presence of a mass behind the lens. Surgical removal of the right eye was performed. What is your Diagnosis?
Young Man With a History of Headaches and Blurred Vision
Charles E. Rutter, MD, James B. Yu, MD
, March 21, 2013
A healthy 24-year-old male presented with a history of several months of poorly localized headaches and blurred vision. MRI of the brain demonstrated a multi-lobulated mass. Based on the radiographic appearance of the mass, what is the most likely diagnosis?
Testicular Mass Discovered in 28-Year-Old Patient
Cesar Moran, MD
, February 25, 2013
A 28-year-old man presents with testicular pain of several weeks duration. Physical examination discloses the presence of a right testicular mass. Orchiectomy is performed. What is your Diagnosis?
Abdominal Mass Found in 53-Year-Old Patient
Cesar Moran, MD
, February 15, 2013
A 53-year-old woman presented with abominal pain. Physical examination and radiographic imaging shows the presence of an abdominal mass. Biopsy of the mass was performed. What is your diagnosis?
Pleural Nodules Discovered in 34-Year-Old Woman
Cesar Moran, MD
, February 7, 2013
A 34-year-old woman presents with pain in her left chest. Radiographic imaging shows the presence of nodules in the pleural surface. Surgical excision is performed. What is your diagnosis?
Nasal Mass in 62-Year-Old Patient
Cesar Moran, MD
, February 1, 2013
A 62-year-old man presented with symptoms of nasal congestion. Physical and radiographic imaging shows the presence of a nasal mass. Biopsy was performed. What is your diagnosis?
A 45-Year-Old Woman With an Incidental Finding on MRI
James B. Yu, MD1
, January 25, 2013
A healthy 45-year-old woman undergoes an MRI for persistent headaches. The headaches resolve with conservative management. However, there is an incidental finding on the MRI of a homogeneously enhancing mass in the right jugular foramen. What is your diagnosis?
Thoracic Mass Discovered in 56-Year-Old Patient
Cesar Moran, MD
, January 17, 2013
A 56-year-old woman presents with hypoglycemia and chest pain. Radiographic imaging shows the presence of a large thoracic mass that appears to be attached to the pleura. What is your diagnosis?
Mildly Pruritic Skin Eruption in 44-Year-Old Taiwanese Immigrant
Ted Rosen, MD
, January 14, 2013
Several years ago, a 44-year-old nonsmoking Taiwanese immigrant to the United States sought medical attention for the skin eruption depicted. This disorder had been present since he was 25; he notes an involuntary 35-pound weight loss and increasing fatigue. What is the patient’s skin disease?
Soft-Tissue Mass in Left Forearm of 38-Year-Old Man
Cesar Moran, MD
, December 21, 2012
A 38-year-old man presents with a history of pain and swelling in the left forearm. Physical examination shows the presence of a soft-tissue mass. Surgical resection is performed. What is your diagnosis?
A Patient With Intermittent Headaches and Visual Changes
Shari Damast, MD1, James B. Yu, MD1
, December 12, 2012
A 60-year-old woman with a history of hypothyroidism and smoking presents to the emergency department after she notices that her gait is unsteady. She has no history of cancer and otherwise feels well. A CT scan of the brain is obtained, followed by an MRI.
A 74-Year-Old Caucasian Man Presents With Asymptomatic Navel “Lump”
Ted Rosen, MD
, November 30, 2012
A 74-year-old, previously healthy, nonsmoking Caucasian male presented with a 4-month history of an asymptomatic “lump” in the navel. Biopsy of the umbilical nodule revealed adenocarcinoma. What eponym is attached to the umbilical lesion?
Mass Discovered in Ankle of 29-Year-Old Man
Cesar Moran, MD
, November 26, 2012
A 29-year-old young man presented with symptoms of pain in the lower portion of his right leg. At physical examination a mass was palpated just above the right ankle. What is your diagnosis?
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Pain or Feign?
Frederic W. Grannis Jr., MD1
, June 10, 2013
In the late 1960s, I quickly learned that a large proportion of requests for narcotics in this population were spurious. Patients would simulate renal stone, acute myocardial infarction, and many other painful illnesses in order to obtain narcotic drugs.
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