Polls

Five days after starting a new medication, this lesion appeared on a man’s neck. It slowly resolved after the drug was stopped. Which of these drugs do you suspect might have caused the lesion?

This 20-year-old woman has one blue and one brown iris. To what genetic disorder might this finding point?

A 17-year-old woman presents with a gradually increasing, asymptomatic “sore” on her lower lip. What’s your impression?

For 2 months, a 29-year-old man had pain and circular, soft swelling (7 x 7 cm in diameter) over the anterior left knee, superficial to the patellar ligament. Your dx?

What's This "Red Spot"?

A 76-year-old woman seeks your attention for an asymptomatic “red spot” on her neck. What does this look like to you?

Oral Lesions

A 27-year-old woman intermittently experiences painful oral lesions such as this one on her upper lip. Your impression?

Cold, White Fingers

This teen has had violaceous papules, petechiae, and healing ulcerations on the distal digits of both hands and feet for about a month this winter as well as intermittent shortness of breath since she moved to the northeast from the Caribbean. What's in your differential?

Shortly after he falls asleep, the child sits up in bed and shrieks, then cries and cannot be wakened when touched. His parents are very concerned. What do you suspect?

So many vaccine options available-trivalent, quadravalent, intradermal, high-dose, intranasal, “made” in egg, dog, or insect lines-so many ways to go wrong. Here, 2 cautionary tales.