Polls

Victual Avoidance

A 25-year-old man presents with progressive dysphagia to solids. You order an upper endoscopy. What do the results tell you?

The "bruise" arose after the 20-month-old bumped his cheek on a piece of furniture 1 month ago. Can you identify the lesion?

Elbow Erosions

A pruritic, scaly rash appeared on this 42-year-old man's elbows, knees, lower back, and buttocks. Can you ID?

Crusty Scalp Lesion

An 89-year-old woman is seen for an erosion on the frontal area of the scalp. History is positive for actinic keratosis. What's your Dx?

The rapidly expanding lesion began as a small boil in the center of the ulcerated area 4 weeks ago. What underlying process do you suspect?

Darkened Epidermis

A 31-year-old woman presents with ongoing weakness and malaise and says her skin seems to be getting darker without exposure to the sun. Your Dx?

A Sunless Tan

Weakness, nausea, abdominal pain, and a change in her skin color bring a nervous 31 y/o woman to see you. Your Dx?

You knew it was coming; you prepared and prepared; you had meetings, you stayed late; you were ready. So, how'd it go?

The patient has similar lesions elsewhere on his body. Treatment with a topical steroid was unsuccessful. Can you ID?