Dark Mole-Dark Harbinger?

November 6, 2013

Would you worry about this asymptomatic lesion? What are the symptoms of achalasia? Test your clinical mettle against this week's 5 questions.

QUESTION 1:



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The mother of a 12-year-old boy is concerned about this dark mole on the child’s neck. The asymptomatic lesion has been present for about 3 months.

QUESTION 2:



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An 88-year-old man presents with a 2-month history of a non-healing ulcer on his right lower limb. The diagnosis was calciphylaxis.

QUESTION 3:



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Achalasia was diagnosed in a previously healthy 24-year-old man who had repeated episodes of nonbloody, nonbilious emesis.

QUESTION 4:



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Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gaseous cysts within the submucosal and subserosal spaces of the bowel wall.

QUESTION 5:



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Grover disease (transient acantholytic dyskeratosis) usually affects white men older than 65. It consists of discrete erythematous to red-brown keratotic papules that are not follicular and do not coalesce. The papules can be acneiform, vesicular, pustular and, rarely, even bullous. Which of the following statements about this disease is true?

ANSWER KEY:



Question 1. Answer: d

Question 2. Answer: c

Question 3. Answer: e

Question 4. Answer: f

Question 5. Answer: e