Spot Diagnosis

40-year-old man with liver failure, ascites, and absent right-sided breath sounds.

A previously healthy 1-year-old girl was admitted to the hospital with a 4-day history of high fever accompanied by erythema and swelling of the left third finger, gingival inflammation, and tongue ulcerations.

40-year-old woman with long-standing uremia presents with increasing shortness of breath.

What nebulized medication is most likely to have caused this patient's anisocoria?

The pictured patient suffered a traumatic head injury. What underlying diagnosis is suggested by the examination findings?

50-year-old woman status post hysterectomy for uterine cancer.

A previously healthy 48-year-old man presented to the emergency department with acute onset of pain in both flanks. During the preceding 6 months he had had an unintentional weight loss of approximately 5 kg

A 68-year-old man presented with unilateral ptosis with no other symptoms. Application of an ice pack to the left eye improved his symptoms.

A 42-year-old man presented with seizures and approximately 300 palpable intramuscular cysts.

A 71-year-old man presented with fever and excruciating left-hand pain that developed 12 hours after eating raw seafood.