Spot Diagnosis

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.

A 30-year-old man presented with a 15-month history of intermittent discomfort in the right upper quadrant of the abdomen. He lived in a rural area of Morocco and had occasional contact with dogs.

A 73-year-old woman presented to the emergency department with a painful umbilical nodule that had been enlarging over the past 4 months.

An 86-year-old woman with hypertension who had been treated for pulmonary tuberculosis in the 1950s presented with burning chest and epigastric pain. She had no respiratory symptoms.

A 52-year-old woman presented to the emergency department with a 24-hour history of severe pain and blurred vision in the left eye.