Spot Diagnosis

A 9-year-old boy came in for an evaluation of a lesion on his right posterior shoulder that developed approximately three months prior to presentation. The lesion was not painful, but it bled with minimal contact.

Pediatric burn victim with an acute onset of respiratory distress and oxygen desaturation.

This patient presented with acute onset of erythema. Nearly a year earlier she was treated for invasive breast cancer. What is the diagnosis?

A 72-year-old woman presented with a 2-day history of abdominal pain associated with nausea and vomiting. Over the previous 10 years, she had had progressive Alzheimer's disease, requiring her to live in a long-term care facility.

This smoker with a four-year history of blanching of the fingers on exposure to cold, presented with an ulcer on the tip of the third finger of his right hand that had been present for six months. What is the diagnosis?

27-year-old woman complains of non-productive cough and weight loss over the last several months.

A 38-year-old female develops skin lesions on her buttocks, thighs and arms approximately five days after starting a medication.

1,260 g girl born at 30 weeks’ gestation presenting with retractions, grunting, and poor air movement and requiring oxygen; has received one dose of surfactant, with some clinical improvement.

A 63-year-old woman is evaluated for thick, pebbly, warty skin changes on her lower legs. Her past medical history is significant for morbid obesity. The patient also has a history of severe lower extremity venous stasis, which began in her forties.

72-year-old man with long-standing history of chronic obstructive lung disease presents to his physician with progressive dyspnea over the last several weeks and left-sided pleuritic chest pain. What is the Diagnosis ?