A 92-year-old woman was admitted to the hospital with a severe left-sided ischemic stroke causing altered mental status. An initial attempt to insert a small-caliber nasogastric tube for feeding was unsuccessful, with coiling of the tube in the mouth. A subsequent attempt with a stiff stylet resulted in easy insertion, without cough or respiratory distress.
A 46-year-old woman with a history of infection with the human immunodeficiency virus (HIV) presented to the emergency department for evaluation of a painful rash. The patient reported having been scratched by a cat in the same area three weeks earlier.
A 4-year-old girl presented to the hospital with progressive abdominal pain and distention after a 1-week history of watery diarrhea. The physical examination showed a body temperature of 36.2°C, a distended abdomen, hypoactive bowel sounds, and diffuse tenderness without rebound pain. What's the Diagnosis ?
A healthy 5-year-old girl presented with dry, scaly, erythematous, and annular lesions on her face. What's the Diagnosis?
A 73-year-old man presented to the ED after having intermittent fevers for 2 weeks. He had a history of recurrent UTI, parkinsonism, paraparesis and a neurogenic bladder.
A 31-year-old woman presented with multiple necrotic skin lesions on her nose, ears, and legs that had developed over a period of a few days. he had no history of underlying diseases or infections, but she described several days of exposure to cold after the heating in her home failed and outside temperatures dropped to 50°F (10°C).
A 20-year-old man with Increasingly frequent bloody diarrhea and weight loss was admitted to the hospital. What do you see on the abdominal X-ray and what's the diagnosis?
A 4-year-old girl presented for evaluation of cutaneous nodules that had been present on the left side of her trunk since birth. Physical examination revealed numerous soft, nontender papules and nodules between 2 and 12 mm in diameter, distributed across the left upper abdomen and wrapping around to the left back.
A 56-year-old man presented to the emergency department with a 3-day history of diarrhea and dull epigastric pain. On physical examination, the patient appeared to be in great distress and was tachycardic, with otherwise normal vital signs. His abdomen was diffusely tender with rebound; bowel sounds were absent.
A 59-year-old man with Crohn's disease was being treated with infliximab administered through a central venous access device, which had been placed for long-term intermittent treatment. He presented with stable vital signs, and the physical examination was notable for cyanosis of the head, neck, upper torso, and arms.