Spot Diagnosis

A 57-year-old man presented to the emergency department with peripheral edema. What diagnosis does his chest X-ray suggest?

A healthy 15-year-old boy presented to the dermatology clinic with a well-demarcated tan-colored patch covered with coarse dark hairs, spanning his upper chest and extending onto the right shoulder and back. What is the most likely diagnosis?

What is the diagnosis in this 70-year-old woman with abdominal pain and marked abdominal distention ?

A healthy 66-year-old nonsmoking woman presented with recurrent pain and bruising in her right middle finger. She denied trauma or exposure to cold, and had normal complete blood count and coagulation studies. What is the diagnosis?

A 67-year-old man was admitted to the emergency department with a 10-day history of pain in the left side of the chest that had begun after an episode of severe coughing. He also noted swelling on the lower left side of the chest.

A 68-year-old man presented with a 2-year history of a nonhealing ulceration involving the lateral aspect of the left heel. What's the diagnosis ?

What is the diagnosis in this infant with ongoing episodes of nonbilious vomiting and a lack of stools since birth?

What is the diagnosis in this 3-year-old girl with recent upper respiratory infection and new pruritic blanching rash?

A 41-year-old woman received a diagnosis in of an overlap syndrome, with limited systemic sclerosis and dermatomyositis. Subcutaneous hard lumps developed over her buttocks and elbows a year after and progressed clinically.

An 18-year-old Fijian woman presented with a 3-year history of a concentric, scaly rash on her shoulders; the rash was also present on her trunk, arms, and legs (not shown). The rash was pruritic and progressively spread to involve approximately 70% of the body-surface area. Her brother had similar skin findings.