Spot Diagnosis

A 48-year-old man was referred to the emergency department for chest trauma related to a motorcycle accident. What is the Diagnosis ?

What is the most likely cause of this finding in a woman undergoing treatment for breast cancer with spinal metastases?

A 19-year-old man presented with a congenital skin lesion on the left clavicular region. What is the most likely diagnosis for this lesion?

A 6-year-old boy presented to our hospital after several hours of vomiting and dyspnea. He had been in a motor vehicle accident 6 months earlier and sustained a seatbelt injury that necessitated surgical repair of a right diaphragmatic hernia, accessed through the right thorax. What is the diagnosis?

A 42-year-old man presented with a 1-month history of an intensely pruritic eruption on his right foot after a vacation in Nigeria. The eruption was migratory, moving a few millimeters to a few centimeters daily. What is the most likely diagnosis in this patient?

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.