Spot Diagnosis

During childhood this patient had had an alkali burn of the esophagus that resulted in complete esophageal stenosis. What is the most likely cause of this physical finding?

A 63-year-old man with a history of peptic ulcer and recent use of nonsteroidal antiinflammatory medications presented to the emergency room with an acute onset of shortness of breath and chest pain. What's the Diagnosis ?

What is the most likely diagnosis associated with these findings and symptoms of eye and ear pain?

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.