Spot Diagnosis

A 31-year-old man presented with 10 years of progressive fingertip and toe enlargement and intermittent aches of his distal forearms and lower legs...

A 21-year-old male patient was admitted to the Emergency Department for right subscapular pain and tachycardia suspicious for pneumothorax...

A 61-year-old woman was referred to the dental clinic because of a rapidly growing dark area along her gums...

An 11-year-old previously healthy boy presented to the emergency department complaining of a three week history of intermittent sharp retrosternal chest pain...

A 37-year-old man presented to the neurosurgery clinic with blurry vision, headache, and difficulty looking upward. On exam, he had diplopia, upward gaze palsy, and vertical misalignment of the eyes...

A 68-year-old male patient presented with decreased level of consciousness...

A 58-year-old woman with a history of metastatic uterine leiomyosarcoma presented with a 1-month history of a nonpruritic rash on her arms...

A 71-year-old woman presented with a non-healing wound at the hospital. She had a history of chronic pyelonephritis and chronic renal failure...

A 2-year-old boy presented to the otolaryngology clinic with an 18-month history of flushing on his right cheek that appeared when he ate...

An 18-year-old man presented with a 2-day history of fever, vomiting, and diarrhea. Three weeks before presentation, he had fallen into a canal. Physical exam was notable for the findings shown in the image. Laboratory studies showed acute kidney injury and elevations in aminotransferase and total bilirubin levels...