Fatigue and Painful, Swollen Gums
A 48-year-old woman presented to the emergency department with a 1-week history of fatigue and painful, swollen gums...
Fatigue and Skin Darkening on Palms and Soles
A 59-year-old tile layer presented with fatigue and one year of progressive skin darkening on his palms and soles...
Severe Pain and Edema of the Neck and Chest
The patient presented to emergency with severe pain and oedema of the neck and chest. His family reported that he was being treated for mental disorders for the past 5 years...
Progressive Fingertip and Toe Enlargement
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...
Patient with Right Subscapular Pain and Tachycardia
A 21-year-old male patient was admitted to the Emergency Department for right subscapular pain and tachycardia suspicious for pneumothorax...
Gums Discoloration
A 61-year-old woman was referred to the dental clinic because of a rapidly growing dark area along her gums...
11-year-old Boy With Retrosternal Chest Pain
An 11-year-old previously healthy boy presented to the emergency department complaining of a three week history of intermittent sharp retrosternal chest pain...
Patient with blurry vision, headache, and difficulty looking upward
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...
Patient with Decreased Level of Consciousness
A 68-year-old male patient presented with decreased level of consciousness...
Nonpruritic Hyperpigmented Plaques
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...
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