Make the Diagnosis: Can You Give this Patient a Hand?

(MedPage Today) — A 70-year-old man went on a rare visit to his primary care physician complaining of some numbness and pain in his hand with difficulty fully opening his hand. When he showed the doctor, his palm appeared to have raised scars and the skin looked pulled together. He said he’d noticed some smooth … Continue reading “Make the Diagnosis: Can You Give this Patient a Hand?”

(MedPage Today) — A 70-year-old man went on a rare visit to his primary care physician complaining of some numbness and pain in his hand with difficulty fully opening his hand. When he showed the doctor, his palm appeared to have raised scars and the skin looked pulled together. He said he’d noticed some smooth nodules on the hand a couple of years ago, but he didn’t think much of it because he often worked with his hands. His thumb and index finger seemed unaffected. The doctor noted a long-term tobacco habit, and the patient said he had been in recovery from alcoholism for 3 years.

Can you diagnose the patient?
Source: Dermatology

Make the Diagnosis: What’s to Blame for his Rash and Paresthesia?

(MedPage Today) — Case Findings: A 52-year-old man who was undergoing chemotherapy for leukemia went to the ED 5 days after receiving cytarabine. He complained of a rapid onset of erythematous lesions on his palms and soles accompanied by tingling and burning sensations.

Can you diagnose the patient?
Source: Dermatology

Make the Diagnosis: Why So Red All Over?

(MedPage Today) — An 8-year-old was seen by her pediatrician because of a sore throat and fever that hadn’t improved after several days. In addition, a petechial rash had started to appear, spreading from her head and neck down her torso. She complained of nausea and appeared ill. Her mother also pointed out that her tongue was unusually red.

Can you diagnose the patient?
Source: Dermatology

Make the Diagnosis: A Painful, Deep Pustule: Part of a Bigger Problem?

(MedPage Today) — Case Findings: A 55-year-old man with a history of inflammatory bowel disease reported a very painful, deep-seated pustule on his leg that looked like it might eventually rupture. He also had a fever and some arthralgia, but he wasn’t sure if they were related.

Can you diagnose the patient?
Source: Dermatology

Make the Diagnosis: Rash Rush to the ED

(MedPage Today) — Case Findings: A 43-year-old man went to the emergency department with a symmetrical rash of palpable purpura on his legs. He also complained of a fever and arthralgia, but denied any headache or neck pain. The patient disclosed a current infection with hepatitis C virus.

Can you diagnose the patient?
Source: Dermatology