Photo Quiz

Photo Quiz presents readers with a clinical diagnostic challenge based on a photograph and a brief clinical scenario.

Jan 15, 2015 Issue
Skin Sloughing and Lip Lesions After a Recent Foot Procedure
A woman taking an antibiotic presented with fever, blistering on her lips, and progressive sloughing of skin. She also had diffuse muscle aches and increased pigmentation and edema on her face. Laboratory tests revealed new acute renal insufficiency.

Jan 1, 2015 Issue
Swelling of the Lips
A man presented with localized swelling of the upper and lower lips, but no other significant findings. He did not have swelling elsewhere on the body.

Dec 15, 2014 Issue
Abnormal Electrocardiogram Findings During an Occupational Physical Examination
A 27-year-old man with normal personal and family histories presented for an occupational physical examination. On cardiac examination, he had a grade II/VI systolic ejection murmur that was softer during inspiration. An electrocardiogram was obtained.

Dec 1, 2014 Issue
Painless Vision Loss
A woman presented with gradually decreasing vision in her right eye. Retinal examination revealed intraretinal hemorrhages in the right eye with edema.

Nov 15, 2014 Issue
Dysphagia in a 58-Year-Old Man
A man presented with weight loss and difficulty swallowing. Contrast esophagography was performed.

Nov 1, 2014 Issue
Mouth Pain with Red Gums
A man presented with diffuse erythema of the gums with mild edema and tenderness. The patient had thick deposits at the gum line that could not be wiped off.

Oct 15, 2014 Issue
Chronic Ulceration on the Lower Extremity
A patient presented with a large ulcer on his left lower extremity with surrounding erythema that was growing despite topical steroid treatment. More recently, a similar smaller ulceration appeared on his right lower extremity.

Oct 1, 2014 Issue
Active Duty Soldier with Punctate Marks on the Feet
A man on active military duty presented with severe sweating in both feet, and multiple discrete punctate depressions on the plantar surface.

Sep 15, 2014 Issue
Persistent Pruritic Papulovesicles
A man presented with a chronic rash on the extensor surfaces of his elbows and on his buttocks, and episodes of alternating diarrhea and constipation.

Sep 1, 2014 Issue
Pruritic Erythematous Plaques
A woman presented with erythematous, pruritic skin patches on her trunk and extremities that were slowly increasing in size and number.

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