Physical Exam
- Fixed drug eruption due to ibuprofen
The patient had a 2-month history of a lesion on the left groin that caused a burning sensation.
- Varicose veins
A 60-year-old man presented with a 20-year history of slowly worsening prominent veins in both lower limbs.
- Lymphedema vs lipedema: Similar but different
Lymphedema, lipedema, and even simple obesity in the extremities can resemble each other superficially and are often confused for one another, but they differ in important ways.
- Gingival overgrowth in acute monocytic leukemia
A 55-year-old man presented to the emergency department with a 2-month history of progressive gingival swelling and oral pain.
- Acquired reactive perforating collagenosis in a patient with diabetes
A 47-year-old woman presented with a 2-month history of pruritic eruptions on the left ankle and a complaint of thirst and polyuria for the past year.
- Conjunctival petechiae in infective endocarditis
A 75-year-old-man presented with a 33-day history of intermittent nocturnal fevers of 39°C (102°F) and truncal rashes. The rashes appeared on the same day as the fever.
- Oral lichen planus
Risk factors include medications, dental materials, and viral infections such as hepatitis C.
- Stiff hands in a man with type 1 diabetes
The patient had been on injectable insulin for the past 6 years, with frequent dose titrations because of poor control. A recent hemoglobin A1c was 7.2%.
- A reticular eruption on the thighs
During cold winter weather, the patient had been wearing an electric heating pad between the thighs.
- vOka vaccine-associated disseminated varicella zoster
The patient had received the live attenuated vaccine 1 month before presentation. He had no history of varicella infection.