Oncology

The Clinical Picture

Paraneoplastic acral vascular syndrome

The patient presented with a painful blue great toe, abdominal pain, and unintentional weight loss.

The Clinical Picture

Drug reaction or metastatic lung cancer?

Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

MD IQ

The Clinical Picture

The Leser-Trélat sign

The patient presented with night sweats, dry cough, weight loss, and sudden onset of “itchy moles” on her back.

IM Board Review

Big heart, small ring

A 58-year-old man has stopped wearing his wedding ring, and his wife suspects him of having an affair.

The Clinical Picture

Scapular rash and endocrine neoplasia

A woman in her 30s presents with an itchy skin-colored rash over her scapula of 8 years’ duration.

Reviews

A minimally invasive treatment for early GI cancers

Endoscopic submucosal dissection allows curative resection of early malignant gastrointestinal lesions.

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