56-year-old woman • worsening pain in left upper arm • influenza vaccination in the arm a few days prior to pain onset • Dx?
► Worsening pain in left upper arm
► Pain worsens with movement—especially abduction
► Influenza vaccination in the arm a few days prior...
33-year-old man • flaccid paralysis in limbs • 30-lb weight loss • thyromegaly without nodules • Dx?
► Flaccid paralysis in arms and legs
► 30-lb weight loss in previous month
► Thyromegaly without nodules
► Hot flushes, night sweats
► Concern about estradiol effects on pet
► Nipple, vulvar enlargement in pet
► Fever and chills
► Diffuse abdominal pain
► Shortness of breath
Worsening nausea, vomiting, and dizziness • 20-pound weight loss in 2 months • mild hearing loss • reoccurring episodes of falls • Dx?
► Worsening nausea, vomiting, and dizziness for 2-months, resulting in a 20-pound weight loss
► Mild hearing...
20-year-old male college basketball prospect • wrist pain after falling on wrist • normal ROM • pain with active/passive wrist extension • Dx?
► Right wrist pain 4 days after falling on wrist while playing basketball
► Normal range of motion of wrist and hand
► Pain with active...
Red patches on the tongue with white borders • history of geographic tongue • incompletely treated celiac disease • Dx?
► Red patches on the tongue with white borders
► History of geographic tongue
► Incompletely treated celiac disease
8-year-old boy • palpable purpura on the legs with arthralgia • absence of coagulopathy • upper respiratory infection • Dx?
► Palpable purpura on the legs with arthralgia
► Absence of coagulopathy
► Upper respiratory infection
Acute hearing loss, tinnitus, and fullness in the left ear • Weber test lateralized to the right ear • Positive Rinne test and normal tympanometry • Dx?
► Acute hearing loss, tinnitus, and fullness in the left ear
► Weber test lateralized to the right ear
► Positive Rinne test and normal...
4-year-old girl • genital discomfort and dysuria • clitoral hood swelling • Blood blister on the labia minora • Dx?
► Genital discomfort and dysuria
► Clitoral hood swelling
► Blood blister on the labia minora
These 2 cases offer insights to faster recognition of a common cause of drug overdose.