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Pleomorphic Adenoma

A Haitian woman with a chronic ocular condition presents to a clinic run by the Good Shepherd Foundation. Her condition is debilitating, cosmetically disfiguring, and frightening to the patient and observers. The patient is having problems with depth perception and ocular infections.

What's the diagnosis?

Apophyseal Avulsion Visual Diagnosis Challenge

A 52-year-old man with history of hypertension presents to the ED with a diffusely swollen, tight, painful, and discolored left leg. Symptoms began suddenly 6 hours earlier while walking his dog, and he denies any trauma or injury. He went to sleep, hoping this leg would improve, but he was woken by severe pain and presented to the ED for evaluation. He now has numbness in the entire extremity, and the discoloration is deeply purple. The patients states that he has had no difficulties with his legs in the past, no claudication, no history of DVT or PE, and no known clotting abnormalities. He also denies tobacco use/abuse, history of varicose veins, or family history of clotting abnormalities. What is the diagnosis?

What's the diagnosis?

Hansen Disease

A man from Haiti’s Grand Saline region was seen at a remote outreach medical clinic established by the Good Shephard Foundation for necrotic fingertips and nodules throughout his body. 

What's the diagnosis?

Apophyseal Avulsion Visual Diagnosis Challenge

A 17-year-old adolescent boy presents to the emergency department after feeling a “pop” in his left hip when he was running to do jump shot. He was able to jump but now has a left-sided limp and pain at the hip. After reviewing this history and x-ray findings, what is your diagnosis?

What's the diagnosis?

ScabiesVisual Diagnosis Challenge

A 6-year-old girl presents with an itchy rash on her arms, trunk, and legs for the past week. Her mother also developed a similar rash several days ago. They both deny any new travels, detergents, soaps, or exposures. There are no recent fevers or signs of infections. Small papules are found generalized on the child’s body, and mostly on the hands and arms of her mother.

What's the diagnosis?

Balanoposthitis Visual Diagnosis Challenge

A 6-month-old boy whose tip of his penis has been swollen for one day is brought in by his mother for. She noticed that he cries when he urinates, and she suspects that he may be in pain when he voids. There is no history of trauma or new exposures.

What's the diagnosis?

Parvoviru Visual Diagnosis Challenge

A 5-year-old boy presents with red cheeks for the past 2 days and mild fever. He also has a faint lacy rash on his lower extremities.

What's the diagnosis?

Cutaneous Horn Visual Diagnosis Challenge

A woman from Haiti’s remote Grand Saline region presents at the humanitarian medical clinic with a lesion on the dorsal side of her left hand, approximately 2 cm in length. She thinks the lesion may be malignant.

What's the diagnosis?

Chemosis Visual Diagnosis Challenge

A 6-year-old boy is brought in to the ED by his grandmother after he “rubbed his eyes while eating eggs.” She denies recent trauma or other exposures to the boy’s eye.

What's the diagnosis?

Magnet Ingestion_ Visual Diagnosis Challenge

A 2-year-old boy with no significant medical history presents to the ED with acute onset of nausea, vomiting, and 2 loose bowel movements this afternoon. His mother reports that 2 days prior, the patient had been playing at his grandmother’s house without close supervision.

What's the diagnosis?

Thyroglossal Cyst in a patient

A 3-year-old boy presents with a rash that started after camping in the woods near his home with his family 1 week prior.

What's the diagnosis?

Erysipelas in a patient

A 12-year-old boymale presents with an exquisitely tender rash below his right axilla.

What's the diagnosis?

Thyroglossal Cyst in a patient

18-year-old adolescent boy presents with swelling and discharge in the middle of his neck for 3 days. He had some recent symptoms of upper respiratory infection.

What's the diagnosis?

Ranula in a pediatric patient

A boy presents to the ED with a swollen and painful thumb for 3 days. He denies any trauma to area, but admits to biting his nails.

What's the diagnosis?

Septal hematoma An 18-year-old adolescent boy presents to the ED with a nose injury from a recent altercation, and he now has difficulty breathing from his left nostril.

What's the diagnosis?

Ranula in a pediatric patient

An 8-year-old girl presents to the ED with a complaint of a "growth" underneath the right side of her tongue for 1 week. She denies any trauma or fever.

What's the diagnosis?

Nickel dermatitis in a 5-year-old girl A 5-year-old girl presents to the ED with a rash around her belly button for 1 month. She complains of itching. Her parents deny any new exposures or anyone at home with similar rash.

What's the diagnosis?

Hydrocele testis in a 6-month-old boy A 6-month-old boy presents to the ED with 3 days of scrotal swelling. He has no pain, discharge, or known trauma.

What's the diagnosis?

Herpetic whitlow in a 7-year-old boy A 7-year-old boy presents to the ED with 3 days of rash and itching on the side of his index finger. There is no known trauma or new exposures.

What's the diagnosis?

Appendicitis ultrasound A 13-year-old boy presents to the ED with right lower quadrant pain and vomiting for 1 day. Ultrasound was obtained for evaluation and is pictured here.

What's the diagnosis?

Subconjunctival 20hemorrhage in a 17-year-old boy A 17-year-old boy presents to the ED with bilateral red eyes without pain or discharge. He has had 1 week of runny nose and cough.

What's the diagnosis?

Ranula in a pediatric patient A 2-year-old boy presents with acute swelling and tenderness of the great toe after wearing new shoes for the past week.

What's the diagnosis?

Subconjunctival 20hemorrhage in a 17-year-old boy A 12-year-old boy presents with an intensely painful finger pad. Mild redness and swelling are noted at the site, which extend to the lateral surface of the thumb. The patient denied any known trauma to the affected digit.

What's the diagnosis?

Ranula in a pediatric patient

A 4-year-old girl presents with an actively bleeding lesion over the proximal area of her palm.

What's the diagnosis?

Subconjunctival 20hemorrhage in a 17-year-old boy An 8-year-old male presents with a nontender, swollen neck mass. He reports no fever, redness, or drainage at the site. He recently had an upper respiratory tract infection.

What's the diagnosis?

 

Ranula in a pediatric patient

A 9-year-old girl presents with progressive hair loss for several months. The hair loss is always at the same spot on the scalp.

What's the diagnosis?

Subconjunctival 20hemorrhage in a 17-year-old boy An 8-year-old boy presents to the ED with a cut on his upper eyelid after being scratched by his dog. His vision is not impaired.

What's the diagnosis?

 

Ranula in a pediatric patient

A 4-year-old girl presents with a crusted facial rash centered around her nose and mouth and some scattered lesions on her extremities.

What's the diagnosis?

Subconjunctival 20hemorrhage in a 17-year-old boy A 9-year-old boy presents with swelling to the left upper eyelid for 2 days. He had mild fever, but no eye discharge.

What's the diagnosis?

Photo credit: Sylvia E. Garcia, MD and Ee Tay, MD; Icahn School of Medicine at Mount Sinai

Editors-In-Chief:

Dr. Ee Tay
Ee Tay, MD


Sylvia E. Garcia, MD

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Last Modified: 10/19/2017
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