QUESTION: A 4-year-old girl is brought to the doctor because of a rash and joint pain. Nine
days earlier, the patient was seen for an upper respiratory infection andwas given …

A 53-year-old man presented to the emergency department with symptoms of bilateral ear
pain that developed over the past 8 h. The patient was a chronic cocaine user for the past 35 …

N 18-YEAR-OLD RIGHT-HANDED MAN presents to the emergency department with acute-
onset swelling of the entire left arm. He is a high school senior with a baseball scholarship …

A 48-year-old man came to the office with a pruritic lesion that had been on the dorsum of
his hand for 2 months. He said that the lesion began as 2 flesh-colored papules that had …

A 23-year-old man presented with a strange complaint: visual hallucinations. He had no
psychiatric history and was otherwise healthy, but felt for the last few weeks “someone” was …

A 32-year-old man with no significant medical history presented with a rapidly enlarging
right lateral neck mass accompanied by a nonproductive cough for 1 month. The patient …

A 37-year-old woman presented to the emergency department with fever, chills, and pain in
her right knee and left ankle. Although her history was significant for schizophrenia, she was …

Cocaine-induced midline destructive lesion (CIMDL) is the term used to describe destruction
of the osteocartilaginous structures of the nose, sinuses and palate caused by cocaine …

Pat, 55 years of age, is a librarian. She presented with a 5 month history of multiple red, ring-
like lesions on her hands, elbows and the back of her knees. Her husband died 10 months …

A 50-year-old woman with systemic lupus erythematosus presented with pale painful tongue
ulcers and 52 constitutional symptoms for 2 months. Her current medication included …