Figure 1 Quiz of the Week A 40-year-old male presents to the emergency department with sharp chest pain and palpitations. He says the pain is worse when he lies down and is exacerbated by coughing, but improves when he moves to a seated position. He was recently diagnosed with systemic lupus erythematosus (SLE) after investigation…

3:30 am – Wake up. 4:00 am – Leave apartment. 4:15 am – Arrive at hospital. 4:20 am – Print out the patient list. 4:21 am – Split the list of 50 patients with your partner; go to a computer and write down every patient’s 24-hour vital signs, any reported fevers and what was done, what…

Figure 1 Quiz of the Week A 38-year-old man presents with itchy, scaly lesions on his elbows and small, erythematous papules in the web spaces of his fingers.   Image credit: @RamonaNP. Answer: Scabies Scabies is caused by the tick Sarcoptes scabiei, that burrows into human skin where it lays its eggs. The inflammation is caused…

By: Maria Filippa Trikantzopoulou Politics has never been on my radar. After all, I have a degree in engineering and just began a career in medicine; it never occurred to me that I could be involved in policy-making and grassroots organizing.   Well, at least that is what I thought—until I came to realize how…

Figure 1 Quiz of the Week A 28-year-old male presents with a three-month history of a chronic cough and weight loss. Upon further discussion, he mentions a painless lump in his left testicle. A firm mass is felt in the left testis on examination. A chest X-ray reveals the pulmonary lesions seen here and a…

Figure 1 Quiz of the Week A 60-year-old man presents to the emergency department with worsening shortness of breath and a non-productive cough. He has congestive heart failure and was treated three weeks earlier at a neighboring hospital. On examination, he has normal vital signs and marked bilateral pitting lower limb edema. A chest X-ray…