Quiz

Response to which medication supports the likely diagnosis?

Figure 1 Quiz of the Week A 19-year-old female exchange student presents to the emergency department with severe abdominal pain and a swollen right knee. She has had recurrent episodes of abdominal pain for the past 5 years which last 2-3 days before resolving spontaneously. Previous investigations have all failed to identify a cause. She...

What treatment should be administered for this patient’s rash?

Figure 1 Quiz of the Week A 28-year-old woman presents with a one-week history of a slightly raised erythematous lesion on her chest. She has been experiencing fatigue and joint pain since taking a walk through the woods in eastern Massachusetts earlier this month. She is 33-weeks pregnant and is otherwise well. An enzyme-linked immunosorbent...

Dyspnea and abdominal pain—what next steps would you recommend?

Figure 1 Quiz of the Week A 66-year-old male with a history of hypertension presents to the emergency department with dyspnea and sharp abdominal pain radiating to his back. On examination, his blood pressure is 180/120 mm Hg. A CT scan demonstrates the findings seen here and laboratory testing indicates that his renal function is...

Woman with COPD develops white film on eye

Figure 1 Quiz of the Week An 85-year-old woman is admitted to the hospital with COPD. She is treated with bronchodilators, oral glucocorticoids, antibiotics, and non-invasive ventilation for 7 days. A new thin white film appears on the patient’s cornea. It does not slough with swabbing, and the patient is asymptomatic.   Image credit: @JenkinsMD....