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Image IQ

Image IQ

A brief description of the clinical highlights and a single image: your best diagnostic guess? 

Image IQ

A 29-year-old man presented with a 4-year history of headache and severe neck pain. What does the cervical MRI scan without contrast reveal?

A 45-year-old woman had painless, red, crusted papules on the hand. There was no history of trauma. The patient had a home aquarium. Your diagnosis?

A 46-year-old woman presented with the new onset of a slightly stinging and burning, expanding patch on the upper abdominal skin. Your diagnosis?

A 43-year-old man had left eye irritation for 2 weeks. He denied trauma, headache, eye discharge, fever, cough, or vomiting; he had mild photophobia and slightly blurred vision. Your Dx?

These asymptomatic plaques developed on the legs of a 59-year-old woman with diabetes mellitus and pulmonary sarcoidosis. Biopsy showed a granulomatous infiltrate of epithelioid histiocytes and multinucleated giant cells surrounded by lymphocytes “layered” throughout the dermis. What’s your diagnosis?

This man had been taking vancomycin and piperacillin/tazobactam for 3 weeks for osteomyelitis. What does the rash look like to you?

This man was born with digital deformities. X-rays show absent middle and distal 2nd, 3rd, and 4th phalanges with tapering proximal phalanges and tapering of the distal 5th phalanx and distal 1st phalanx. No TBX5 gene mutation. What’s your diagnosis?

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