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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 66-year-old woman had a mildly pruritic rash on the buttocks, lower back, abdomen, and upper posterior thighs. The eruption had been present for approximately 18 months. Your diagnosis?

A 62-year-old man had multiple, randomly distributed, flesh-colored nodules on his trunk, arms, and face. The lesions measured 0.5 to 1.0 cm and appeared slightly pedunculated. Tissue biopsy showed Schwann cells. Your diagnosis?

For several years, an asymptomatic, firm, nontender mass had been growing on the neck of a 54-year-old-man, slightly left of midline at the level of the hyoid bone. Thyroid function tests were normal. What does it indicate?

A 50-year-old man comes to the ED after 2 episodes of loss of consciousness and vomiting. Jaw clenching with a short period of unresponsiveness is observed in the ED. ECG is significant for bradycardia and sinus bradycardia. He had sprayed his home for termites 10 hours earlier. What is the problem here?

A 50-year-old man wonders whether the many asymptomatic lesions he has had for “almost all my life” can be removed. What are these lesions?

A 62-year-old man with a persistent snoring problem presented for an oral medicine consultation. Examination revealed very slight facial asymmetry. A sagittal series of tomograms was obtained. What do these findings suggest?

A 38-year-old man with a history of hypertension, depression, and alcohol abuse presented with total body weakness after drinking heavily the night before. His ECG is shown here. What diagnosis does this ECG indicate?

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