Cold White Fingers

This young woman's fingers become cold and white intermittently during the winter months since she moved to the northeast from the Caribbean. She also describes intermittent shortness of breath. What do you suspect?


Hypertension and diabetes, hypertension and stroke/dementia, renal artery stenosis and hypertension in children, pulmonary arterial hypertension, portal hypertensive gastropathy, central retinal vein occlusion—a close look at some common hypertension-related conditions.

palmar erythema

Pseudosac with ectopic pregnancy, palmar erythema, pemphigoid gestationis, abdominal wall hematoma, dermatomyositis, livedo reticularis—visual presentations of health problems that occur frequently, or exclusively, in women.

Hepatitis, measles, smallpox, polio, mumps, influenza, Fifth disease—a close look at the value of vaccination past, present, and future.

A young woman was admitted at 36 weeks' gestation with severe preeclampsia. During delivery, she experienced generalized seizures. She remained postictal throughout the normal vaginal birth.

Presenting complaints were fever, nausea, and lower abdominal pain that worsened with walking. Osteomyelitis is not commonly included in a differential for abdominal pain. This case is different.

Eosinophilic esophagitis is often misdiagnosed as gastroesophageal reflux disease but does not respond to acid suppression therapy. Here, a close-to-textbook case.

A 59-year-old woman with a history of peptic ulcer disease (PUD) was seen in a clinic with complaints of pain in the epigastrium of several days’ duration.


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