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To what diagnosis do the clinical findings and images in each of these cases point?
Recurrent Syncope in an Adult Woman: Your Impressions?
A 35-year-old woman, in the ED for the second time in the same day, is described by ambulance medics as "bizarre." ECG and labs are normal except for elevated urinary and peripheral WBC counts. More, here.
Meningococcal Meningitis in an Adult Woman
Bacterial meningitis presents with the triad of headache, fever, altered mental status. Stiff neck, vomiting, and photophobia may also be present.
Lower Quadrant Pain and Emesis in a Young Boy
The 9-year-old was admitted after 1 day of symptoms; he had no fever, diarrhea, constipation, dysuria, or rash. More details here. What's your diagnosis?
Appendicolith in a Young Boy: A Case of Déjà Vu
Some 30% of cases of acute appendicitis in children are associated with appendicolith.
Worsening Respiratory Symptoms in an Adult Male
The patient presents 6 weeks after a prolonged hospitalization for pancreatitis. More details and the office spirometry tracing here.
Bilateral Painless Swelling of the Neck in a 40-Year-Old Man
On palpation, the swelling was non-tender, soft, and mobile but did not feel fluid-filled. Here, view ultrasound findings and propose your diagnosis.
Erythroderma in a 60-Year-Old Man: What Cause?
The patient's medical history was notable for hypertension, diabetes mellitus, and seizure disorder. Here, find images and lab results; then select a diagnosis.