(BMJ)—A 55-yo woman w/ a 13-yr hx of psoriasis (treated w/ cyclosporin for 12y and then secukinumab for the past 12mo) presented w/ a shin lesion that had been present for 6mo. She denied increased sun exposure or tanning bed use. Exam: 5x4-cm exophytic mass. No popliteal/inguinal nodes. Thin red plaques on legs/trunk suggestive of treated psoriasis. What is the dx?
Buruli ulcer
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Primary cutaneous squamous cell carcinoma
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Merkel cell carcinoma
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Pyogenic granuloma
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Mycobacterium leprae infection
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(BMJ)—A 46-yo woman who had sustained L-sided closed head injury during a traffic accident 1y prior presented w/ a 1-mo hx of L eye redness, w/o vision changes. Exam: mild L eye protrusion, esp on bowing her head; dilated episcleral vessels; fundoscopy: retinal vein engorgement. Imaging confirmed dx. What is it?
Thyroid orbitopathy
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Superior vena cava syndrome
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Chronic angle-closure glaucoma
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Carotid-cavernous sinus fistula
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Radius‐Maumenee syndrome
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(BMJ)—An otherwise healthy, nonsmoking 18-yo man presented w/ a 7-day hx of gradually increasing sore throat, malaise, nausea/vomiting, odynophagia, and fever. No wt loss, travel, night sweats. Exam: bilateral tender neck nodes, hoarse voice, bilateral enlarged tonsils w/ white exudate. What is the dx?
Lymphoma
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Gonococcal pharyngitis
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Peritonsillar abscess
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Infectious mononucleosis
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Ludwig angina
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