(BMJ)—An 83-yo man w/ DM, hypertension, chronic kidney dz, and asthma was admitted for community-acquired pneumonia. Home meds: candesartan, gliclazide, metformin, simvastatin, inhaled fluticasone/salmeterol. He improved on IV levofloxacin and ceftriaxone, but he experienced sudden right arm pain and swelling on day 4. What is the dx?
Extravasation injury
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Bicipitoradial bursitis
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Proximal biceps avulsion
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Brachial artery aneurysm
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Morel-Lavallee lesion
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(BMJ)—A 27-yo woman presented w/ a 7-yr hx of a progressively worsening, edematous plaque over her L eyelid that was aggravated by sunlight. Review of sx: no joint pain/muscle weakness/mouth ulcers/hand lesions. Exam: visual acuity and eye movement normal. Labs: raised LDH. What is the dx?
Polymorphous light eruption
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Periorbital cellulitis
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Amyopathic dermatomyositis
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Discoid lupus erythematosus
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Cavernous sinus thrombosis
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(BMJ)—A 49-yo man w/ hypertension under medical control presented to the ED w/ sudden chest pain, dyspnea, and diaphoresis. Exam: low blood pressure. Abdomen: distended w/ mottled skin. ECG: no ST elevation. What is the dx?
Pancreatitis
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Perforated viscus
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Pulmonary embolism
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Myocarditis
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Aortic dissection type A
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(BMJ)—A 62-yo woman presented w/ a right axillary lesion that had grown over 13y from an itchy, coin-sized plaque presumed to be eczema. The lesion was occasionally painful and would bleed. Exam: red-brown plaque w/ erosion; nontender axillary and supraclavicular nodes. Bx confirmed the dx. What is it?
Squamous cell carcinoma
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Erythrasma
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Extramammary Paget dz
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Erythema intertrigo
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Parapsoriasis
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