(BMJ)—A previously healthy, 74-yo woman was brought to the ski clinic w/ severe pain and inability to move her L arm after a fall on her shoulder while skiing. She felt a popping sensation w/ the fall. Exam: dimpled L shoulder; neurovascular exam intact. What is the dx?
Distal clavicle fracture
|
Posterior glenohumeral dislocation
|
Acromioclavicular joint separation
|
Luxatio erecta
|
Proximal humerus fracture
|
(BMJ)—A 77-yo man w/ hx of HTN, COPD, and prostate hyperplasia presented w/ a 6-mo hx of oozing, foul-smelling skin lesions in the groin and around the umbilicus, as well as lip erosions. The lip erosions made it difficult to eat, which resulted in a 7-kg loss of weight. Exam: thick, oozing inguinal and periumbilical papillomatous plaques; swollen, erosive lips. Labs: erythrocyte sedimentation rate elevated at 47 mm/h, mild eosinophilia but otherwise normal WBC count. Bx confirmed the dx. What is it?
Tinea cruris
|
Hailey-Hailey disease
|
Pemphigus vegetans
|
Dermatitis herpetiformis
|
Bullous impetigo
|