The ‘Filarial Dance’ in the Scrotum

Mosquito
A 26-year-old man presents with scrotal pain, swelling, and a strange finding on ultrasound. What parasitic infection could be the cause?
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A Deceptive Dermatological Dilemma

Malignant syphilis
A 44-year-old man with HIV and poor therapy adherence presents with fevers and blackish-brown lamellated plaques. What is the diagnosis?
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A Thorny Problem

Gardening
A 75-year-old woman develops painful, spreading lesions on her hand and arm after a minor injury. What common activity could lead to this skin infection?
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A Curious Case of Tongue Discoloration

Counsel patient to stop smoking
A 64-year-old smoker presents with persistent tongue discoloration after antibiotic use. Antifungal treatment was ineffective. What's the diagnosis and next step?
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The Hidden Danger in Illicit Fentanyl

Xylazine
A 32-year-old man using IV fentanyl develops necrotic chest wounds and osteomyelitis. Discover the dangerous adulterant causing these severe skin injuries.
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Rash & Fever: Early HIV Clues

HIV nucleic acid test
A 26-year-old man presents with a rash, sore throat, and fever after recent condomless sex. Explore the diagnosis of acute HIV and its earliest detection.
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Flank Pain & A Surprising Blood Test

JAK2
A 73-year-old woman presents with flank pain. Lab work reveals a high platelet count, and imaging shows a renal infarction. Explore the underlying cause.
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Mysterious Fever and Skin Lesions

Intravascular lymphoma
A 53-year-old woman presents with worsening vascular skin lesions, fever, and a very high LDH. What is the underlying diagnosis? Explore this challenging case.
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Breathless and Dizzy: A Hematology Mystery

Oxidative Injury
A 57-year-old woman presents with severe anemia, shortness of breath, and dizziness. Explore the diagnostic journey of this complex hemolytic anemia case.
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When Joint Pain Isn’t Just Joint Pain

Chest imaging
Discover a case of widespread joint pain and digital clubbing in a smoker. What's the critical next step when radiographs show symmetric periostitis?
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