Skin Lumps & Blood Sugar Swings

Insulin-derived amyloidosis
A 47-year-old man with type 2 diabetes develops skin masses at his insulin injection sites and experiences unpredictable hypoglycemia. What's the diagnosis?
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Anemia & an Unsettling Radiograph

Lead poisoning
A 7-year-old girl presents with microcytic anemia and pica. An abdominal X-ray reveals a surprising finding, leading to an unexpected diagnosis.
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Failure to Pass Meconium

Cystic fibrosis
A newborn boy develops abdominal distention and fails to pass meconium. Explore a case of neonatal bowel obstruction leading to an urgent laparotomy.
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A Puzzling Pustular Eruption

Iododerma
A man develops acute, generalized pustular eruptions after receiving iodinated contrast for an imaging study. Explore this rare dermatological reaction.
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The Case of the Widespread Scaly Rash

Pemphigus foliaceus
A 22-year-old man presents with a chronic red, scaly rash. Biopsy reveals acantholysis and intercellular IgG deposits. What is the diagnosis?
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The Crying Infant’s Red Toe

Hair tourniquet
A 6-month-old presents with a red, swollen toe. Explore the differential diagnosis for this common pediatric emergency, from infection to a surprising cause.
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A Gut-Wrenching Vascular Emergency

Small-Bowel Infarction
A 68-year-old man with cirrhosis presents with severe abdominal pain. Discover the life-threatening vascular complication found on CT imaging. Learn more.
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An ICU Puzzle: The Red Urine

Hydroxocobalamin-induced discoloration
A 40-year-old man in the ICU develops red urine after being treated for fume inhalation. Explore the differential diagnosis for this alarming finding.
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A Painful Ear Rash & Facial Palsy

Herpes zoster oticus
A 48-year-old woman presents with sudden right-sided ear pain, a vesicular rash, and facial paralysis. Explore the classic triad of this viral syndrome.
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When Abdominal Pain Hides a Surgical Emergency

Emergent surgical repair
A 77-year-old woman presents with abdominal pain, nausea, and vomiting. CT reveals a femoral hernia. Explore the diagnosis and management of this emergency.
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