The Coffee Bean Sign

Cecal volvulus
An 87-year-old man presents with constipation and abdominal pain. A plain radiograph reveals a classic sign. Can you diagnose this surgical emergency?
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A Smoker’s Cough, An Unusual Culprit

Desquamative interstitial pneumonia
A 34-year-old smoker presents with dyspnea and cough. Explore a case of rare interstitial lung disease diagnosed by lung biopsy. What's the diagnosis?
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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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A Proliferative Penile Puzzle

Herpes vegetans
A 39-year-old man with HIV presents with a 1-year history of recurrent, painful penile ulcers. Biopsy reveals unusual features. What's the diagnosis?
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Vesicles on a Newborn: A Diagnostic Puzzle

Neonatal herpes simplex virus
A preterm baby girl develops vesicular skin lesions immediately after birth. Explore the differential diagnosis for a newborn rash and key diagnostic steps.
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Red Hands During Pregnancy

Palmar erythema of pregnancy
A pregnant patient presents with painless, blanching redness on both palms. What are the potential causes for this common dermatological finding in pregnancy?
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The Case of the Vanishing Lung Mass

Diurese the patient and then obtain a repeat chest radiograph
A 50-year-old man with dyspnea and a history of cancer presents with a lung mass. Explore the differential diagnosis and management of a phantom tumor.
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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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A Teen’s Mysterious Hematuria

Schistosoma hematobium
A 13-year-old boy from Mali presents with gross hematuria and significant eosinophilia. Explore the differential diagnosis for this classic urological case.
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Woody Skin & The ‘Groove Sign’

Eosinophilic fasciitis
A 66-year-old man presents with painful skin tightening and woody induration. Explore a case featuring the classic 'groove sign' and peripheral eosinophilia.
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