A 62-year-old male patient was seen by his family GP, presenting with low-grade fevers, night sweats, and fatigue for 3 weeks. The patient had a history of a heart murmur but had never undergone extensive evaluation. He had been in generally excellent health with normal exercise tolerance. Approximately 6 weeks ago, he underwent an uncomplicated […]

Roy, age 13, was recently diagnosed with epilepsy and prescribed carbamazepine for control of his seizures. He has developed erythematous papules, dusky appearing vesicles, purpura, and target lesions that have erupted rapidly and are more centrally distributed on the face. He has hemorrhagic crusts on his lips. He tells you his skin feels tender and […]

You are seeing a 64-year-old female whose complaints include cramping in her lower abdomen that is only relieved by defecation. She says that the pain “tends to come and go” and that she often experiences heartburn and fatigue. She adds that her bowel habits sometime alternate between constipation and diarrhea. As you perform the examination, […]

A 70-year-old man with no PMH presents to a clinic with a rash on his hands and feet. He states that the rash began a few months ago and consisted of purple plaques found on his hands and ankles. He states that the rashes are occasionally itchy but are not painful at all. He is […]

A 17-year-old black male presents with a 6-month history of spots of loss of coloration of his skin that are becoming larger and more numerous. He denies use of any medications, either topical or systemic, as well as any illnesses predating the onset of skin lesions. The lesions are not pruritic. They do not tan, […]

A 6-year-old patient presents to the clinic with a generalized rash that has been present for 5 weeks. Pruritus was minimal, has now resolved and the patient has been afebrile. The caregivers noted that the rash began as a single lesion on the abdomen that grew as the rash progressed to the back and trunk. […]