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NEJM—Images in Clinical Medicine

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https://www.readbyqxmd.com/read/29342386/butterfly-glioma
#1
Juveria Siddiqui, Anant S Krishnan
An 83-year-old woman presented to the emergency department with a 5-hour history of weakness in the left arm, drooping on the right side of the face, slurred speech, and urinary incontinence. A 7-week history of progressive functional and cognitive decline was reported. Gadolinium-enhanced magnetic..
January 18, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29342383/rib-fracture-associated-with-bordetella-pertussis-infection
#2
John A Zambrano, Talia N Herman
A 66-year-old woman presented to her primary care physician’s office with a 2-week history of dry cough and severe pain in the right flank. Five days before presentation, she had received a diagnosis of viral upper respiratory tract infection, but her symptoms had not abated with supportive..
January 18, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29320659/iris-abscess
#3
Xuejing Chen, Caroline R Baumal
A 25-year-old woman presented to the retina clinic with progressive pain and redness in her right eye. She had a history of intravenous drug use, and 1 week before presentation she had received a diagnosis of methicillin-sensitive Staphylococcus aureus bacteremia and endocarditis, for which she was..
January 11, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29320650/cowpox-virus-infection
#4
Ewa Talarek, Magdalena Marczynska
An 11-year-old girl presented to the hospital with a skin lesion on her left cheek that had been present for 3 weeks. She lived in a suburban area in Poland and had direct contact with cats that lived in her home and roamed freely; no bites or scratches were reported. Her parents reported that..
January 11, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29281582/talaromyces-marneffei-infection
#5
Zixiang Si, Jianjun Qiao
A 29-year-old man presented to an outpatient clinic with a 2-month history of fever, cough, dyspnea, and weight loss, as well as skin lesions that had developed on his face, neck, trunk, arms, and legs over a period of 2 weeks. Physical examination revealed extensive umbilicated papules (Panel A)...
December 28, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29281574/ventriculoperitoneal-shunt-placement-for-normal-pressure-hydrocephalus
#6
Mahmoud A AbdelRazek, Nagagopal Venna
A 70-year-old woman presented to the neurology clinic with a 2-year history of gait disturbance, cognitive impairment, and urinary incontinence. Examination revealed a Mini–Mental State Examination (MMSE) score of 12 (on a scale of 0 to 30, with higher scores representing better performance) and a..
December 28, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29262285/melanoma-metastatic-to-the-duodenum
#7
Themistoklis Kourkoumpetis, Maria E Jarbrink-Sehgal
An 87-year-old man presented to the emergency department with a 3-week history of progressive nausea, intermittent coffee-ground emesis, anorexia, and weight loss. The patient had a history of type 2 diabetes mellitus, peripheral artery disease, and aortic-valve replacement. Laboratory evaluation..
December 21, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29262280/clinical-diagnosis-of-hidradenitis-suppurativa
#8
Anna Beltrame, Silvia Staffolani
A 27-year-old man presented to the Center for Tropical Diseases at our hospital with a 2-year history of acne and the recurrence of multiple painful lesions in the genital and perineal areas. He had previously been treated with multiple courses of antibiotic agents and with surgical treatments..
December 21, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29236645/caterpillar-sign-in-infantile-hypertrophic-pyloric-stenosis
#9
Bruno Martinez-Leo, Luis M Garcia-Cabello
A 23-day-old male infant was brought to the emergency department because of nonbilious vomiting that had increased in frequency over a period of 5 days. Findings from the clinical examination were notable for mild dehydration and a possible olive-sized mass, approximately 2 cm in diameter, that was..
December 14, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29236643/tubular-opacities-in-the-gastrointestinal-tract
#10
Thomas Blount, Angela Hartsell
A 3-year-old boy presented to the emergency department with a 6-month history of intermittent postprandial abdominal pain and vomiting. He had returned from Senegal 8 months before presentation. On two previous occasions since his return, he had presented with similar symptoms, which were..
December 14, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29211667/pneumatosis-cystoides-intestinalis
#11
Yuusaku Sugihara, Hiroyuki Okada
A 48-year-old woman presented to an outpatient clinic with a several-month history of abdominal fullness. She also had a history of eosinophilic pneumonia, which had been treated continuously with glucocorticoids for 7 years. On examination, her abdomen was distended but soft, with normal bowel..
December 7, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29211664/ecthyma-gangrenosum
#12
Anna K M Korte, Josephine M Vos
A 21-year-old woman with acute myeloid leukemia who was undergoing induction chemotherapy presented with a lesion on her left knee that had developed 5 days after initiation of therapy. A physical examination revealed a 2-cm hemorrhagic patch with an erythematous border (Panel A). The patient was..
December 7, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29171822/ecg-induced-koebner-phenomenon
#13
Enrico Streit, Lena E Vogelgsang
A 53-year-old man who had a history of psoriasis for more than 20 years presented to an outpatient dermatology clinic for further management of worsening pruritus and psoriatic lesions. His symptoms had previously been insufficiently controlled with topical calcipotriene and betamethasone. Systemic..
November 30, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29171816/zenker-s-diverticulum
#14
Jean-Philippe Le Mouel, Mathurin Fumery
A 67-year-old man presented to the gastroenterology clinic with an 8-month history of progressive dysphagia, weight loss, regurgitation, and halitosis. A physical examination revealed no palpable cervical mass. Laboratory studies showed a moderately low serum albumin level. A barium swallow..
November 30, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29166239/molluscum-contagiosum-in-a-patient-with-atopic-dermatitis
#15
Katerina Damevska, Arben Emurlai
A 7-year-old boy presented to the dermatology clinic with a 3-month history of widespread, mildly pruritic skin lesions. He had a history of atopic dermatitis that had been treated with topical glucocorticoids for several months. The skin examination revealed numerous flesh-colored papules..
November 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29166230/strawberry-gingivitis-in-granulomatosis-with-polyangiitis
#16
Maryam Ghiasi
A 42-year-old woman presented to the dermatology clinic with a 6-week history of rapidly progressive, painful gingival hyperplasia. She had recurrent epistaxis, and three necrotic ulcers had developed on her face over the previous 4 weeks. An oral examination revealed gingival hyperplasia with a..
November 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29141173/falciform-ligament-sign
#17
Po-Chen Chou, Yu-Jang Su
An 87-year-old woman with a history of hypertension and peptic ulcer disease presented to the emergency department with a 3-day history of abdominal distention, pain in the epigastrium, and watery diarrhea. She had hypotension (blood pressure of 78/49 mm Hg), and diffuse abdominal tenderness with..
November 16, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29141167/-popeye-sign
#18
Naoki Yoshida, Yoshihiko Tsuchida
A 79-year-old man presented to the orthopedic clinic with a large bulge on his left upper arm. The bulge had developed 2 days before presentation, when he was lifting an object and felt a sudden sharp pain in his left shoulder. A physical examination revealed an obvious deformity in the anterior..
November 16, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29117495/compartment-syndrome
#19
Aileen F Egan, Kevin C Cahill
A 26-year-old man presented to the emergency department with a painful, swollen left hand (Panel A). He had been lying on the ground for more than 13 hours after using illicit drugs. The physical examination revealed edema in the left hand and forearm. Active and passive motion of the hand was..
November 9, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29117488/gold-thread-acupuncture-for-rheumatoid-arthritis
#20
Young-Bin Joo, Kyung-Su Park
A 58-year-old woman presented to the rheumatology clinic with long-standing joint pain and deformities of both hands and feet. Her joint symptoms had begun when she was approximately 18 years of age, after which she had received treatment with ibuprofen and gold thread acupuncture (the insertion of..
November 9, 2017: New England Journal of Medicine
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