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Epidural Hematoma with Lucid Interval

A 22-year-old female presents to the clinic. She mentions some reflux symptoms and that the skin on her hand feels "tight". She also shows you some pictures, shown below, when she exposes her hand to cold. Diagnosis?

CREST Syndrome (Limited cutaneous Systemic Sclerosis)

A 44-year-old man presents with fever, AKI and conjunctival findings below. He was recently swimming in the Caribbean. Diagnosis?

Neural Consult Dx Leptospirosis

Weil's Disease (Severe Leptospirosis)

A 45-year-old farmer presents with a lesion on his neck. He works with wool hides daily. Diagnosis?

Cutaneous Anthrax

A 43-year-old woman presents with weakness. Her CK is elevated and she has the skin findings below. Name of finding and diagnosis?

Neural Consult ✅✅✅✅✅✅

Dermatomyositis

An 89-year-old old man presents to the emergency department from a nursing home with confusion, abdominal distension, and obstipation. Abdominal X-ray shown below. Diagnosis and management?

2 days old newborn has not passed stools yet👀 How is this possible ❓😲 Congenital diseases associations❓

A 23-year-old female presents with joint pain. You note a distinct rash, shown below. Diagnosis?

Neural Consult Localized Lyme disease (early infection or stage I) ◦ The image shows a skin lesion compatible with erythema chronicum migrans, the most common early sign of Lyme disease. ◦ It appears 7-14 days at the site of Ixodes bite as a reddened area. ◦ As the rash increases in size,

Neural Consult Lyme disease manualofmedicine.com/topics/skin-ra…

Lyme Disease and Erythema Migrans

A 72-year-old man presents with a lower GI bleed. His aortic valve is shown below. What syndrome would be in the differential?

We love to see it! Thanks for the shout out

Heyde Syndrome