Grand Rounds
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Female Runner, 47, with Inguinal Lump
The patient associated her groin pain with her exercise routine—but additional history-taking led to an unusual diagnosis.
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Acute Palmar and Plantar Rash in a 52-Year-Old Woman
Treatment for fungal infection failed to resolve the patient’s painful, burning, itching rash. Is there another explanation for the problem?
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Man, 46, With Wrist Laceration
This case illustrates the importance of performing a thorough hand examination when a patient presents with even a small laceration. Failure to do...
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Woman, 18, With Sore Throat, Fever, and Painful Rash
An 18-year-old woman presents to urgent care with sore throat, chills, malaise, and fever. Her tonsils and pharynx are erythematous, but a strep...
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Man, 25, With Sinus Pain, Sore Throat, and Rash
Sore throat, dry cough, low-grade fever, sinus pressure—just another routine diagnosis, right? Not this time.
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Woman, 57, With Painful, Swollen Ankle
What starts as a typical "day at the office" for a 57-year-old horticulturist comes to a crashing hault when the ladder she is standing on slips...
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Boy, 9, With Eye Pain, Blurred Vision, and Tearing
While at school, a 9-year-old boy experienced sudden-onset irritation and pain in his right eye, causing him to rub it. He says it feels like...
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Man, 32, With Severe Scrotal Pain and Swelling
It started as mild left scrotal discomfort, with no history of trauma. Then escalating pain and swelling, as well as hematuria and dysuria, prompt...
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Obese Man With Severe Pain and Swollen Hand
An obese 43-year-old man was gardening when he began to experience severe pain and swelling in his hand that worsened with time. Eventually, the...
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Woman, 36, With Fever and Malaise
A 36-year-old Bengali woman with a history of well-controlled diabetes presents to the emergency department with complaints of feeling “unwell”...