(BMJ)—A man in his 80s presented with a 10-day hx of upper abdominal pain preceded by two months of itchy, thickened, and hyperpigmented lesions on his face, neck, chest, and extensor surfaces of the limbs. Exam: diffuse velvety skin lesions and seborrheic keratoses evident. What’s the dx?
malignant acanthosis nigricans
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melasma
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Becker melanosis
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Addison disease
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(BMJ)—This woman in her 40s presented with a 10-month history of cough and was found to have a saddle nose deformity. She had a 15-year history of recurrent chronic rhinosinusitis and refractory otitis media. Exam showed an almost complete loss of nasal bone and septal cartilage, resulting in complete collapse of the nasal bridge with retraction of the nasal tip. What’s the dx?
relapsing polychondritis
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nasal trauma
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granulomatosis with polyangiitis
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congenital syphilis
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(BMJ)—This woman in her 20s presented with a painless, fluctuant swelling under her tongue that had increased over 2 months and affected her speech and ability to chew. What's the dx?
ranula
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cystic hygroma
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lymphangioma
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mucocele
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Can you identify this pill?
tolterodine
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atazanavir
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cefaclor
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loxapine
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