Make the diagnosis, Sherlock!
This is a case recently reported in the Medical Journal of Australia.  A 50-year-old woman presented with a read, painful, scaling rash on her hand an forearms, and around her eyes. She reported that sun exposure aggravated the dermal symptoms. She also gave a history of intermittent diarrhea. Examination revealed a scaly hyperpigmented lesion on her upper chest, in the distribution of a broad collar. The patient was a smoker and said she consumed half a bottle of gin daily. The skin manifestations did not respond to antibiotics or steroids. Click on the following questions to reveal the answers. Was is the diagnosis? ex...
Source: The Poison Review - May 22, 2014 Category: Toxicology Authors: Leon Tags: Medical dermatitis niacin deficiency pellagra Source Type: news

Porphyria
Title: PorphyriaCategory: Diseases and ConditionsCreated: 3/5/2012 6:00:00 PMLast Editorial Review: 4/3/2014 12:00:00 AM (Source: MedicineNet Heart General)
Source: MedicineNet Heart General - April 3, 2014 Category: Cardiology Source Type: news

What Causes Muscle Weakness?
Discussion Muscle tone is the slight tension that is felt in a muscle when it is voluntarily relaxed. It can be assessed by asking the patient to relax and then taking the muscles through a range of motion such as moving the wrists, forearm and upper arm. Muscle strength is the muscle’s force against active resistance. Impaired strength is called weakness or paresis. There are 5 levels of muscle strength. 0 = No muscle contraction detected 1 = Barely detected flicker of contraction 2 = Active movement with gravity eliminated 3 = Active movement against gravity 4 = Active movement against gravity and some resistance ...
Source: PediatricEducation.org - December 9, 2013 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Endocrinology: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoA painful swollen thigh in a diabetic patient: diabetic myonecrosis. The Lancet, 05/2014.Subperiosteal Bone Resorption due to primary hyperparathyroidism caused by parathyroid adenoma. NEJM, 05/2014.Eschar Formation from Testosterone Patch.Homozygous familial hypercholesterolaemia. Lancet, 04/2012.Insulin-Induced Lipohypertrophy. NEJM, 02/2012.Ectopic Cushing ' s Syndrome. NEJM, 12/2011.Porphyria Cutanea Tarda. NEJM, 09/2011.Auricular Cartilage Calcification and Adrenal Insufficiency. NEJM, 01/2011.Hemichorea –Hemiballism after Diabetic Ketoaci...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Endocrinology Images Source Type: news