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Q: A newborn infant was noted to have wrinkled appearance of the abdomen. Exam w/palpable masses in the inguinal area. What is the likely diagnosis? A. Posterior urethral valves B. Megacystis microcolon intestinal hypoperistalsis syndrome C. Prune Belly syndrome D. Megacystis/Megaureter Follow @notespaedia for high quality case discussion and notes Notes will be shared in later post Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3

Behçet’s Syndrome Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3

Q: A 32-year-old female awoke with profound blurriness in the right eye. She has also constant joint aches, frequent headaches, neck pain. She also noted recurrent oral ulcers & a recent genital ulcer. What is the likely diagnosis? A. Behcet’s Disease B. Erythema nodosum C. Inflammatory bowel disease D. Peptic ulcer E. Acute febrile neutrophilic dermatosis F. Lupus erythematosus G. Oral Candidiasis Follow @notespaedia for high quality case discussion and notes Notes will be shared in later post Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3

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Circinate Syphilitic Lesion Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3

On physical examination showed circinate, concentric lesions on the palms and soles . Multiple circinate lesions were also visible on the face, with areas of erosion at the oral commissures A Venereal Disease Research Laboratory (VDRL) test was positive at a titer of 1:32, which confirmed a diagnosis of syphilis.

Q: A 30-year-old man presented with a rash on his face, hands, and feet. He had a history of HIV with a CD4+ T-cell count of 374 per cubic millimeter. What is the likely diagnosis? A. Circinate Syphilitic Lesions B. Viral Exanthema C. Drug Eruption D. Primary HIV Infection Follow @notespaedia for high quality case discussion and notes Notes will be shared in later post Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3

PNH Follow @notespaedia for high quality case discussion and notes

Q: A 25-year-old woman presents with fatigue & abdominal pain. Every morning, she notices that her urine is tea-colored, which slowly resolves. Imaging w/splenic vein thrombosis. Labs w/ ⬇️Hb, platelets, ⬆️retic count, LDH. Coombs test (-). What is the diagnosis? A. Paroxysmal Nocturnal Hemoglobinuria B. Hemolytic Anemia C. Mesenteric Artery Ischemia D. Paroxysmal Cold Hemoglobinuria Follow @notespaedia for high quality case discussion and notes Notes will be shared in later post Join our discord channel for focused learning : https://discord.gg/teBGJw4G

Q: A patient with uncontrolled diabetes presented with swelling and deformity of the foot. He reported having minimal pain and numbness. What is the likely diagnosis? A. Charcot arthropathy B. Cellulitis C. Deep venous thrombosis D. Septic joint Follow @notespaedia for high quality case discussion and notes Notes will be shared in later post Join our discord channel for focused learning : https://discord.gg/teBGJw4G