Scabies

ID CC A 10-year-old white female complains of difficulty swallowing, pain in both ears, and fever of 1 week's duration she also complains of an extensive skin rash. HPI The child is fully immunized and has been well until now. PE VS fever. PE extensive erythematous rash (goose-pimple sunburn) on neck, groin, and axillae desquamation and peeling of fingertips circumoral pallor lines of hyperpigmenta-tion with tiny petechiae (Pasha's sign) in antecubital fossae bright red lingual papillae...

Rsv Pneumonia

A 4-month-old girl brought in for a well-child visit is found to be low in weight and height for her age and to have lens opacities HPI Her mother had a skin rash and fever during her first trimester. The mother states that when the child was born, she too had a rash like a blueberry muffin and was jaundiced. PE Deaf and globally retarded malnourished microcephaly and bulging anterior fontanelle microphthalmia with unilateral left cataract discrete black, patchy pigmentation found in retina on...

Rabies

A 27-year-old male researcher presents with sudden-onset fever, chills, headache, a skin rash, and painful swelling of multiple limb joints. HPI Careful history reveals that he was bitten by a rat in his laboratory a few days ago the bite wound has now healed. PE VS fever. PE morbilliform rash noted over extremities, particularly the hands and feet painful swelling and restriction of movement noted over both wrist and knee joints. Labs CBC leukocytosis. Streptobacillus moniliformis isolated...

Histoplasmosis

ID CC A 57-year-old black male complains to his doctor of increasing weakness, swollen glands in the armpits and groin, and a feeling of heaviness in the abdomen (due to hepatosplenomegaly). HPI The patient is an immigrant from Trinidad and Tobago and has a history of nonresolving skin rashes and recurrent respiratory infections. PE Marked pallor extensive papular skin rash with few erythematous plaques over abdomen generalized lymphadenopathy and hepatosplenomegaly. Labs CBC PBS marked...

Hpi Pe

A 28-year-old black woman who is in her 27th week of pregnancy complains of right flank pain, high-grade fever, malaise, headache, and dysuria Thus far her pregnancy has been uneventful. VS fever. PE no peripheral edema right costovertebral angle tenderness acutely painful fist percussion on right lumbar area CBC leukocytosis with neutrophilia. UA proteinuria hematuria abundant WBCs and WBC casts pyocytes on sediment alkaline pH urine culture > 100,000 colonies of Escherichia coli. US, renal...

Mycoplasma Pneumonia

ID CC A 50-year-old diabetic male presents with fever, pain, and a necrotizing swelling over his left leg. HPI His symptoms began about a week ago with redness and swelling of the left leg followed by bronze discoloration of the skin and the appearance of hemorrhagic bullae. PE Extensive cutaneous gangrene observed over left leg with many ruptured bullae black necrotic eschar with surrounding erythema resembles a third-degree burn. Labs Swab staining reveals presence of chains of gram-positive...