Archives for May 2016

What’s the Dx? Hint: no muscle weakness…

What’s the Dx? Hint: no muscle weakness…

Errol Ozdalga, MD; @eozdalga Clinical Assistant Professor, Stanford School of Medicine   37 yr old male with a history of these lesions on his the back of his hands for the past two years. Notes no other medical issues. No weakness, fatigue, fevers or rashes anywhere else on his body. He works as a chiropractor and

What’s going on with this rash?

What’s going on with this rash?

A 46-year-old Vietnamese female with history of Churg-Strauss syndrome was seen for a flare-up and had the above skin changes. Based on the characteristics pattern can you diagnose the cause of this skin rash? Front and back images show (1). (Answer below…)       Answer: Coining   What is coining? Coining is a traditional

What is this sign?

What is this sign?

Written by Kai Swenson, MD Edits and video by Alex Perino, MD A 45 year old woman with a past medical history of Hodgkin’s lymphoma treated with mantle field radiation whose neck veins were incidentally noted on a thorough physical exam. The patient was in sinus rhythm on telemetry throughout the exam. What is the