A 65-year-old man with history of COPD experienced several episodes of feeling so lightheaded he thought he might pass out. When that feeling didn’t go away and he started having shortness of breath whenever he exerted himself, he went to the ED. He described additional symptoms of fatigue, cough, and sweating more than usual. His doctor noted pallor, tachycardia, hypotension, and peripheral leg edema during the exam.
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"The wound's appearance reminded me of an image I had seen on a previous VisualDx quiz so I pulled out the application. I typed the most specific aspect of the wound I could think of: pathergy. The second result on the list popped out to me: pyoderma gangrenosum. Reading the description, I realized this may well be [my patient's] diagnosis."
— MEDICAL STUDENT (M4)
"These quizzes are important to our readers because while some rheumatic conditions are known to be associated with skin manifestations, it is not as well known that cardiology and endocrinology conditions can sometimes manifest as skin conditions."
— MICHAEL J. HENNESSY JR., PRESIDENT OF MJH LIFE SCIENCES™