A 38-year-old woman presents with painful, red nodules to the anterior aspect of both lower legs. She reports no past medical history or recent trauma to either leg and takes no prescription medication. She does report being treated for strep throat about 3 weeks ago. She reports no fever or chills. On physical examination you […]

A 58-year-old man with a history of alcohol use disorder, intravenous drug use, and hepatitis C presents to the clinic with complaints of a rash on his hands and forearms. Physical exam reveals hyperpigmented, fragile skin with blisters on the forearms and dorsal aspect of the hands. Urine studies show normal results except for significantly […]

A 20-year-old man with no significant past medical history presents to the clinic with concerns about frequent sunburns and photophobia. He stated that since he was a child, he always needed to cover up his skin while in the sun. If he did not, then he would quickly develop sunburns that would eventually blister. On […]

A 16-year-old student is in the clinic because of bumps on her face. She has had these for the past couple of weeks, and they seem to worsen once or twice a month. On physical examination, there are multiple 1-2 mm widened hair follicles containing oxidized, greasy, keratin material and small flesh-colored papules on the […]

A 32-year-old man presents with painful oral lesions and flu-like symptoms that started a few days ago. On examination of the lips and mouth, you notice small red areas with groups of vesicles on top. The patient’s vital signs are blood pressure of 120/80 mm Hg, pulse of 80 bpm, respiratory rate of 14/min, and […]

A 28-year-old primigravida woman at 28-weeks gestation has noticed a darkening of the skin on her face. She reports no pain or itching. Physical exam reveals light brown, symmetrical, well-defined, flat, macular patches of hyperpigmentation on her cheeks, upper lip, and forehead. Which of the following topical agents is the best treatment? Broad-spectrum sunscreen Hydroquinone […]

A 22-year-old man presents with complaints of multiple vesicular lesions in his genital area, as well as tender groin lymphadenopathy. He is sexually active and does not regularly use barrier protection. Physical exam reveals multiple, vesicular lesions on the shaft of his penis that are tender to palpation and tender inguinal lymphadenopathy. Which of the […]

A 16-year-old girl presents with a large “patch” on her skin that appeared about a week after adopting a stray cat. She has a history of generalized anxiety disorder and takes venlafaxine daily. Vital signs include a HR of 90 bpm, BP of 104/70 mm Hg, RR of 16/minute, and T of 98.5°F. Physical exam […]

A 17-year-old girl presents with one week of worsening swelling, redness, and pain of her right index finger. She had a manicure last week before her prom. Physical exam reveals a small, fluctuant abscess along her lateral cuticle margin. Which of the following interventions is most effective in treating this condition? Incision and drainage Oral […]

A 60-year-old woman presents to clinic with concerns of a spot on her forearm that she noticed about 6 months ago. It has not changed during this time, but she is concerned as she has a long personal history of using tanning beds. On physical examination, you notice a small flesh-colored nodule with a raised […]