(BMJ) - A 46-yo African American man w/ uncontrolled DM and HTN presented w/ SOB and confusion. Exam: white, powdery deposits on face and limbs. Labs: BUN=100 mg/dL, Cr=7.3 mg/dL. The skin findings resolved after 10 days of hemodialysis. What caused the powdery substance?
Crystallized urea
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Nephrogenic fibrosing dermopathy
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Calcinosis cutis
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Xerosis
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Calciphylaxis
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(BMJ) - A 35-yo pregnant woman developed gingival hyperplasia and lost 10 lbs over 5 wks w/ no other symptoms. Labs: leukocytosis, anemia, thrombocytopenia. Images show gums before and after resolution. What is the diagnosis?
Pregnancy-related gingival hypertrophy
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HIV infection
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Crohn disease
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Acute myeloblastic leukemia
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Infectious gingivitis
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(BMJ) – A 40-yo man presented w/ a 6-wk hx of a mildly painful, enlarging ulcer on his lower leg after a trip to Afghanistan. Exam showed a large ulcer and proximal erythematous nodules. What is the diagnosis?
Pyogenic granuloma
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Ulceroglandular tularemia
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Sporotrichosis
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Cutaneous leishmaniasis
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Leprosy
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