A 45-yo man was referred for a suspected choroidal melanoma (black arrow). The lesion increased in size on upgaze, but disappeared completely with gentle pressure applied to globe (white arrow). What is the diagnosis?
![](/epocrates/sites/epocrates/files/docalert/quiz/VortexVeinVarix_thumb.jpg)
CNS tumor metastasis
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Choroidal melanoma
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Toxoplasmosis retinochoroiditis
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Cotton wool spot
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Vortex vein varix
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A 58-yo man who recently visited Zambia presents w/ fevers and lethargy. Painful leg swellings 3 days earlier. Malaria test negative. Exam: GCS 12/15, facial swelling, indurated skin lesions. Blood film: extracellular structures. What is the diagnosis?
![](/epocrates/sites/epocrates/files/docalert/quiz/HAT1_thumb.jpg)
Human African trypanosomiasis
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Leptospirosis
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Secondary syphilis
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Malaria
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Dengue fever
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