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Image IQ: Syncope, Seizure and Hypokalemia ...Can You Diagnose This Patient?

May 05, 2020

A 17-year-old teen went to the ED after suffering his second syncopal episode in the last 6 months. He had shrugged off the first episode as not eating enough before a jog, but this time he hadn’t been doing anything active and his parents witnessed the syncope and what appeared to be a seizure. He reported that he had been feeling heart palpitations prior to the event. Further blood tests showed hypokalemia.

Image IQ: Petechia and Palpable Purpura on the Palms of Hands, Fingers, and Toes

April 01, 2020

A 40-year-old woman went to the doctor after petechia and palpable purpura appeared on the palms of her hands, fingers, and toes. She appeared chronically ill and had significant weight loss. Her doctor also noted the presences of Osler nodes. She did not have any recent injuries or skin punctures and reported she had been in good health until the last few weeks.  Based on these clues, how would you diagnose this patient?

Image IQ: 42-year-old man with dizziness and racing heartbeat

March 03, 2020

A 42-year-old man visited the ED complaining of acute onset of dizziness, heart palpitations, and a racing heartbeat. He's been working overtime and drinking caffeinated energy drinks to stay awake. He said he had multiple episodes of faintness over a short period of time. Can you diagnose this patient?