Article

Sometimes You Can’t Blame the Sun
- Author:
- Joe R. Monroe, MPAS, PA
A 60-year-old woman complains of “sunburn” and increased weakness. What should your work-up include?
Article

In (K)need of Help
- Author:
- Joe R. Monroe, MPAS, PA
The blisters on this 6-year-old boy’s knee are concerning to his parents. What is causing them, and how can you help?
Article

Adding Insult to Injury
- Author:
- Joe R. Monroe, MPAS, PA
Following a traumatic injury, a 38-year-old man developed a lesion on his finger; now he can barely use it. Will you restore his function?
Article

Facing Up to the Diagnosis
- Author:
- Joe R. Monroe, MPAS, PA
Despite his family’s concern, a 38-year-old man doesn’t think the lesion on his face is that worrisome. Is he right?
Article

Explaining Away Those Shades of Gray
- Author:
- Joe R. Monroe, MPAS, PA
A man suddenly lost a section of hair, only to have it grow back gray. He’s upset about this phenomenon; can you provide reassurance?
Article

He Needs More Than Lip Service for This Lesion
- Author:
- Joe R. Monroe, MPAS, PA
A “cold sore” refused to heal despite time and antibiotic and antiviral treatment attempts. What will a biopsy reveal about the diagnosis and the...
Article

Why Size (of Your Differential) Matters
- Author:
- Joe R. Monroe, MPAS, PA
His friend said the lesions were a fungal infection. But this 50-year-old man decided to seek a professional opinion. Will you guess the outcome...
Article

All’s Well That Ends Swell(ing)
- Author:
- Joe R. Monroe, MPAS, PA
This 61-year-old woman’s legs are extremely swollen and covered with nodules. It’s always uncomfortable and sometimes painful. Will your diagnosis...
Article

Making the Rounds to Diagnosis
- Author:
- Joe R. Monroe, MPAS, PA
Round lesions mean fungal infection—so a multitude of providers have told this 60-year-old woman. But if repeated treatment doesn’t work, the...
Article

A Rash Against the Grain
- Author:
- Joe R. Monroe, MPAS, PA
After a decade of itching, a 56-year-old man is desperate for relief. Treatments for eczema and scabies have failed; what will you bring to the...
Article

This Rash Really Stinks!
- Author:
- Joe R. Monroe, MPAS, PA
This 50-year-old woman has had an uncomfortable (and at times smelly) rash under her breasts for years. Will your diagnosis provide relief at last...
Article

I Spy, Near the Corner of My Eye
- Author:
- Joe R. Monroe, MPAS, PA
For 3 years, a lesion has persisted on a young girl’s face. While her PCP said it would eventually disappear, her mother decided to take her...
Article

Sticking His Neck Out Leads to Diagnosis
- Author:
- Joe R. Monroe, MPAS, PA
After 5 years of multiple diagnoses and ineffective treatment of a lesion on this man’s neck, a relative finally got through to him: See a...
Article

Read This Rorschach Chest
- Author:
- Joe R. Monroe, MPAS, PA
For months, the diagnosis of the rash on this 63-year-old man’s chest has not been clear. Will referral to dermatology reveal his condition?
Article

Keeping the Differential at Hand
- Author:
- Joe R. Monroe, MPAS, PA
Other providers have attempted to treat the rash on this woman’s hand, but none have provided relief. Will your differential reveal the diagnosis...