AN ABNORMAL EPIGYNOUS CYPERACEA

An abnormal chest radiograph.

Volume 90, Number 1 www.aafp.org/afp American Family Physician 47 A 24-year-old asymptomatic man requested a chest radiograph for routine tuberculosis screening. He did not have difficulty breathing, palpitations, chest pain, or edema. His medical history was significant for scoliosis and Rubinstein-Taybi syndrome, a rare genetic condition that causes short stature, broad thumbs and toes, hirsu...

An Asymptomatic Man With an Abnormal ECG.

A 76-year-old man presented for a routine health evaluation. He reported no symptoms and the cardiovascular physical examination was within normal limits. He takes amlodipine for hypertension. He was referred for a cardiology evaluation after the following ECG was performed. Please turn the page to read the diagnosis. Juan Carlos Brenes, MD Carlos Brenes-Pereira, MD Alfonso Tolentino, MD Cornel...

Abnormal Nails in an Infant

An abnormal chest x-ray.

A 51-YEAR-OLD white man with a 45-year history of smoking was noted to have an abnormality on a routine chest x-ray. He denied any history of cough, sputum production, chest pain, dyspnea, weight loss, weakness, or tuberculosis. There was no previous chest x-ray available for comparison. The patient’s physical examination results were unremarkable. His chest x-ray is shown in Figure 1 and a com...

Baby with an abnormal head.

1Manor Hospital, Walsall WS2 9PS, UK, and Universities Kentucky, Lexington, KY 40506, USA; 2Birmingham Children’s Hospital, Edgbaston, Birmingham B4 6NH, UK, and University of Birmingham, Birmingham, UK; 3Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9DX, UK; 4Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital/Harvard Medical Sch...