case solved

49 year old female with diabetes mellitus brain injury was referred for feeding tube placement. Endoscopy showed a large ulcer. What are the possibilities

84 year old with a lump in the right breast since 1 week. No history of trauma. O/e - 3*3 cm well defined firm lump in upper outer quadrant of right breast. Not fixed to skin or underlying muscle. No enlarged axillary LN. Share your views regarding the mammogram

58yo male with 6 month history of progressive hyperpigmented, non-raised, homogenous, non pruritic, dark brown macules. Areas of active development surrounded by collerette border and erythema. Medications include Metformin, Atorvastatin,, and aspirin. Punch biopsy demonstrates a lichenoid superficial perivascular lymphocytic infiltrate with lymphocyte exocytosis, patchy degeneration of the D:E junction and necrotic keratinocytes. Ddx includes erythema multiforme, drug eruption, reaction to certain infections(HSV) and others. Clinical correlation required. Declines use of heating pads, topical medication or previous zoster like rash. No known vascular disease or history of DVT. What is your diagnosis?

A ninety years old female presented with painful lesions over her upper back,chest and overlying shoulder region for last 2 days. The lesions were accompanied with fever, agitation and restriction of movement of shoulder joint. Possible differentials and management? #learningwithvisuals

60 yr old man c/o darkening of skin at groin and axilla. O/E:warty, velvety brown skin Biopsy : hyperplastic epidermis with peaks and valleys. What could be the etiological factor.?Which malignancy is commonly associated with this condition? 1--Diabetes 2--Immunosupression 3--Infectiin 4--Skin Malignancy