Welcome back! I hope that you have been enjoying the recent cases.
Below is an anonymised short 'spot' case whereby the physical signs provide the diagnosis.
Question 1: Please carefully examine the patient's arm (first photo). What physical signs can be seen here?
Question 2: Please carefully examine the second photo. What physical signs can be seen here?
Question 3: Which ONE cause can link the main abnormalities seen below?
Question 4: What is the most appropriate test(s) and subsequent treatment?
Results out later this month. Good Luck !!!!
p.s. a word of advice, it may not be what you first think it is!