What is Your Guess? An Unlikely Pregnancy

what is your diagnosis?

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What is your guess? Lactescent plasma in acute leukemia.

A 15-year-old white girl presented with headaches and night sweats of 2 weeks’ duration. Her platelet count was 50 10/ L (50 10/L) [reference interval, 140–440 10/ L (140–440 10/L)]. Upon referral to hematology/oncology, the patient had a leukocyte count of 21 10/ L (21 10/L) [reference interval, 3.8–9.8 10/ L (3.8–9.8 10/L)] with 46% lymphoblasts. The patient was diagnosed with pre-B acute lym...

what is your diagnosis?

What is your guess? A four-day-old boy with an abnormal metabolic screen.

A four-day-old boy with a positive result in newborn-screening testing was referred to the hospital for further evaluation. He was the product of a 39-week gestation and appeared well at birth. His laboratory results included the following plasma findings: ammonia, 109 g/dL (reference interval, 20 – 65 g/dL); citrulline, 169 mol/L (reference interval, 2–50 mol/L); and leucine, 278 mol/L (refere...

A middle-aged lady with an asymptomatic, hyperpigmented plaque on the thigh: what is your diagnosis?

CLINICAL PRESENTATIONA 44-year-old lady came to a dermatology clinic due to an asymptomatic, hyperpigmented plaque on her right thigh since 4 months ago. On physical exam, hypertrichosis on the lesion was notable (Figure 1). Rubbing the lesion resulted in erythema and edema of the lesion. She had no systemic disease and her family history was unremarkable.