Picture Prognosis Library

March 17, 2025

A 71-year-old male presents with a large, painless, slow-growing mass on the left upper lip, persisting for six months. Clinical examination reveals a well-circumscribed, sessile, smooth-surfaced submucosal lesion with a yellowish appearance and tense-elastic consistency. He has no history of smoking, alcohol use, systemic diseases, surgery, or recurrent mouth ulcers. Ultrasound confirms a hypoechoic, gelatinous mass, and Doppler imaging excludes high-flow vascular involvement. What’s Your Diagnosis?

March 10, 2025

A 19-year-old female presents with a urinary tract infection and is incidentally found to have anemia and mucocutaneous pigmentation on the lips, oral cavity, palms, and soles, present since birth. She reports occasional rectal bleeding and intermittent abdominal pain, but denies significant weight loss or significant family history. What’s Your Diagnosis?

March 03, 2025

3-year-old girl presented with weakness and inability to use her left lower limb after receiving a DPT vaccine. She could not walk and had difficulty with dorsiflexion of the left foot. A nerve conduction test revealed which of the following?

February 24, 2025

A 34-year-old male with discolored yellowish-brown posterior teeth requests bleaching treatment. Intraoral exams reveal premolars and molars are affected, showing yellowish-brown banding. He recalls multiple childhood respiratory infections but does not remember his medication from then. What’s your diagnosis?

February 17, 2025

17-year-old female presented with unilateral, painful swelling on the dorsum of her right hand, which appeared over 20 days without trauma or other symptoms. Clinical and radiological exams were unremarkable, but the swelling resolved spontaneously after five days. Psychiatric evaluation revealed borderline personality traits and extensive medical knowledge. What's Your Diagnosis?

February 10, 2025

An 81-year-old female with diabetes and hypertension presented with a persistent ulcerated lesion on the right upper eyebrow. Despite three months of dermatological treatment, the lesion did not improve. She had no history of smoking, alcohol consumption, or significant sun exposure. A CT scan showed a 16 × 7 mm enhancing ulcerating skin lesion on the right upper eyebrow, with no connection to deeper structures. Surgical excision was performed, and histopathological evaluation confirmed a diagnosis of poorly differentiated carcinoma. What's Your Diagnosis?

February 05, 2025

A 25-year-old woman with no known medical conditions presents with a 4-month history of erythematous rashes on the dorsum of her feet, with a few similar lesions on her legs, thighs, and forearms that resolved spontaneously. A skin biopsy reveals hyperkeratosis, focal parakeratosis, and perivascular chronic inflammation with red cell extravasation. She received a Pfizer-BioNTech COVID-19 vaccine booster less than a month before the rash appeared. What's Your Diagnosis?

January 26, 2025

A 17-year-old male baseball player presents with a rapidly growing, highly vascularized gingival mass. The lesion appears reddish-purple, bleeds easily, and is painless. Histopathology reveals endothelial-lined channels filled with red blood cells and an ulcerated surface infiltrated by neutrophils. What's your diagnosis?

January 20, 2025

A two-month-old female presented with recurrent desaturation despite oxygen therapy for COVID-19 bronchiolitis. ECG revealed a prolonged QT interval (QTc 544 ms). Genetic testing identified variants in KCNQ1 and CACNB2 genes. Family history includes a previous sibling with sudden death. What's Your Diagnosis?

January 14, 2025

A 46-year-old female with hypertension and diabetes sustained a pit bull bite on her left forearm. One day later, she presented with pain, erythema, drainage, and crepitus on X-ray. She was diagnosed with gas gangrene and compartment syndrome, requiring emergency fasciotomy, surgical debridement, and a skin graft. Polymicrobial cultures revealed N. animaloris, N. canis, and other species. What is the likely primary diagnosis based on her presentation?