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Derm Dx: Erythematous Rash on the Upper Back

A 32-year-old man is referred for evaluation of an erythematous rash on his upper back that has been present for approximately 2 months. At age 25, he was diagnosed with systemic lupus erythematosus (SLE), a disease that also affects his mother. Treatment with hydroxychloroquine 200 mg/d was restarted approximately 1 month ago. Examination reveals annular,…

Anterior vs Posterior Approach in Total Hip Replacement

A 67-year-old man presents with end-stage arthritis of the left hip as shown in an anteroposterior pelvis X-ray (Figure 1). He has failed conservative treatment and wishes to have a total hip replacement. He had a right hip replacement 5 years ago using the posterior approach. He recently heard about the anterior approach and asks…

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