From the Journal

These ocular changes occurred in an adolescent girl who had become irritable, anxious, and depressed in recent months. What’s the connection?

A 68-year-old white man complained of a painful “raw” lip that had gradually developed over several years.

A 62-year-old woman with a 25-year history of dyspnea was hospitalized because of hypoxemia.

Two days after cleaning her attic, a 45-year-old woman presented with several very tender ulcers on her lower mid-abdomen, low-grade fever, and headache.

What clues on the radiographs point to the cause?

Read the details of this case, answer the “quiz” questions—and get immediate feedback about your diagnostic and therapeutic choices.

A 34-year-old man is seen for routine annual physical examination. Heavy smoker. No oral symptoms, no oral trauma. Denies recent weight loss, hematochezia, and fatigue.

Macular hole, dry age-related macular degeneration, diabetic maculopathy, postoperative cystoid macular edema, branch retinal vein occlusion.

No epidemiologic or clinical features decisively distinguish CA-MRSA infections from those caused by other staphylococcal strains.