Teen Gunshot Victim Develops Delayed Complications Janice Verham, MD May 18, 2026 ++++

https://reference.medscape.com/viewarticle/teen-gunshot-victim-develops-delayed-complications-2026a1000fni?ecd=WNL_casechlg_260614_MSCPREF_etid8418307&uac=148436CN&impID=8418307 Editor's Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians, but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please email us at ccsuggestions@medscape.com with the subject line "Case Challenge Suggestion." We look forward to hearing from yo A Violaceous Retiform Rash With Progressive Lower Extremity Ischemia in a 66-Year-Old Man Margaret Mercante; Rishab Revankar, MD; Shira Lanyi, MD; Gabrielle Schwartzman, MD; Danielle Nelson, MD; Scott Berg, MD; Barrett Zlotoff, MD https://reference.medscape.com/viewarticle/violaceous-retiform-rash-progressive-lower-extremity-2026a1000d6p?ecd=WNL_casechlg_260614_MSCPREF_etid8418307&uac=148436CN&impID=8418307 April 30, 2026 A 66-year-old man with a history of JAK2-positive essential thrombocytosis, polysubstance use disorder, and prior right lower extremity osteomyelitis status post-toe amputation presents with worsening right foot pain, ulceration, and a violaceous rash extending proximally up the lower extremity. The patient reports having progressive pain and discoloration over several weeks. There is no recent history of trauma, new medications, or systemic infectious symptoms. Incidental PSA Elevation in a 69-Year-Old Former Smoker with Hypertension Abdul Baseet Arham, MBBS; Valentina Marulanda-Corzo, MD; Scott T. Tagawa, MD, MS https://reference.medscape.com/viewarticle/incidental-psa-elevation-69-year-old-former-smoker-2026a1000al6?ecd=WNL_casechlg_260614_MSCPREF_etid8418307&uac=148436CN&impID=8418307 April 14, 2026 A 69-year-old man with a history of medically managed hypertension and hyperlipidemia was referred to urology with an incidentally detected prostate-specific antigen (PSA) level of 6.6 ng/mL. The patient reported no voiding or sexual issues and denied constitutional symptoms. The only family history of cancer was lung cancer in his father, who was a smoker. Examination of his prostate revealed no palpable nodules. Vertex Balding and Clitoromegaly in a Muscular 32-Year-Old Woman Lauren G. Yi; Richard Harold Flowers, IV, MD https://reference.medscape.com/viewarticle/vertex-balding-and-clitoromegaly-muscular-32-year-old-woman-2026a1000878?ecd=WNL_casechlg_260614_MSCPREF_etid8418307&uac=148436CN&impID=8418307 March 25, 2026