2007-2008 Academic Year Archives - Page 2 of 2

Painful nodules on the feet

August 26, 2007

Presenter: Kenneth T. Kircher, DO

Dermatology Program: Philadelphia College of Osteopathic Medicine / Lehigh Valley Hospital

CHIEF COMPLAINT: Painful Nodules on Plantar Aspects of Feet

CLINICAL HISTORY: A well-appearing 12-year-old girl presented to the office with exquisitely tender erythematous dermal to subcutaneous nodules on the plantar and lateral aspects of both feet. The patient states that she awoke two days ago with 1-2 slightly raised erythematous nodules on her right foot, that were very tender to walk on. By that afternoon, she had 4-6 lesions on the plantar and lateral sides of both feet. They had become increasingly tender and now prevent ambulation. She denies fever, chills, or other constitutional symptoms. She denies exposure to cold, new medications, any recent illness, or trauma although she did have a prolonged ballet recital the day before. No prior treatments.

Swollen, sore red eye

July 26, 2007

Presenter: Tom Mackey, DO; Christian Anderson, DO; Jason Barr, DO

Dermatology Program: AZ Desert Dermatology

CHIEF COMPLAINT: “swollen, sore red eye” x 3 weeks

CLINICAL HISTORY: A 64-year-old Caucasian female presents to our clinic complaining of a “swollen, sore red eye” for the past three weeks. In addition to her using over the counter topical antibiotics, her primary doctor placed her on ciprofloxacin 500mg PO QD, currently day 5. Both the patient and her primary doctor are concerned that her condition is worsening despite treatment. Her condition began as a suspected “bug bite” which has just grown to involve the entire eye. Part of the lesion had blistered and some oozing was noted, but no ulceration. The patient denied recent URI, fever, vision changes, ptosis, or photophobia. She described some scant AM discharge from her eye without purulence.

Unilateral hyperpigmented axillary eruption

May 26, 2007

Presenter: Risa Gorin, DO

Dermatology Program: St. Barnabas Hospital Dermatology Department, Bronx, New York

CHIEF COMPLAINT: Unilateral Hyperpigmented Axillary Eruption

CLINICAL HISTORY: A 71-year-old Hispanic female with a past medical history of insulin-dependent diabetes, and left cerebral vascular accident was referred by her primary care physician for evaluation of a unilateral, hyperpigmented rash located in the right axilla. According to the patient the rash had been present for three weeks. She admitted to using copious amounts of deodorants in the area. The patient denied any symptoms of pruritus or burning. Prior to the presentation, she did not receive any treatment for her rash.