Tag: Stephen Purcell DO

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A man with vegetative plaques and oral erosions

Presenter: Carl Barrick, DO and Tanya Ermolovich, DO
Dermatology Program: Lehigh Valley Health Network/PCOM
Program Director: Stephen Purcell, DO
Submitted on: Feb 28, 2018

CHIEF COMPLAINT:  34 year-old Caucasian male with vegetative plaques right axilla, umbilicus, bilateral inguinal folds and scrotum with extension to anus.

CLINICAL HISTORY:

Signs and symptoms:  History of Present Illness: The patient presents with ulceration and crusting of his nose and lips for six weeks. He has had thick, crusted lesions and swelling of his scrotum for three months. The lesions are asymptomatic although the ulcerations in his mouth are painful. He admits to feeling well without fevers, chills, dysphagia, diarrhea, abdominal pain, or joint pain.

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A 40 year old female with left sided facial swelling and lip swelling

Presenter: Huyenlan Nguyen, DO, Elise Grgurich, DO
Dermatology Program: Lehigh Valley Health Network/PCOM
Program Director: Stephen M. Purcell, DO
Submitted on: Feb 29, 2016

CHIEF COMPLAINT:  A 40-year-old female with left-sided facial swelling and lip swelling

CLINICAL HISTORY:

Signs and symptoms:  The most recent episode occurred one month ago and was associated with swelling of the face and lips. She feels the self-limited flares are related to stress and denies any associated new medications or provoking foods. She occasionally has numbness on the left side of her face that she attributes to her history of Bell’s palsy.

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Nodule on the vertex of the scalp

Presenter: Stephen Hemperly, DO
Dermatology Program: Lehigh Valley Health Network
Program Director: Stephen M. Purcell, DO
Submitted on: Feb 18, 2015

CHIEF COMPLAINT:  Our patient is a 71-year-old Caucasian male who presented with a one-year history of a nodule on the vertex of the scalp.

CLINICAL HISTORY:

Signs and symptoms:  The lesion had become soft and tender during the week prior to the presentation. He admitted to headaches and a buzzing sound in his head. He denied all other neurologic symptoms.

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Rash with occasional small blisters

Presenter: Sean Branch, D.O., Ryan Owen, D.O., Luis Soro, D.O., Christian Oram, D.O., Stephen Hemperly, D.O., and Kelly Reed, D.O.
Dermatology Program: Lehigh Valley Health Network/Philadelphia College of Osteopathic Medicine
Program Director: Stephen Purcell, D.O.
Submitted on: Mar 3, 2014

CHIEF COMPLAINT:  A 79-year-old male complained of a rash with occasional small blisters.

CLINICAL HISTORY:

Signs and symptoms:  The generalized rash began 4 months ago and was mildly pruritic. Small blisters appeared to rupture easily and leave behind superficial erosions. There was no history of any new or changing medications prior to the onset of his rash.

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Atypical vascular lesion arising in an area of previous radiation treatment on the breast

Presenter: Christian W. Oram, D.O.
Dermatology Program: Lehigh Valley Health Network/Philadelphia College of Osteopathic Medicine
Program Director: Stephen M. Purcell, D.O.
Submitted on: Jun 2, 2013

CHIEF COMPLAINT:  Lesion on the right breast

CLINICAL HISTORY:

Signs and symptoms: The patient presented in October 2010 with a pink to purple asymptomatic plaque on the right medial breast.

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