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Wednesday, January 21, 2009

Pseudocyst of the Auricle

The patient is a 20 yo college wrestler with a one week history of a painless swelling in the right ear. The area outlined is fluctuant but not inflamed.This is an auricular pseudocyst. It is overly optimistic to think that simple drainage will ensure cure. A number of therapies have been proposed.For an excellent (and reasonably succinct) review of this subject see eMedicine/Pseudocyst.This patient was referred to a plastic surgeon -- I will...

Saturday, January 3, 2009

Magic Cure?

Abstract: 45 yo man with two year history of painful fingersPosted by DJ ElpernHPI: The patient is a 45 yo electrician and professional pianist who developed hyperkeratotic patches on his hands two years ago. Nothing new in exposures. After much questioning, he remembered that his mother-in-law moved in with them around that time. (not kidding). The fissures are very painful, especially when playing keyboard. He can use gloves doing electrical...