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Clinical Notes

2 mo with 2/52 history of these two lesions. Largest was present first and is growing. Smaller lesion is more recent. Mom reports he appears as if in pain when nursing. Per mom had a "blood blister" in his mouth when he was born that ruptured during nursing then disappeared. Perinatal and delivery course benign. All maternal labs negative. Regarding the lesions...the largest (orange arrow) has yellow coloring but appears fluid filled and is pedunculated although that is difficult to ascertain from photo. The smaller is consistent with mucocele. Thoughts?

Trending Cases

1. South America. Indigenous mom arrived w/baby wrapped in giant green leaves after a 12 day wait for medical evac flight to poor public hospital. Mom only spoke dialect, but pointed to fire pic when shown fire & boiling water pics. No pain meds available, mom nursed baby for comfort. Looks like fluid burn to us. Leaves worked amazingly well it seems. Hope I blocked out enough nudity. #casetodonate

2. 7 year old male up to date with childhood immunizations, couple days of cough and runny nose, afebrile. Pt told his mom he had burning sensation in his mouth and when his mom looked she saw what appears to be a bruise at the roof of his mouth. Says he didn’t injure it or burn it on anything. No pain with palpation.

3. 51 y/o man presents to the dermatology clinic for evaluation of a lesion on his shoulder that has gotten progressively worse over the last 10 years. Initially he states the lesion was smaller in size and it would "go away" when he would rub on it. In the past five years or so, however, he says the lesion "got worse" and started to burn and itch. Occasionally he says it will ooze, but states the pain is about a 2/10.

4. "spider bite" first noticed 1wk ago. Afebrile, no crust. Painless. slightly puritic. Ulcerated area on bridge of nose not initially present and Another smaller lesion on tip on nose appeared 4d ago. Pmh HTN, gout. Reports he recently started taking aleve for gout-related pain. Lives in urban area. NE US. Maybe fixed drug eruption(?) I'm a psych nurse so definitely conjecture.

5. A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle.

6. A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

7. A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

8. patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family.