2 cm Trichilemmal cyst present about 5-10 years. Delivered w | Figure 1

kurthelgerson

Family Medicine

2 cm Trichilemmal cyst present about 5-10 years. Delivered whole, two-layer closure with Vicryl 3-0 suture to try to bring together the cavity it left behind. Closure of epidermis with 4 skin staples. Removal of those in 10 days. I love family practice for the variety! First image doesn't come close to showing the swelling.

Similar cases

25yr presents with open wound x3months. History of cysts on scalp, has had approx 10 removed, type II DM, PCOS. pt states began like other cysts then came to a head and drained and is now very hard when palpating, discomfort almost constantly. Waiting for derm consult. Thoughts?](https://app.figure1.com/case-detail/08fcc874-18f6-4548-8e7d-6307dc48a2b2)

Throid goitre(orange arrow) and a sebaceous cyst (blue arrow) in a male aged 53 years.Intra operative excision.](https://app.figure1.com/case-detail/118d19e0-e21b-463d-8abc-89923801cb83)

Before and after staple closure.](https://app.figure1.com/case-detail/136c02dc-aa40-40ed-b9e8-e13c837f2177)

Pt had I & D of infected epidermal cyst to back of neck 5 days ago. This was removed from wound at dressing change today (not visible before). Any ideas what it could be?](https://app.figure1.com/case-detail/16fdba5e-1eed-4c13-8a5c-be16c7429468)

Trending now

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. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)