Chad Hivnor

Are You Confident of the Diagnosis? What you should be alert for in the history –Recent onset of puberty. –Endocrinologic disorder. Related Content –Neurologic, cranial, psychological disorder. –Systemic or inflammatory disease. –Skin folds are typically asymptomatic and not painful but secondary infection may result in symptoms of malodor, tenderness, and wet/sticky skin with discharge. Characteristic…

Are You Confident of the Diagnosis? What you should be alert for in the history The history of a thermal burn is usually quite clear and does not require further laboratroy or radiologic studies for diagnosis. However, in regards to patients that are unable to provide a detailed history, whether due to altered mental status,…

Are You Confident of the Diagnosis? Sebaceous hyperplasia (SH) is a common condition that primarily affects middle aged to elderly patients and increases in frequency with age. Although SH can be seen in neonates it is considered to be physiologic rather than pathologic. SH may be single or multiple in number and the most common…

Are You Confident of the Diagnosis? Pellagra is classically described as the 4 D’s in order of symptoms starting: diarrhea (watery, but may contain pus or blood), dermatitis, dementia, death. Three 3 P’s also apply: photosensitive, painful, pruritic. Pellagra is the clinical manifestation of Vitamin B3 (niacin) deficiency. Early cutaneous findings, like many skin diseases,…

Are You Confident of the Diagnosis? Myxedema is characterized by swollen, dry, pale, and waxy induration of the skin caused from depositions of mucopolysaccharides in the setting of hypothyroidism versus hyperthyroidism, which can manifest with pretibial myxedema. Generalized myxedema is the most characteristic cutaneous finding of hypothyroidism. This deposition is not specific to the dermis…