Thursday, September 01, 2011

Dermatology Rounds



This is neither cellulitis nor an abscess. I await your questions.
Posted by 911DOC at Thursday, September 01, 2011

44 comments:

  1. Anonymous9:18 PM, September 01, 2011

    Looks almost like something is living in there.

    Oh, BTW 911, you have to watch Dancing with the Stars. Come on!!! We can talk about each episode at work. I feel we have grown apart and this is something we can bond again with. Chaz Bono? OMG, you gotta watch.

    -SCRN

    ReplyDelete
  2. drive-by smartass9:20 PM, September 01, 2011

    Spider-bite?

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  3. Anonymous9:48 PM, September 01, 2011

    Yes! So glad this stuff is back.

    My questions:
    1) Does this have anything to do with cocaine use?
    2) Is this due to a topical exposure or something systemic?

    P.S...sent something to the mdod gmail. Hopefully its working?

    MS1

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  4. 911DOC9:55 PM, September 01, 2011

    scrn,
    love dancing with the stars, and wedding planning, and floral arranging, and ethel merman songs. not a botfly.

    dbsa,
    no sir, not arachnid related.

    ms1,
    everything has to do with cocaine use, but in this it is not a direct cause. say hello to my little friend. not sure i understand the difference in question two... not a contact dermatitis if that's what you mean. and as far as we know right now this is not systemic. and if you sent me an email it must be spammed... when did you send?

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  5. Anonymous10:07 PM, September 01, 2011

    goddam your email. like a few hours ago, maybe? let me know if i need to resend.

    ok, i've got two guesses...let me know how far off i am.

    1) syphillis..on the face...somehow.
    2) actinic keratosis. too much time in the sun?

    if these are completely off, i'm gonna need a hint.

    ms1

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  6. Anonymous10:09 PM, September 01, 2011

    or impetigo. staph.

    ms1

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  7. 911DOC10:15 PM, September 01, 2011

    dear ms1,
    are you mr edward gambery of the national bank of quattar with a million dollars for me? if not, i don't have it.

    not syphyllis... not an ak.... but think about the AK.

    not impetigo, staph.

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  8. 911DOC10:27 PM, September 01, 2011

    no, not anthrax! i would have refused to treat him then! i can't put myself at risk because i am almost as valuable to our country as his O-ness... it's not selfish, it's just the way it is.

    AK. capital letters. and not arkansas.

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  9. Anonymous10:30 PM, September 01, 2011

    damnit. i dont think ive ever gotten a guess right on here. im gonna have to think about this longer.

    ms1

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  10. PA-S110:36 PM, September 01, 2011

    squamous cell ca

    -PA-S who #%$*ed ms1 years ago

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  11. 911DOC10:39 PM, September 01, 2011

    sure looks squamous-y, i agree, but look how young this man is... not a squam. and how was ms1? did he really earn the nickname 'horse'?

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  12. PA-S110:43 PM, September 01, 2011

    stallion

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  13. 911DOC10:48 PM, September 01, 2011

    way to go ms1.... i have a new respect for you. is PA-S a female?

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  14. Dr. J11:21 PM, September 01, 2011

    I think it's scrofula, aka tuberculosis lymphadenitis...I hope that you didn't poke at it too much MS1!
    Dr. J

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  15. Phillip2:41 AM, September 02, 2011

    Grazed by a bullet, which did some heat damage to the middle of the wound, as well as tearing out some meat from the rest and surface burns where it barely touched?

    Of course, what do I know, I'm an IT geek.

    ReplyDelete
  16. Anonymous6:41 AM, September 02, 2011

    Ha! of course she's a female...i'm not etotheipi. see how well i spread your blog?

    I still have no idea what this is, are there more lesions that we can't see?

    dr. j...i'm an excellent poker.



    ms1

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  17. 911DOC6:49 AM, September 02, 2011

    i'm digging that the IT guy gets the AK reference and guesses a bullet graze. not correct, but damn fine detective work their my computer friend.

    so, time for a hint... the AK reference was to indicate that this young man is in the service and just returned from the lovely country of Afghanistan. he was not there on vacation. and while this disease is not particularly prevalent there, he dont caught it anyway.

    and ms1, i guess you are an excellent poker. nice Rain Man reference and, again, good for you.

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  18. CholeraJoe7:02 AM, September 02, 2011

    Cutaneous Leishmaniasis spread by infected sandflies from the Genus Simulium. Saw it in Saudi back in 90.

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  19. rnraquel7:12 AM, September 02, 2011

    Leishmaniasis

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  20. Anonymous7:13 AM, September 02, 2011

    Aaron Murray after being pile drived by All American/1st Round NFL/BCS Champion Defensive Lineman Nick Fairley?

    Go Broncs!!!!!!

    Frank

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  21. 911DOC7:19 AM, September 02, 2011

    blow it out your dead-tree auburn ass frank.

    and we have winners! cutaneous leishmaniasis. more often seen in soldiers returning from iraq, that's why this one was a bit odd. will probably change all the AFIP recommendations for deploying soldiers.

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  22. CholeraJoe7:26 AM, September 02, 2011

    Ya know I went to Auburn too, 911. But I'm humble about it.

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  23. Anonymous8:07 AM, September 02, 2011

    whats treatment for that? dr. wiki is failing me.

    ms1

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  24. 911DOC8:39 AM, September 02, 2011

    CJoe, I really do like Auburn but Frank makes it hard... Liking Auburn I mean, not my cock.

    And ms1.. A pentavalent antimony compound... Duh... But that's for the uncomplicated cutaneous forn and not the post-kala-azar variant. It's quit an interesting disease with many forms including visceral... Perhaps you can teach us about it Stallion?

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  25. Anonymous9:01 AM, September 02, 2011

    well, the parasites lecture was on Monday..but, considering I haven't opened a book in two weeks, i should get to it by next friday. i'll fill you in.

    ms1

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  26. 911DOC9:10 AM, September 02, 2011

    Frank,
    Is the shitty spelling an affectation or a result of your fine education? It's Sun Tzu. And I blame AUBURN FOR EVERY UGA's death since your vet school has vet to find the elixir iof eternal life for dogs. Almost enough to turn me to the Crimson, but asshole vandal tree-poisoners are too much, so I guess I still like you guys.

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  27. Anonymous9:35 AM, September 02, 2011

    I think it was that Great American Nathan Bedford Forest who said the secret to winning was "git thar the fustus wit the most-us"
    only word he spelled correctly was "The" didn't stop him from kickin some Yankee Ayse...
    and George S. Patton, whose Grandfather fought for the Confederacy BTW, said he couldn't respect a man who could only spell a word one way..
    Or maybe it was Jim Morrison...
    and here's hopin UGA XXXXXXV watever makes it to "The World's Largest Outdoor Cocktail Party" which has to be the gayest name for a Football Game ever...

    Frank

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  28. 911DOC9:40 AM, September 02, 2011

    Nice quote from NBF... Founder of the KKK... And it's now "the worlds largest outdoor cocaine orgy"... Much cooler I think.

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  29. Anonymous10:47 AM, September 02, 2011

    Founder of the KKK???
    I thought it was the Mossadd...
    and "Ku Klux Klan" is just Latin for "Band of Brothers" its like a really racist fraternity.
    and thats why y'all always lose to the Gators, treatin a SEC game like a "Party"...
    There's nuthin fun about SEC Football, unless you consider crushing your enemies, seeing them driven before you, and hearing the lamentations of there women "Fun".

    Frank

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  30. 911DOC10:51 AM, September 02, 2011

    Props for the Conan reference.

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  31. mike16181:06 AM, September 03, 2011

    Why wouldn't the guidelines be changed already? The WHO has dubbed the capital Kabul as the “largest center of cutaneous leishmaniasis in the world”. In Kabul alone the number of cases jumped from an estimated 17,000 a year in the early 2000s to 65,000 in 2009. There is a major epidemic there.

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  32. 911DOC6:12 AM, September 03, 2011

    mike1618,
    they may be changed already. all i'm saying is that withing the deploying military most cases have come from iraq, not afghanistan.

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  33. Anonymous6:39 AM, September 03, 2011

    Since when did the WHO become experts on medical issues? And I thought Mark Richt cured all this stuff during the off season instead of watching game film, cheating, I mean recruiting, and coming up with a more modern offense, you know, like something from the 80's...

    Frank

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  34. mike161810:28 PM, September 03, 2011

    As soon as they were elected into the rock and roll hall of fame. Instead of posting here, your time would be better spent drafting a good-bye letter to Mark Richt. An SEC team getting pounded by a Mountain West team...what a joke.

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  35. mike161810:31 PM, September 03, 2011

    B/C of your precious bull-puppies, we are now going to have to hear Boise State whining about not getting to the BCS even with a flawless record. With all of the realignment, maybe Georgia should take this opportunity to move to Conf-USA?

    ReplyDelete
  36. 911DOC7:53 AM, September 04, 2011

    dear mike1618,
    Ava is a lively child and I so admire your desire to raise her to be a wonderful human etc.... So, you are new here right? As a classy mom or dad you should know that classy moms do not, as a rule, waltz into someone's house and take a steaming crap on the floor. Make's one question the whole "classymom" thing and the neat story about the high school sweethearts of nine years and whether, in fact, you actually are capable of raising a chia pet, much less a human.

    now frank, he can do it because we have a history... But you? And besides, I actually did not play in the game last night, so as they say in Italy, fuck off.

    V/R

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  37. mike161811:27 AM, September 04, 2011

    I didn't understand what you were talking about at first, but the link to that blog was just one that I was following a while back.

    I've been a long time reader of your blog and appreciate your topics. I was just having fun stirring the pot. By the way, I mistakenly thought it was Frank who was a GA fan. I was actually commenting to him. So as they say in Italy, Non ottenere le mutandine in un mazzo.

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  38. Anonymous7:09 PM, September 04, 2011

    Hey 9-11, don't blame me cause Mark Richt infected his entire Offensive Line with whatever ambition sapping tropical third world disease he spent 2 weeks curing this Summer instead of watching Boise State Game Film...
    Seriously, UGA's a bigger waste of talent than the Traveling Wilburys/Cream/Velvet Revolver/Slash's Snakepit combined...
    and what was with those Red Uniforms?? thought I'd tuned in to the 1980 Olympics by mistake.
    You remember..those hideous "Red Army" Russian unis...
    And I tuned into the UGA radio show cause I love rubbernecking at the scene of a nasty accident, one of the Coaches said UGA would be ready for Carolina because, get this..
    THEY'D BE WEARING THERE REGULAR UNIFORMS!!!!!
    and I know, THE DEFENDING BCS CHAMPS had to recover an on-side kick in the final 2 minutes, still counts as a "W"
    that means "Win"

    Frank

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  39. 911DOC7:39 PM, September 04, 2011

    mike1618,
    Weird how your screenname puts you as the author of that blog... Just weird... But whatever. Apology accepted.

    Frank,
    It is time to bid adieu to Coach Richt. Unless he runs the table. But he won't. He's too nice an it's a shame but UGA is going to be looking for a new ciach pretty soon. I like the Boise coach... Like the cut of his jib.

    ReplyDelete
  40. Anonymous7:56 PM, September 04, 2011

    Wow, even a lowly editor was going to guess leish. I saw it when I went to the Peruvian Amazon for book research. Wanted to go home real bad.

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  41. Anonymous7:57 PM, September 04, 2011

    9-11, Richt's been on borrowed time since 08', seriously, how do you take a #1 Preseason ranking, Matthew Stafford, AJ Green, Noshawn Moreno, and end the season losing to that mongoloid Josh Nesbitt??
    And if you wernt so hung up on a Coaches religious boner-fides, you could have picked up Tommy Tuberville for a bargain, and maybe he'd have even brought a few of his recruits with him, perhaps even a mean and nasty defensive lineman from Mobile...

    Frank

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  42. Anonymous11:42 PM, September 05, 2011

    I thought perhaps it was an overeager hickey taken too far-

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  43. Anonymous7:21 AM, September 09, 2011

    Yup...going a bit further than Anon 1142, I thought it looked like a nice, even, human bite! But that was before the part about where he spent his summer vacation!

    Pattie, RN

    ReplyDelete
  44. Anonymous10:11 PM, October 09, 2011

    The abbreviation for Arkansas is AR. AK is Alaska.

    ReplyDelete

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