The irrational yet irrestible urge to know or make known. The CC is a "club" founded by a small group of medical professionals, who have made a pastime of turning medical cases and discussions into medically irrelevant history lessons, philosophical rants, and displays of one-upsmanship. The official premise, since the "club" was named, has been to exchange and discuss various books, movies, and ideas. Sometimes we eat sushi.
Friday, July 18, 2014
The Green Heron
From a distance, the Green Heron is a dark, stocky bird hunched on slender yellow legs at the water’s edge, often hidden behind a tangle of leaves. Seen up close, it is a striking bird with a velvet-green back, rich chestnut body, and a dark cap often raised into a short crest. These small herons crouch patiently to surprise fish with a snatch of their daggerlike bill. They sometimes lure in fish using small items such as twigs or insects as bait.
Wednesday, July 16, 2014
Summer Mystery7/16/2014 07:31:00 AM 10 comments
Monday, July 14, 2014
Saturday, July 05, 2014
not Granuloma Annulare
I had multiple opinions...first dermatologist thought it was GA, I was agreeable because at first it did look like GA...no good treatment for GA but I tried any one I could find. 2nd and 3rd dermatologists fungal skin slide...no organisms seen. Treated myself anyway with Lamsil and now( not above ) it is gone...not before it got in the follicles of my eye lashes and eye brows....which also cleared with the anti fungal.
Sunday, September 22, 2013
Transient Neonatal Pustular Melanosis
Transient Neonatal Pustular Melanosis very good article. This is not uncommon and is NOT herpes. Usually leaves pigmented(melanosis) lesions where the vesicles were.
Thursday, September 12, 2013
Newborn rash9/12/2013 04:06:00 PM 1 comments
Thursday, September 05, 2013
Black Widow Spider - Latrodectus mactans
I got tired of seeing that bloody eye looking back at me every time I open this site so here is a picture of a black widow spider, Latrodectus mactans that I took at my house a couple of years ago.
Friday, March 08, 2013
Saturday, November 03, 2012
Loss of Nails Following Hand Foot and Mouth Disease Infection in 2 Children
I present an unusual case of 2 unrelated children who coincidentally presented to me on the same day with Hand, Foot, and Mouth Disease and then returned 7 and 8 weeks later with the same uncommon complication of this disease.
The first was an otherwise healthy 3 year old boy whose symptoms at presentation were a 2 day history of fever up to 102 degrees, and a vesicular rash on the hands, feet, buttocks and around the mouth. A diagnosis of hand, foot and mouth disease was made, he and mom were sent home with reassurance. No further contact was made until he presented 7 weeks later with his mother who was complaining that his nails were peeling off. He had no other symptoms. I had no specific explanation for this, so I inquired about any recent systemic illnesses. She reminded me of the recent HFM infection so I did some quick research - Google Search: "hand foot mouth disease onycholysis" and I found this article. It describes 4 cases of onycholysis and/or onychomadesis following HFM infection.
Thursday, September 06, 2012
A Large Brown Recluse
Most of the times I am able to get a picture of a brown recluse (Loxosceles reclusa), the subject is already pretty smashed up. I found this one on a bag in my garage and pulled it out on the driveway where I knew it could not escape so I could get pictures. I have been seeing more of these here recently. This one was rather large for a brown recluse. Of course the characteristic marking on the dorsum of its cephalothorax which resembles a violin is the best known identifying feature.
Here is a good article on the bite of a brown recluse spider from Wikipedia. It mentions that an estimated 80% of reported brown recluse spider bites are misdiagnosed and it gives a nice list of infectious and noninfectious conditions that have previously been misdiagnosed as brown recluse bites. I do find this portion lacking in that it does not mention specifically the classic case of an attack from 'The Methicorn'.