Friday, August 24, 2007

Lady with a bump on her head


70y old, white woman with PMH of depression, presents to the clinic for a routine check-up. Examination of her scalp shows a smooth, firm, dome-shaped 4- 5 cm nodule with no signs of inflammation or punctum. The patient states that she has had this tumor for “as long as I can remember”.

What is the diagnosis?

1. Epidermoid cyst
2. Trichilemmal cyst
3. Epidermal inclusion cyst
4. Dermatofibroma

Friday, August 10, 2007

Swollen elbow



49 y white gentleman, with past medical history of mood disorder, NOS, presents to the clinic with progressively increasing swelling of the left elbow, after sustaining a direct trauma on the elbow a few weeks ago. He complaints of mild discomfort but denies and systemic symptoms- fever, chills and denies and restrictions in joint movements. On exam, his vital signs are stable. The left elbow displays are large cystic swelling on the posterior aspect, with mild superficial redness, without any warmth, tenderness or restricted ROM.

What is the most likely diagnosis?

1. Acute gout
2. Acute septic olecranon bursitis
3. Traumatic olecranon bursitis
4. Acute Monoarticular arthritis