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EQA

NSD Educational cases (Circulation AC 2021)







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AC 1

Female 56 years

Nodule on thigh. R/O dermatofibroma.





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AC 2

Female 45 years

Pigmented lesion on the right mammary chest-nipple.





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AC 3

Female 52 years

Referred from an outside dermatologist with a dx of pyoderma gangrenosum.

5 year history of multiple painful lesions on the bilateral lower extremities.

Increasing in number and size.

Treatments in past: MTX, Cytoxan, Imuran.

At presentation: Cellcept, Prednisone.





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AC 4

Female 12 years

Lesions on face. Rule out Nevus sebaceous.





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AC 5

Female 22 months

Presented to NCBH ED for fever, weakness, loss of appetite, increased shortness of breath, and evolving skin eruption with oral mucosal lesions.

PMH-12 day history of above symptoms, otherwise healthy.

All - none

FH - older brother with leukemia, sibling born with no kidneys and passed away.

Admitted to NCBH and dermatology consulted.





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AC 6

Female 24 years

Mexican with a recurring eruption on chest and back.





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AC 7

Male 30 years

Dermatology consulted for eruption on lower extremities in Caucasian, concerned for possible vasculitis.

Patient admitted for tachycardia, severe anemia (Hemoglobin 7.9 g/dL) and spontaneous hematoma formation in left leg.

Previously treated for Rocky Mountain Spotted Fever with 3 weeks of Doxycycline.





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AC 8

Female 35 years

Peruvian with multiple lesion on the lower extremities.

The lesions have been present for several years and the patient noted that an increase in the size of the lesions for the last 6 months.





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AC 9



Newborn 40 week vaginal delivery.

Apgars 1, 5, 7 at one, five and ten minutes.

Meconium staining of amniotic fluid.

No cooling devices used on patient.





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AC 10

Female 30 years

Multiple pigmented lesion on the right upper lip and gingiva.





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