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Make the Diagnosis: A Toddler with Swollen Eyelids
Case Findings: A 4 year old male child is brought to your office by his mother who notes that his right eyelids have seemed red and swollen for the past 24 hours. She says that the child was outside playing in the backyard yesterday and thinks he was stung by a bee over the right upper eyelid. The redness and swelling began soon after. Although the child is in some discomfort, he seems otherwise well and is afebrile. On examination there is mild-moderate edema of the upper and lower eyelids but no apparent proptosis. Visual acuity is 20/20 bilaterally with normal extraocular movements, pupillary responses, and IOPs.
What is the most likely diagnosis?
Jun 19, 2017
Make the Diagnosis: Callus Conundrum
Case Findings: A 52-year-old man presents with possible calluses on either side of his thumb, forefinger, and middle finger. He reports cutting them off with nail clippers, but they return. He also reports using an over-the-counter wart treatment without success.
What is your diagnosis?
Feb 06, 2017
Make the Diagnosis: More Than A Rash
Case Findings: A 51-year-old woman visited her primary care doctor complaining of a rash, pruritus, myalgias, and muscle weakness that made normally easy tasks like standing from a seated position difficult. The rash was an erythematous blanching patch, spread across her back and shoulders like a shawl and across her chest in a V shape. She had also noticed that her fingernail folds were red and swollen.
What is your diagnosis?
Aug 10, 2016
Derms Want NP/PA Practice Limits
NPs and PAs who bill Medicaid as independent practitioners are more likely to bill for a dermatology visit than for any other office-based service -- so much so that in 2012, 55% of their Medicaid billings were for derm codes, to which dermatologists claim scope of practice violations.
Aug 15, 2014