- Umbilicus hernia (crescent sign)
- Everted & swelling of Umbilicus, distended abdomen (put your hand for palpable hernia) (repair surgery) (para-hernia commonly in adults) ++ ascites/pregnancy
- Midline scar, multiple…
- Midline scar, RT inguinal swelling/mass/lump, LT inguinal scar. - diff?
- Inguinal scrotal mass - hernia - on foley’s catheter - place hand for cough - diff hydrocele, lipoma
- Midline scar, huge swelling irregular… Incisional hernia (cough test) - (strangulation of hernia - risk factor of repaired hernia) - diff of IBD, Cancer, Hernia, adhesive …
Groin Diff Diagnosis?
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Lump RT Forearm around 4cm, regular, spherical, thrill, smooth, non tender, pulsatile, non compressible, diff… lipoma, subcutanous cyst, neurofibroma/
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LT Infrascapular swelling on lumbar region, spherical 5x5cm, soft, normal overlying skin, no scar, cough (normal hernia), Diff.. Soft tisue sacrcoma? Hernia? lipoma?
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Mass between RT thumb and index - rounded, 4x4cm, regular, reddish, dilated blood vessel, tender on palpitation diff. lipoma, neurofibroma, sacrcoma?
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Punctum - Sebaceous cyst - Epidermal cyst - treatment excision
- Ulcer LT foot, medial malleolus, irregular, edema, pinkish, related tissue tendon, sloping (common in), base is muscle, varciosed venous, erythema. CVI (chronic venous insufficiency)
- two ulcer over head of metatarsal, callus thick skin, punched out, floor related to the tissue (neuropathy), Base … ,
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- over heal necrotic tissue bed sore
Folliculitis
Furuncles (boils):
Deep infection of the hair follicles characterized by inflammatory nodules with pustular drainage.
- They are skin abscesses caused by Staphylococcus aureus.
Carbuncle:
Hydradenitis suppurativa
irritation by deodorant
Cellulitis
Erysipelas:
Pressure sore
Hypertrophic scar Vs. Keloid scar
