Run Time: 7 minutes Author: Dr. Samuel Killian Educational Pearls: Presentation: A fever and nasal congestion that began in an infant one week ago but has resolved. A rash that was predominantly over the cheeks but has spread to the rest of the body. No pain with the rash, just blistering. Diagnosis: Fifth disease or…
Read MoreRun Time: 14 minutes Author: Dr. Donald Stader Educational Pearls: When a patient comes in with purpura the way to think is outside in, because there is a long list of things that can cause purpura. The most common cause of purpura is trauma. The next level is a blood vessel problem; Ehler’s-Danlos Syndrome, Vitamin…
Read MoreRun Time: 4 minutes Author: Dr. Samuel Killian Educational Pearls: Pityriasis rosea is a papulosquamous rash believed to be caused by a virus (although no one has identified the agent) presenting with a salmon-colored patch followed by the presentation of lesions that follow the cleavage lines forming a “christmas tree” pattern. Treatment is supportive with antihistamines…
Read MoreRun Time: 7 minutes Author: Dr. Donald Stader Educational Pearls: Syphillis is a very important historical and current disease. The study of Syhpillis or “Syphilology” evolved into the field of dermatology. Syphilis, an is caused by the spirochete bacteria, Treponema pallidum. Syphilis comes in three stages: primary, secondary, and tertiary stages. In the primary stage, they…
Read MoreRun Time: 7 minutes Author: Dr. Donald Stader Educational Pearls: Stevens-Johnson Syndrome (SJS) was first described in 1922 by pediatricians Dr. Stevens and Dr. Johnson after severe rash and skin peeling in one of their patients. SJS is described on a scale of <10% of body affected is Steve-Johnson Syndrome, 10%-30% is called Steven-Johnson/TENS, and…
Read MoreRun Time: 3 minutes Author: Dr. Christopher Holmes Educational Pearls: Betadine and hydrogen peroxide are toxic to the cells that are attempting to help heal the wound. Pouring these on wounds can paradoxically increase infection risk! DON’T DO IT. A Cochran review was done recently that compared saline, boiled-steralized water, and potable tap water. It was…
Read MoreRun Time: 5 minutes Author: Dr. Jared Scott Educational Pearls: Urticaria means “burning nettles” in Latin. Lymph nodes release immunoglobulin IgE and IgG, which trigger mast cells located all over the body to release histamines. Along with the well-known acute urticaria, there are chronic types of urticaria, which last longer than six weeks. There are…
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