Pub Date : 2022-01-01DOI: 10.25270/con.2022.03.00001
N. Day, Cameron M. Rosenthal
An 11-month-old boy was brought to our University of Florida Child Protection Team by child welfare services after his foster mother had noticed what appeared to be “10 healing puncture wounds” on the infant’s ears. The child protective investigator reported that the boy had “indentations on his ears as though someone was trying to pierce them.” The boy had been sheltered from his biological mother approximately 2 weeks earlier because of the mother’s substance use. The boy had undergone a mandatory foster care examination within 72 hours of his foster care placement. No ear abnormality was documented at that time. His primary care provider’s medical record was also reviewed. Although the child had a history of ear infections and a hospitalization for bronchiolitis, no mention of an abnormal external ear examination was documented. The boy was brought to the University of Florida Child Protection Team for medical evaluation by a transporter for child welfare services. Since there was no caregiver present, no additional medical or social history was obtained. Physical Examination The boy had average weight and length for his age, with a head circumference that was 25% for his age. He was alert and socially interactive. He had a small umbilical hernia that was reducible. An ear examination revealed multiple indentations on the posterior aspect of the bilateral pinnae (Figures 1-3) that were consistent with bilateral posterior helical pits or posterior earlobe indentations (PELI). The rest of his examination findings were unremarkable. Discussion Most pediatric health care providers are familiar with preauricular sinuses (ear pits), as they are a common abnormality that generally do not require treatment. Preauricular sinuses are usually located adjacent to the external ear and can be unilateral or bilateral. Approximately 25% to 50% of cases are bilateral preauricular sinuses, which increases the likelihood that they are inherited.1 In 3% to 10% of cases, preauricular sinuses are associated with hearing and renal abnormalities.1 Studies suggest that further workup is only necessary when the preauricular sinuses are accompanied by another malformation or dysmorphic feature.1 Our patient had posterior helical ear pits (PHEP) or indentations. Unlike preEar Indentations on an Infant
{"title":"Ear Indentations on an Infant","authors":"N. Day, Cameron M. Rosenthal","doi":"10.25270/con.2022.03.00001","DOIUrl":"https://doi.org/10.25270/con.2022.03.00001","url":null,"abstract":"An 11-month-old boy was brought to our University of Florida Child Protection Team by child welfare services after his foster mother had noticed what appeared to be “10 healing puncture wounds” on the infant’s ears. The child protective investigator reported that the boy had “indentations on his ears as though someone was trying to pierce them.” The boy had been sheltered from his biological mother approximately 2 weeks earlier because of the mother’s substance use. The boy had undergone a mandatory foster care examination within 72 hours of his foster care placement. No ear abnormality was documented at that time. His primary care provider’s medical record was also reviewed. Although the child had a history of ear infections and a hospitalization for bronchiolitis, no mention of an abnormal external ear examination was documented. The boy was brought to the University of Florida Child Protection Team for medical evaluation by a transporter for child welfare services. Since there was no caregiver present, no additional medical or social history was obtained. Physical Examination The boy had average weight and length for his age, with a head circumference that was 25% for his age. He was alert and socially interactive. He had a small umbilical hernia that was reducible. An ear examination revealed multiple indentations on the posterior aspect of the bilateral pinnae (Figures 1-3) that were consistent with bilateral posterior helical pits or posterior earlobe indentations (PELI). The rest of his examination findings were unremarkable. Discussion Most pediatric health care providers are familiar with preauricular sinuses (ear pits), as they are a common abnormality that generally do not require treatment. Preauricular sinuses are usually located adjacent to the external ear and can be unilateral or bilateral. Approximately 25% to 50% of cases are bilateral preauricular sinuses, which increases the likelihood that they are inherited.1 In 3% to 10% of cases, preauricular sinuses are associated with hearing and renal abnormalities.1 Studies suggest that further workup is only necessary when the preauricular sinuses are accompanied by another malformation or dysmorphic feature.1 Our patient had posterior helical ear pits (PHEP) or indentations. Unlike preEar Indentations on an Infant","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69417357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.02.00002
Amr Ali, Sanaa Mahmoud, Jay Nguyen
{"title":"Amlodipine-Induced Eczematous Drug Eruption","authors":"Amr Ali, Sanaa Mahmoud, Jay Nguyen","doi":"10.25270/con.2022.02.00002","DOIUrl":"https://doi.org/10.25270/con.2022.02.00002","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69417453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.02.00003
Joseph Raco, Norhan Shamloul, M. Lipinski
A 32-year-old man presented to the emergency department with a several-day history of low back pain, right knee pain, and left foot pain. He had been treated several weeks prior to presentation for a sexually transmitted infection (STI) but could not recall which organism or antibiotic was involved. He had no significant medical history. He had no recent abdominal pain, diarrhea, bloating, headache, myalgias, or neck stiffness.
{"title":"A Case of Reactive Arthritis in a Healthy Adult","authors":"Joseph Raco, Norhan Shamloul, M. Lipinski","doi":"10.25270/con.2022.02.00003","DOIUrl":"https://doi.org/10.25270/con.2022.02.00003","url":null,"abstract":"A 32-year-old man presented to the emergency department with a several-day history of low back pain, right knee pain, and left foot pain. He had been treated several weeks prior to presentation for a sexually transmitted infection (STI) but could not recall which organism or antibiotic was involved. He had no significant medical history. He had no recent abdominal pain, diarrhea, bloating, headache, myalgias, or neck stiffness.","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69417504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.05.00002
R. Rubin
{"title":"A Healthy 64-Year-Old Man With Sudden Hearing Loss","authors":"R. Rubin","doi":"10.25270/con.2022.05.00002","DOIUrl":"https://doi.org/10.25270/con.2022.05.00002","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69417669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.06.00003
B. Baird, Eric Qualkenbush, Timothy J. Lyon
{"title":"Gross Hematuria in a 56-Year-Old Man","authors":"B. Baird, Eric Qualkenbush, Timothy J. Lyon","doi":"10.25270/con.2022.06.00003","DOIUrl":"https://doi.org/10.25270/con.2022.06.00003","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69417845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.03.00004
Miriam Matthews, Laura Rosas, L. Mazur
{"title":"Proteus Syndrome in a Young Adolescent","authors":"Miriam Matthews, Laura Rosas, L. Mazur","doi":"10.25270/con.2022.03.00004","DOIUrl":"https://doi.org/10.25270/con.2022.03.00004","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.07.000012
L. Didenko, Maaria Chaudhry, K. Alekseyev, Mohammad U. Farooq, B. Chaudhry
{"title":"Bilateral Nodules of the Hands and Feet","authors":"L. Didenko, Maaria Chaudhry, K. Alekseyev, Mohammad U. Farooq, B. Chaudhry","doi":"10.25270/con.2022.07.000012","DOIUrl":"https://doi.org/10.25270/con.2022.07.000012","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.06.00010
Kent Axcell, J. Beaton, Aidan Maxwell, P. Wirth
{"title":"Sun Exposure Habits and Sun Protection Practices of Collegiate Athletes","authors":"Kent Axcell, J. Beaton, Aidan Maxwell, P. Wirth","doi":"10.25270/con.2022.06.00010","DOIUrl":"https://doi.org/10.25270/con.2022.06.00010","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.07.000018
I. Moseley, Allison B Robbins, O. Wisco
A 28-year-old man with a medical history significant for mild hypertension and pre-obesity presents with bilateral draining nodules and cysts with sinus tract formation in the axillae (Figure). He has minimal involvement of the inguinal folds. A full-body examination of the skin reveals no other similar lesions, and there is notable sparing of the oral mucosa and nails. No lymphadenopathy was observed. The lesions have been present since his early teenage years and seem to wax and wane but never fully resolve. They can be very sore and periodically have a foul odor.
{"title":"A 28-Year-Old Man With Draining Nodules and Cysts in His Axilla","authors":"I. Moseley, Allison B Robbins, O. Wisco","doi":"10.25270/con.2022.07.000018","DOIUrl":"https://doi.org/10.25270/con.2022.07.000018","url":null,"abstract":"A 28-year-old man with a medical history significant for mild hypertension and pre-obesity presents with bilateral draining nodules and cysts with sinus tract formation in the axillae (Figure). He has minimal involvement of the inguinal folds. A full-body examination of the skin reveals no other similar lesions, and there is notable sparing of the oral mucosa and nails. No lymphadenopathy was observed. The lesions have been present since his early teenage years and seem to wax and wane but never fully resolve. They can be very sore and periodically have a foul odor.","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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