Happy MedSpanish Sunday. Happy Father’s Day (Feliz dia de los padres)!
This week was a little less hectic than the last. Had 4 shifts this week. No specific theme
but an interesting array of cases. A common chief complaint in both Urgent Care and FM
is “rash”—viral exanthems, allergic reactions, cellulitis, impetigo, dermatitis. You name it.
Patients usually come in to see us before their dermatologists as it often takes weeks to
get an appointment with them. And, maybe its just me...but allergic reactions and gnarly
skin infections never quite follow normal business hours. Ha! This week’s brief case
was a 40 year old female with: “erupción y comezón por tres semanas." Translation: Rash and itchiness for three weeks.
If you’re curious about the case itself. The rash was located on bilateral hands and axilla,
itchiness worse at night. I could see small circular lesions in a linear array. I could tell it was
extremely itchy as the patient had scratch marks (excoriations) all over. Final diagnosis
was scabies. Turns out her child also had a case of scabies about 4 weeks back
Anyway, let's begin! Today’s lesson will be a little more anatomy. Got a ton of support, messages, andquestions about the last anatomy lesson. We’ll stick with the skeletal system & general terms this time