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Finger Papule

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History of Present Illness:

  • A 4-year-old male is brought to the ED for a cough.
  • Workup is negative but the mom also asks you to look at his rash, which he has had for a few months.  There are multiple lesions on the butt cheek and one of the finger.  Lesions have been present for many weeks

Vital Signs & Physical Exam:

  • Vital signs are normal except for fever from the viral URI.
  • Physical exam is normal except for a runny nose and the skin lesions
  • See finger lesion below.  Lesions on butt looked similar but there were about 15 of them clustered together.

QUESTIONS:

  1. What does the case image show?  (click two times to enlarge)
  2. What should you do next?  
  3. Where can one get a quick refresher on this topic?  

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ANSWERS:

  1. What does the case image image show?  The image shows Molluscum Contagiosum
  2. What should you do next?  Reassure and refer to their pediatriacian
  3. Where can one get a quick refresher on this topic?  See yellow highlighted area below from purple book above…

1-Minute Consult on the EM topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

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CASE CONCLUSION: We’ll just have to see

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