Tuesday, July 30, 2013

Diagnosis: the Blue Bump

by Yun Xue
Med Ed Committee

The medical education committee would like to present a series of case presentations that might be seen in a primary care setting. Blog readers are encouraged to engage by commenting on the post with possible diagnoses. The answer to the puzzle will be posted the following week along with a new case. Case submissions are also welcome.

This week: the Blue Bump

Source: VisualDx
A 30-year-old Caucasian male presents to clinic with a skin nodule on his right thigh. It grew over the course of the last month and has been occasionally itchy, but he has tried not to pick at it. He’s worried it might be skin cancer and wants you to take a look.

Upon examination, the nodule is firm, blue-tinged, and feels smooth to touch. When you run your finger over it and feel around the edges, the nodule dimples slightly. Should he be worried?

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