Leg Ulceration – Friday Pop Quiz 10/30
This 48 year old woman tells you these lesions began as "acne bumps" on her legs. A biopsy reveals ulceration and a mixed inflammatory infiltrate, including neutrophils. A tissue culture for infectious organisms is negative. What is the most likely underlying systemic condition in this patient?
A. Celiac disease
B. Ovarian cancer
C. Chronic pancreatitis
D. IgA monoclonal gammopathy …
This 48 year old woman tells you these lesions began as "acne bumps" on her legs. A biopsy reveals ulceration and a mixed inflammatory infiltrate, including neutrophils. A tissue culture for infectious organisms is negative. What is the most likely underlying systemic condition in this patient?
A. Celiac disease
B. Ovarian cancer
C. Chronic pancreatitis
D. IgA monoclonal gammopathy … 
The infant shown in this image is at risk for which of the following complications?
A. Cleft palate
B. Diaphragmatic hernia
C. Hypospadias
D. Imperforate anus
E. Coarctation of the aorta
To find out the correct answer and read the explanation, click here.
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In this interview with Dr. Vivian Shi, Associate Professor of Dermatology at the University of Arkansas for Medical Sciences, I share her words of wisdom and practical pearls for treating patients with hidradenitis suppurativa (HS), a chronic inflammatory disease with recurrent painful nodules affecting intertriginous skin. Dr. Shi has published over 150 peer-reviewed articles and is the editor … 
While performing Mohs micrographic surgery for this squamous cell carcinoma (shown in picture), you sever a nerve that lies superficially in the temple, just beneath the thin dermis and subcutaneous fat. The patient would have trouble performing which of the following?
A. Raising his eyebrows
B. Grimacing
C. Smiling
D. Closing his eyes
E. Chewing food
To find out the correct an … 
Acne is the most common skin condition in the United States. Although it affects almost 50 million individuals annually, how it affects each person varies. Many epidemiologic studies have shown that acne is the most common presenting complaint in patients with Fitzpatrick skin types IV-VI. However, post-inflammatory hyperpigmentation is a common sequela of acne in patients of skin of color and a p … 