Robert P. Blereau, MD

September 14, 2005

A 71-year-old woman was brought to the hospital with blunt abdominal trauma suffered in an automobile accident. She complained of pain in the chest and abdomen.

September 14, 2005

Following a cholecystectomy, an indwelling urethral catheter was placed in a 51-year-old woman with urinary retention. Five days later, the patient complained of a burning sensation at the site. A rounded, swollen, hemorrhagic area surrounding the catheter was noted, and a urinary tract infection was diagnosed.

September 14, 2005

Tan-pink acneiform lesions on the face of a 15-year-old girl had not responded to topical acne therapy. A 1 × 0.5-cm, elevated subcutaneous nodule was noted on the right lateral knee. The lesions on her face and knee had been present for 11 years. The family history was noncontributory.

September 14, 2005

Following an uneventful pregnancy, a 25-year-old woman was delivered of an infant girl by repeat cesarean birth with occiput anterior presentation at 39 weeks gestation. The deformity was readily evident at birth.

September 14, 2005

The pigmented hairy nevus that covers the entire right upper arm of this 18-month-old boy has been present since birth. More than 95% of large, congenital pigmented nevi have a hairy component.

September 14, 2005

A 76-year-old man reported a 3-month history of an asymptomatic, raised, reddened lesion on his penis. The patient had type 2 diabetes mellitus. In 1994, a basal cell carcinoma had been excised from his chest and, 3 years later, a squamous cell carcinoma was excised from his left temple.

September 14, 2005

A 56-year-old man had an asymmetric, maculopapular, sharply demarcated, pruritic, excoriated dermatitis on his upper thighs. The eruption had been present for 2 to 3 weeks.

September 14, 2005

Tiny, asymptomatic "bumps" had been present for 4 years on the posterolateral surface of the upper arms of a 34-year-old woman. Similar but less severe eruptions also appeared on her forearms and anterior thighs.

September 14, 2005

The raised, fleshy lesion over the lateral conjunctiva of this 7-month-old girl's right eye has been present and gradually enlarging since birth. Consultation with a pediatric ophthalmologist yielded a diagnosis of lipodermoid choristoma, a dermoid-type congenital malformation of the conjunctiva or epibulbar region. Histologic examination reveals benign fatty and ectopic lacrimal tissue and epidermal structures.

September 14, 2005

This neonate was born with an extra hypoplastic digit attached to the lateral aspect of the left little finger's middle phalanx. When informed of this anomaly on her daughter's hand, the mother registered neither shock nor surprise. Mother, grandmother, and other family members were similarly affected.