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Immunotherapy in Squamous Cell Skin Carcinoma: A Game Changer?

  A 74-year-old white male was diagnosed with squamous cell carcinoma in 2013. Six months after Mohs surgery, he underwent a left superficial parotidectomy, left neck dissection, and excision of the left postauricular lymph node after confirmation of lymphatic spread. Pathology from the left parietal scalp lesion revealed multifocal invasive squamous cell carcinoma. Extranodal tumor […]

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Primary Care Management of Skin Abscesses Guided by Ultrasound

Primary care providers often manage skin abscesses in the outpatient setting. Estimating the size and depth of an abscess, and distinguishing abscess from cellulitis by clinical examination can be challenging due to surrounding firm tissue induration. Definitive treatment of abscess requires incision and drainage, and the approach chosen may be altered by abscess size, depth, […]

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Silver-Containing Wound Cream Leading to Argyria—Always Ask About Alternative Health Products

Currently, patients are increasingly gaining access to medications and nutritional supplements via the Internet from companies that are not subject to any regulations that protect consumers, such as US Food and Drug Administration standards for safety, efficacy, and current good manufacturing practice (cGMP) manufacturing to ensure quality. In particular, patients who are disappointed by slow […]

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Bataclan’s Ulnar Nerve Syndrome

On November 13, 2015, during terrorist attacks in the Bataclan concert room (Paris, France), a 24-year-old man with no medical past history (except for thrombocytopenic purpura in childhood) was injured by gunshots on the left elbow. After having escaped, he was taken in charge by prehospital units and transferred to the emergency department of a […]

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A Red Herring in the Green Grass: Syphilitic Membranous Glomerulonephritis

Physical discomfort attributed to a routine chore was actually an unusual presentation of an insidious infection. A 51-year-old man presented to the emergency department and reported 1 week of persistent, localized lower back pain that began after he had spent the day mowing his lawn. He denied any trauma, rash, dysuria, discoloration of urine, or […]

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