These innocuous lesions of the outer ear may arise spontaneously or after trauma or surgery. Both auricular seroma and pyogenic granuloma usually resolve satisfactorily after minor surgery, though they may recur.
Diagnostic challenge: Two case reports of easily treated and innocuous causes of lesions in the outer ear. Chondrodermatitis nodularis helicis is associated with long cellphone use. Verruca vulgaris is caused, like all other warts, by human papillomavirus.
A 50-year-old woman known to be alcoholic was treated successfully for severe hyponatremia. Subsequently she experienced changes in mental status, decreasing verbal output, dysphagia, behavior changes, and spastic quadriparesis. What went wrong?
A 54-year-old man presented to the ED with palpitations identified as atrial flutter and RVR. Medical history included stage IV renal-cell carcinoma, end-stage COPD, NYHA class IV heart failure, and recent pulmonary embolism. A CT scan of the thorax was ordered.
An 18-year-old woman with no known medical history presented to the ED complaining of fever, chills, and rigors of a week’s duration. The patient appeared very ill with hypotension, tachycardia, tachypnea, and fever.
A 48-year-old African American man with no significant medical history sustained a gunshot wound to the face and shoulder.
A 53-year-old woman presented with sudden onset of left upper quadrant abdominal pain. She had a history of atrial fibrillation, hypertension, and congestive heart failure.
A 37-year-old man presented to the emergency department with painful, burning,
blistering skin lesions. The lesions started 3 days earlier on the face and
spread to the trunk and extremities. Ten days before presentation, the patient had
received a diagnosis of AIDS.
For several years, an asymptomatic mass had been growing on the
neck of a 54-year-old-man. Physical examination revealed a firm,
nontender mass located slightly left of midline at the level of the hyoid
A previously healthy 55-year-old woman complained of fever, weakness, and generalized malaise for the past 3 to 4 weeks. She had been treated with ciprofloxacin, amoxicillin, and azithromycin for 21 days with no resolution of her symptoms. Five days before she was hospitalized, multiple nonspecific constitutional complaints developed.