- CDC
- Heart Failure
- Cardiovascular Clinical Consult
- Adult Immunization
- Hepatic Disease
- Rare Disorders
- Pediatric Immunization
- Implementing The Topcon Ocular Telehealth Platform
- Weight Management
- Monkeypox
- Guidelines
- Men's Health
- Psychiatry
- Allergy
- Nutrition
- Women's Health
- Cardiology
- Substance Use
- Pediatrics
- Kidney Disease
- Genetics
- Complimentary & Alternative Medicine
- Dermatology
- Endocrinology
- Oral Medicine
- Otorhinolaryngologic Diseases
- Pain
- Gastrointestinal Disorders
- Geriatrics
- Infection
- Musculoskeletal Disorders
- Obesity
- Rheumatology
- Technology
- Cancer
- Nephrology
- Anemia
- Neurology
- Pulmonology
Actinic Keratosis in a 60-Year-Old Woman
The differential diagnostic possibilities for this tender nodule included hypertrophic actinic keratosis, keratoacanthoma, squamous cell carcinoma, and verruca. The possibility of squamous cell carcinoma dictated removal with histologic examination.
A 60-year-old woman with a past history of many non-melanoma skin cancers presented for a total body skin check. A tender nodule was discovered on the left wrist.
Key point: A solitary 4 by 4-mm, tender, freely mobile, firm-feeling nodule was present on the volar aspect of the left wrist. The differential diagnosis included hypertrophic actinic keratosis, keratoacanthoma, squamous cell carcinoma, and verruca.
Treatment: The lesion was removed by deep shave excision, with electrodesiccation to the lesional base. Histology revealed hypertrophic actinic keratosis.
Note: The potential for the lesion being a squamous cell carcinoma dictated removal with histologic examination.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
