1/ Primary Care Case of the Week 4
Each week I’d like to share a case for #MedStudents to continue developing their clinical reasoning, even though not on clinical placement at present.
All cases are factitious, but inspired by those seen in #PrimaryCare
#MedEd #MedTwitter
2/ A 50yo male presents to the clinic with an itchy red rash
🤦🏻♀️Not another itchy red rash?! (We see a lot of itchy red rashes in #PrimaryCare!)
💁🏼What’s in your list of differentials?
💁🏽♂️What additional information would you like from this patients history & physical exam?
3/ Cutaneous Lava Migrans
🏝Parasitic skin infection
🏝Caused by hookworm larvae usually infest cats & dogs
🏝Humans infected with larvae when walking barefoot on sand/soil contaminated with animal faeces
4/ 🦶🏽Itchy popular rash at site of skin penetration
🦶🏼Larvae migrate under skin surface causing itchy red snakelike track
🦶🏾Treatment with antihelmintics e.g. albendazole
🦶🏻Infection is self-limiting, humans are dead-end host and so larvae eventually die!
5/ Thanks @DanWilsonMD @RaatusRuth @Dr_Polarbird @ketaminh @AlisonBoast @ben_hock @lucierobson for all playing along!
👉🏽Take home message: don’t walk on the beach barefoot!
Check out more here: dermnetnz.org/topics/cutaneo…
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