1/2. A center's callosities.We present a case report of a 14-year-old white male who developed hyperkeratotic plaques on the distal aspects of 2 toes. He was referred by his primary care physician for the treatment of onychomycosis. With questioning, the patient stated that he played center for his high school basketball team. After physical examination, he was diagnosed with callosities caused by his basketball activities. Proper nail hygiene and wearing of larger footwear resulted in improvement of his callosities. sports-related cutaneous injuries should be included in the differential diagnosis of nail and toe abnormalities.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/2. hand lesions characteristic of bulimia.bulimia is a serious and prevalent eating disorder in the adolescent population. The pediatrician is often in a position to make the initial diagnosis of bulimia but must suspect the disorder in light of subtle physical evidence. Denial and embarrassment reduce the likelihood of self-report of symptoms. hand lesions resulting from self-induced emesis have a distinctive configuration and appearance. Noting these characteristic lesions during a physical examination should alert a physician to the diagnosis of bulimia or to an exacerbation of symptoms in a patient whose condition was previously diagnosed.- - - - - - - - - - ranking = 17.145563493934keywords = physical examination, physical (Clic here for more details about this article) |