The Clinical Problem Solvers Episode 368: Rafael Medina Subspecialty Episode – Eruptive Nodules
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Dec 7, 2024 Dr. Steven Chen, an expert in cutaneous lymphoma at Massachusetts General Hospital, joins Dr. Eamonn Maher, a specialist in complex medical dermatology from the University of Minnesota. They dive into a fascinating clinical case of eruptive nodules, discussing diagnostic challenges and the differing perspectives of internists and dermatologists. The conversation also touches on the dermatological implications of immunotherapy in cancer patients, illustrating the critical link between skin conditions and cancer treatments, highlighting collaboration for effective patient care.
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Dermatology's Allure
- Steven Chen was initially set on cardiology but discovered his love for dermatology during a rotation.
- He was drawn to its visual nature, systemic connections, and the challenge it presents to many physicians.
Skin as a Window to Systemic Disease
- Eamon Maher's interest in dermatology sparked from a patient with bullous bug bites.
- This seemingly minor issue led to a mantle cell lymphoma diagnosis, highlighting the skin's diagnostic power.
Diagnostic Approaches in Dermatology vs. Internal Medicine
- Internists approach diagnoses with history first, then physical exam (HMP).
- Dermatologists prioritize the physical exam, then narrow down with history (PNH).
