Sunday, June 12, 2005

78 year old woman with unusual tumor

This 78 yo woman presented with a two week history of a dark growth on the posterior aspect of her shoulder. She had myalgias and felt unusually tired. The exam showed a tick engorged with blood. I could not tell if this was the deer tick that may carry Lyme Disease. Lyme antibidoes were ordered and she was started on amoxicillin 500 mg. tid for three weeks. She's a light complected Caucasian and doxycycline may cause photosensitivity in this season.
The tick was removed by gently grasping it with a forceps and rotating it. It appeared intact and was sent to the lab for identification.

Wynant 004
Originally uploaded by David Elpern.

Wynant 003
Originally uploaded by David Elpern.

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