also note dennie lines
cafe au lait, pt has neurofibramatosis
can be confused with a burn
can the flash bulb reflection be removed
chicken pox. distinguishing characteristic: no surrounding inflammatory component
confused with pityriasis versicolar
crouzon syndrome
cutaneous syphilis lesions have highly variable appearance; high index of suspicion needed
cutaneous syphilis lesions have highly variable appearance; these are polymorphic. high index of suspicion needed
gradual resolution (over years) is the norm
has had removal of some adenoma sebaceum
herald patch (left upper trunk over scapula), often present
herald patches (over left clavicle, beneath rt clavicle), often present
hypopigmented nevus
ingrown toenails
koplick spot diagnostic, generally seen prior to rash
note excoriations
note lack of inflammatory reaction (no venom injected)
note tongue involvement
nummular eczema
post healing
ranula pipulins is a frog
retinoblastoma
sounds that require tongue touching the palate
this pt has disseminated meningococcus
tinea corporis
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