Friday, November 03, 2006

painful red nodules

45 year old female presents with painful, red nodules on her shins. Started 1 month ago. Patient was recently diagnosed with ulcerative colitis.
Vital signs stable
Extremities - pretibial, tender, erythematous nodules
Assessment and Plan
DDX - sarcoidosis, coccidiomycosis, ulcerative colitis, streptococcal infection, idiopathic
A - erythema nodosum due to ulcerative colitis
P - treat ulcerative colitis
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