the very strange case of tummy pimples pimples.pdftummy pimples sally mander • 17-year-old with an...
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![Page 1: The Very Strange Case of Tummy Pimples Pimples.pdfTummy Pimples Sally Mander • 17-year-old with an itchy rash for the last 48 - 72 hours • PMH non-contributory ... face or scalp](https://reader033.vdocument.in/reader033/viewer/2022050115/5f4c85fd5eab8e0f2d161058/html5/thumbnails/1.jpg)
The Very Strange Case of Tummy Pimples
![Page 2: The Very Strange Case of Tummy Pimples Pimples.pdfTummy Pimples Sally Mander • 17-year-old with an itchy rash for the last 48 - 72 hours • PMH non-contributory ... face or scalp](https://reader033.vdocument.in/reader033/viewer/2022050115/5f4c85fd5eab8e0f2d161058/html5/thumbnails/2.jpg)
Sally Mander • 17-year-old with an itchy rash
for the last 48 - 72 hours • PMH non-contributory • ROS non-contributory • No new clothing • 3 days ago went to friend’s
house for homecoming party
![Page 3: The Very Strange Case of Tummy Pimples Pimples.pdfTummy Pimples Sally Mander • 17-year-old with an itchy rash for the last 48 - 72 hours • PMH non-contributory ... face or scalp](https://reader033.vdocument.in/reader033/viewer/2022050115/5f4c85fd5eab8e0f2d161058/html5/thumbnails/3.jpg)
Sally Mander (continued) • Physical Exam:
• 0.5 mm papules and pustules located primarily on the trunk... There a few on the extremities... none on the face or scalp
• some of these papules were tender to palpation
![Page 4: The Very Strange Case of Tummy Pimples Pimples.pdfTummy Pimples Sally Mander • 17-year-old with an itchy rash for the last 48 - 72 hours • PMH non-contributory ... face or scalp](https://reader033.vdocument.in/reader033/viewer/2022050115/5f4c85fd5eab8e0f2d161058/html5/thumbnails/4.jpg)
Sally’s tender erythematous papulo-pustules
![Page 5: The Very Strange Case of Tummy Pimples Pimples.pdfTummy Pimples Sally Mander • 17-year-old with an itchy rash for the last 48 - 72 hours • PMH non-contributory ... face or scalp](https://reader033.vdocument.in/reader033/viewer/2022050115/5f4c85fd5eab8e0f2d161058/html5/thumbnails/5.jpg)
Close-up of previous picture. Note the papules
![Page 6: The Very Strange Case of Tummy Pimples Pimples.pdfTummy Pimples Sally Mander • 17-year-old with an itchy rash for the last 48 - 72 hours • PMH non-contributory ... face or scalp](https://reader033.vdocument.in/reader033/viewer/2022050115/5f4c85fd5eab8e0f2d161058/html5/thumbnails/6.jpg)
Similar tender papules and pustule on upper arm. It might help you to know that this area was covered by a wet tee shirt on the night of the big party
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Close-up of the previous picture
![Page 8: The Very Strange Case of Tummy Pimples Pimples.pdfTummy Pimples Sally Mander • 17-year-old with an itchy rash for the last 48 - 72 hours • PMH non-contributory ... face or scalp](https://reader033.vdocument.in/reader033/viewer/2022050115/5f4c85fd5eab8e0f2d161058/html5/thumbnails/8.jpg)
It is time to make a decision based on the information given you and the pictures you have seen...
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Answer: Pseudomonas (Hot Tub) Folliculitis
• Pseudomonas serotypes O-11 or O-9 • Psedomonas overgrowth is a result
of inadquate chlorination • Treatment:
• 2.5% acetic acid (vinegar) topically… yep, plain old white vinegar compresses… this works great!
• topical garamycin
![Page 10: The Very Strange Case of Tummy Pimples Pimples.pdfTummy Pimples Sally Mander • 17-year-old with an itchy rash for the last 48 - 72 hours • PMH non-contributory ... face or scalp](https://reader033.vdocument.in/reader033/viewer/2022050115/5f4c85fd5eab8e0f2d161058/html5/thumbnails/10.jpg)
Reference • Treub, R. et al. Recurrent
Pseudomonas Folliculits. Pediatr. Dermatol. Vol 11: 35 - 38. Mar. 1994.
• Berger, R. Whirlpool Folliculitis: A review of its Cause, Treatment, and Prevention. Cutis Vol. 45: 97 - 98. Feb. 1990.
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Somehow, going in the hot tub will never be the same again…
The End