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Malignant melanoma of the cheek ↑
Malignant melanoma of the heel↑
This boy is having a huge abscess on the right lower back. The skin over the swelling is shiny : inflamed. It will be fluctuant. It may have a cough impulse if it is connectes with a pus collection inside the pleural cavity (empyema). Look at the extremely thin limbs. emaciation or cachexia.If you incise this abscess like any other abscess air may enter the pleural cavity if it is connected with the pleural cavity. This type of abscess is called empyema necessitatis. Best course will be anti-gravity aspiration or intercostal drainage under water seal.
Boil; pointing. can also be called a pustule. White center is pus pointing. surrounding is red and inflamed. it may be indurated. or surrounding fluctuation may indicate a deep lying abscess with lot of pus.
carbuncle. see multiple points from which there is a discharge
Carbuncle of the back of neck. See multiple pointing. ↑
Cystic hygroma. A lymph cyst. Soft, fluctuant, thin walled. Brightly transillunant. Cause by failure of certain lymphoid tissue to get connected to the lymphatic vessels during the formation of the foetus. →
A sebaceous cyst. Formed duet to a block in the mouth of a sebaceous (sebum - oily substance found on the skin) gland. Note the punctum at the top of the swelling. It is found in the skin. Skin cannot be separated from the skin (cannot be pinched from the swelling). It contains a paste like (putty like) material which is semisolid like clay. Can be moulded into any shape.→
Fibroma on the inner surface of cheek →
← Fibroma of the lower lip
Venous haemangioma of the left cheek in this child involves cheek, nose, bridge of nose and upper lip on the right side and the lower eye lid. One portion of the haemangioma is necrose with blackish discoloration.
←venous haemangioma left cheek
Capillary Hemangioma. It may shrink in size as the child grows. ↑
Venous hemangioma of the nose →
← Rapidly spreading capillary haemangioma
← Venous haemangioma of the eyebrow
← keloid on the chest and shoulders
← Note the small keloid at the top ear ring
← Keloid behind the ear lobule
Keloid at the ankle and foot
↓
← Lymphangioma causing macroglossia
← Lymphangioma of the tongue. Macroglossia. The boy could not put the tongue into the tongue. The tongue was excised by an inverted V shaped incision. (see below). The rest of the tongue was sutured along the V incision and the rest of the haemangioma was injected with 25% dextrose (for sclerosing the remaining haemangioma). The tongue could be accommodates within the mouth.
Neurofibroma of the hard palate
↓
Neurofibroma of the forearm. Firm, tender swelling under the skin of the forearm. ↑
↑ Plexiform (hanging) neurofibromatosis ↓
← multiple neurofibromatosis (Von Recklingosan's disease)
Plexiform neurofibramatosis →
↑ Multiple and giant papillomata ↓
peripheral nerve sheath tumour - Schwannoma
Post-auricular dermoid cyst ↓
← Rodent ulcer - inner canthus
← Basal cell carcinoma = Rodent ulcer - not yet ulcerated
← Sarcoma of sciatic nerve
← Sebaceous cyst of the scalp
←
Giant sebaceous cysts of the scalp
← Strawberry capillary haemangioma
Synovial Sarcoma of the leg casting a soft tissue shadow in the leg X-Ray
