A 23-year-old man with no past medical history comes to the ED for pain and swelling around his forearm tattoo, which he received three days prior during a weekend-long celebration with his friends. To help with the pain, he continued drinking when he arrived home. His review of systems is unclear, and he may have had chills with some nausea over the past day. He is a smoker and denies illicit drug use.
On arrival, T 99.9 HR 92 136/90 RR 20 SpO2 98% RA
In general, he is anxious but in no acute distress. His general exam is reassuring; the extremity shows no streaking, crepitus, or lymphadenopathy. His tattoo is shown below:
On arrival, T 99.9 HR 92 136/90 RR 20 SpO2 98% RA
In general, he is anxious but in no acute distress. His general exam is reassuring; the extremity shows no streaking, crepitus, or lymphadenopathy. His tattoo is shown below:
Which is the most likely diagnosis?
A. Aseptic inflammatory reaction
B. Subcutaneous ink diffusion
C. Contact dermatitis
D. Pyogenic infection
A. Aseptic inflammatory reaction
B. Subcutaneous ink diffusion
C. Contact dermatitis
D. Pyogenic infection
In the meantime, a quote –
“The physician can do all he has to do with speed and precision, but he must never appear to be in a hurry, and never absent-minded.”
Theodor Billroth 1829-1894
Prussian-born Professor of Surgery, Vienna
“The physician can do all he has to do with speed and precision, but he must never appear to be in a hurry, and never absent-minded.”
Theodor Billroth 1829-1894
Prussian-born Professor of Surgery, Vienna
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