A 38-year-old custom shop owner came to the clinic complaining of a skin lesion that bothered him at work. It is constant and has been slowly growing over the past six months and occasionally discharges a small amount of pus. It is associated with dull pain 2/10 which does not radiate. No significant past medical, taking no medications, and undergoing any treatment. His job is to build and maintain custom aquariums, and he denied any recent trauma. His vital signs are normal. His physical examination revealed a well-defined, raised erythematous nodule, approximately 2 cm in diameter, on the dorsal aspect of his right hand, and exhibited a central ulceration as shown in the image. The nodule is firm with mild tenderness upon palpation, no fluctuance or regional lymphadenopathy is detected. The remainder of the skin examination is unremarkable. Waiting on a skin biopsy and culture result. Which of the following diagnoses is most likely,

Based on the patient's history and physical examination findings?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge


Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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