Cassandra Mackey

A 27-year-old woman with a history of obesity and diabetes presents to the emergency department for lesions on her axilla. The patient states that she has noticed these lesions for the past two years and assumed they were abscesses. The lesions have been tender, itchy, and with malodorous drainage. Her vital signs are T 37°C, BP 124/79, HR 89, RR 18, and SpO2 100% on room air. There are multiple hyperpigmented, palpable, tender masses on her bilateral axillae which exhibit scant drainage of fluid. What is the diagnosis?

Ever experience imposter syndrome?

Welcome back to Quality Corner, a series that evaluates tough cases with potential areas for improvement. This month’s Quality Corner covers a case involving head trauma and anticoagulation, followed by a case of postdural puncture headache.