This pt. came to me yesterday for mild fever& cough. On inspection of chest, I found a scar ( as shown in picture) on lower part of manubrium sterni. On asking, he said he suffered from a swelling probably boil about 3 yrs back from which pus came & he had to take medicines/ antibiotics for long time. on appearance & location of scar , what do you think the swelling was/ would have been?

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Update/ conclusion The scar is like a pit & appears indrawn. It is overlying manubrium bone ( of sternum) where there is skin directly overlying bone. So it is osteomyelitis. And to differentiate ----- I asked the patient if the doctor told him if it was tuberculosis? He said he was given Rx for 6 months & was told that it was tuberculosis ( tuberculosis is fairly common in sternum area)

Dr Prakash, it is wonderful explanation.
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Appear as skin tag. Watch for development of tenderness or increasing size. Otherwise asymptomatic one is just cosmetic problem. Not need any rx if pt wants excise with electrocute Ryan. Although in homeopathy some drug call thuza claims compl

Cure without recurrence so requesting homeopathy specialist to focus.
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The swelling could perhaps been osteomyelitis of rib- discharging pus through an adherent sinus.

Looks like a deformed scar. A portion of the skin is raised. The tip is showing tendency to form keloid.

? UNDERLYING BONE PATHOLOGY.. ? ACROCHORDONS.. ? KELOIDS.. NEED'S.. X-RAY STUDY.. HPE..STUDY..

Good learning curve.. Please update final diagnosis. Very much waiting

Tuberculous swelling

INFECTED KELOID.

D/d Osteomyelitis of rib, Tuberculosis of rib, Actinomycetes.

D/d of the Past disease, as this is not ac....
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As the pt still symptamatic furthur evaluation of kochs totally &selection of suitableATD&Duration of tt to avoid MDR TB

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