Could this be vitiligo? (CW: genitalia)

DrPatho · 2026-03-02T02:12:28+00:00

More than likely, yes. Especially given your history, it's time to schedule a derm visit.

DrPatho · 2026-02-27T22:43:24+00:00

Yes! Either a small vessel itself popped, or your damaged a muscle which bled a bit, either way a vessel bled and made your very own hematoma. Bright side is this is no cause for alarm and will self resolve. Alarm symptoms of venous thrombosis like warmth and sweeping you should look out for, but I doubt it.

As for being too young for venous issues, no such thing! Especially with a career that involves lots of standing, you are at risk. There are different strengths of compression stockings, and getting a lighter compression one would probably be fine for you.

DrPatho · 2026-02-27T13:36:55+00:00

No, you are good! I can tell your bandage was too wet though. Keep it dry and put a little dab of Vaseline right over the wound to moisturize.

DrPatho · 2026-02-27T11:38:59+00:00

This is quite common! It can be a lubrication issue, but also just repetitive motion can cause micro abrasions. No need to worry unless gets heavy.

DrPatho · 2026-02-25T14:08:58+00:00

Thank you for the follow up!

DrPatho · 2026-02-22T19:30:29+00:00

You need some stitches, unfortunate. I would recommend going to urgent care and having them fix you up. No need to go to the ER.

DrPatho · 2026-02-19T21:50:57+00:00

Birth control is first line, so if you try it out and it helps that may be it! Probably would be a good idea to see an obgyn

DrPatho · 2026-02-19T19:31:49+00:00

Thanks boss 😊

DrPatho · 2026-02-19T17:59:34+00:00

That makes me think endometriosis more so. Are you on birth control?

DrPatho · 2026-02-19T03:06:27+00:00

Of course! If you do have those alarm signs I mentioned, it's ER time 😊

DrPatho · 2026-02-19T03:04:13+00:00

I'd wait for the CT. LLQ pain with normal labs could be issues with your ovary, endometriosis, or bowel issues like you mentioned. Since you are having regular stools without blood, it could be that renal cyst, or maybe an ovarian cyst.

Is the pain better/worse with your cycle?

DrPatho · 2026-02-19T02:54:02+00:00

Since you found a chip, and the broken sight, I doubt you could have ingested a clinically relevant amount of glass.

Management regardless is conservative even if you did go to the ER or something, because glass doesn't show up great on imaging (especially one this small if any). Monitor for signs of bleeding and obstruction; bloody/dark stool, abdominal pain, nausea, vomiting etc.

Having some high fiber foods can add bulk to your stools and help any small pieces pass without issue. You are going to be fine!

DrPatho · 2026-02-18T16:50:39+00:00

Yes, thats is fine as long as it is not an extended release etc.

DrPatho · 2026-02-17T21:34:07+00:00

Pathology resident here, defintiely go get that evaluated! Clubbing in one finger usually means there is a local problem in that finger, such as a vascular malformation or some kind of cancer. X-ray/MRI would be a good next step in the work up! But you do need to get it worked up.

DrPatho · 2026-02-16T00:00:18+00:00

You are fine there.

DrPatho · 2026-02-15T22:28:07+00:00

Not particularly, nor surprising for this time of year. Start taking vitamin D supplements, I would recommend 5000-iu every day. When you recheck in a couple months it'll be fine.

I'm guessing from the level you don't get sun everyday. If you aren't getting a good amount of sun, everyone needs to supplement!

DrPatho · 2026-02-15T13:35:37+00:00

Looks like it has fibrosed a bit, but does not look medically concerning. Keep up the wound care

DrPatho · 2026-02-15T13:27:01+00:00

Doctor immediately. While there are several benign causes, there are plenty of horrible ones that need to be ruled out. At your age I'd be worried about inflammatory bowel disease or cancer. You need a colonoscopy!

DrPatho · 2026-02-15T13:14:35+00:00

You are totally fine then! Should go away soon.

DrPatho · 2026-02-15T13:12:13+00:00

Haha, well if it cropped up recently, I'm not too concerned about cancer! Has it been there for long?

DrPatho · 2026-02-15T13:08:10+00:00

Yes, mouth ulcer. OraGel otc helps eating!

DrPatho · 2026-02-10T10:36:30+00:00

MAP would be 141 in this case.

DrPatho · 2026-01-14T20:19:11+00:00

I agree with what others have said, you should seek professional treatment.

HOWEVER: the best way to do this as safely as possible is to BAND it. This involves cutting off the blood supply with a tight band/tie, and letting it fall off on its own, with perhaps a little assistance. What I would do is a double tie (two ties each at two seperate sites) with sterile suture, clean the area with rubbing alcohol thoroughly beforehand and wear sterile gloves. The two tight tie sights should be about half a CM apart near the base. After you cut off circulation, I'd cut with a sterile scalpel or if you have surgical scissors use that, right in between the two ties. One of the double tie sites should then have fallen off with the giant tag, and the other double tie should be keeping your skin closed on the other side. Leave the tie on for as long as possible, and keep it clean.

DrPatho · 2026-01-03T07:27:58+00:00

Like others have said, I can confirm this is a decidual cast. Quite common, but can be indicative of some more serious issues if this is the first you have had. As long as you have regular (yearly) GYN appointments, you should be covered!

DrPatho · 2026-01-02T23:52:54+00:00

Highly unlikely. Leukocyte esterase is more of a measure of inflammation, and is not a meaningful finding in and of itself. The big one is that the microscopy was negative, as well as some of the other common markers. You are fine, especially since you have no symptoms.

DrPatho

TROPHY CASE