Sandbox:DDx HEENT

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  • 50-70 yo women
  • Asymptomatic hypercalcemia
  • May have abdominal pain, constipation, renal colic, depression, and bone fractures


  • Rubbery subcutaneous nodules
  • Nontender, noncompressible, nonpulsatile, mass with a bluish discoloration
  • May have a pit or sinus on the surface


  • Stratified squamous epithelium
  • Hair follicles
  • Sebaceous glands and apocrine glands
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