I had a patient in clinic today who'd been referred to the medicine clinic for a routine checkup after a visit to the dermatology clinic last month. I read the chart before I saw him, nothing remarkable. Nothing listed in the medical history, no other problems besides the skin issue he had gone to the dermatologist about.
So I start to do a physical exam, we're talking about how his skin issue is doing, and I casually ask if he has any other problems.
"Oh, yeah, I've been feeling some itching on my leg stump."
"Yeah, some itching."
"Uh... you don't have a leg?"
"Yeah, no leg."
"This new, since you saw the dermatologist?"
"And the dermatologist didn't notice this?"
"I don't know."
"And you had the brace, and everything?"
He saw I was looking at the chart, a little perplexed.
"Yeah, I don't think he asked."
"Didn't even have you take off your shoes?"