✅ WHO guideline for assessment of dehydration in children

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✅ Hand-foot-mouth disease

📌 Causes
📌 Symptoms
📌 Prevention
📌 Treatment

⬆️ Upcoming case:

📌 DDx?
📌 Management?

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✅ Infectious mononucleosis (EBV)

📌 Symptoms
📌 Complications
📌 Differential diagnosis
📌 Treatment
📌 Prevention

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✅ BCGitis

📌 A rare complication of BCG vaccine
📌 Occurs in 2% of all cases

Treatment:

Usually it resolves spontaneously but in suppurative cases, there are 3 options:

📌 Antibiotic therapy
📌 Needle aspiration
📌 Surgical excision

✅ #Clinical_case_36

➡️ A 54-year old man with expanding wounds on the dorsal aspect on his both hands that is not responsive to oral and topical antibiotic and surgical debridement.

📌 What is your differential diagnosis?

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✅ Neutrophilic dermatosis of dorsal hand (#NDDH)


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✅ Paget’s disease of the breast or nipple is a rare type of breast cancer that affects the nipple and spread to the dark circle around the nipple or areola. Most of people who have Paget’s disease of the breast have cancer in the affected breast. These tumors are either invasive breast cancer or ductal carcinoma in situ.

📌 Symptoms:

👉🏻 Scaly vesicular or ulcerated lesion
👉🏻 Bloody discharge
👉🏻 Pain
👉🏻 burning sensation
👉🏻 itching

📌 Diagnosis:

1⃣ Detailed history and physical examination about the length of time the lesion has been present and any symptoms including pain, scaly skin, nipple discharge, burning sensation and bleeding
Bilateral breast examination should be performed because breast malignancy is present in about 85% of patients and a palpable mass is present in approximately half of them.
2⃣ Biopsy needs to be performed when there is nipple discharge
3⃣ Bilateral mammography is mandatory to identify any existent mass and also synchronous cancer or calcifications.
4⃣ Breast ultrasound and Magnetic resonance imaging are used to produce images of deep tissue of breast

📌 Treatment:

1⃣ If there is any sign of mass, simple mastectomy is the standard treatment.
2⃣ Radiation therapy
3⃣ Hormonal therapy
4⃣ Chemotherapy
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✅ Final diagnosis:
#Paget's_disease of the breast