Secondary syphilis "Condylomata lata" Soft, flat-topped, moist, pink-tan papules and nodules on the perineum and perianal area. The lesions are full with T. pallidum.
DOC: Penicillin.
#Dermatology
#Medicine
DOC: Penicillin.
#Dermatology
#Medicine
CHANCROID
Cause: H.ducreyi
Transmission: sexual
Primary lesion: Chancroid
Tender papule with erythematous halo that evolves to pustule, erosion, and ulcer. Ulcer is usually quite tender or painful .Its borders are sharp, undermined, and not indurated.With surrounding oedema. Base is friable with granulation tissue and covered with gray to yellow exudate.
Painful inguinal lymphadenitis (usually unilateral).
Dx: culture
DOC: Azithromycin.
#Dermatology
#Medicine
Cause: H.ducreyi
Transmission: sexual
Primary lesion: Chancroid
Tender papule with erythematous halo that evolves to pustule, erosion, and ulcer. Ulcer is usually quite tender or painful .Its borders are sharp, undermined, and not indurated.With surrounding oedema. Base is friable with granulation tissue and covered with gray to yellow exudate.
Painful inguinal lymphadenitis (usually unilateral).
Dx: culture
DOC: Azithromycin.
#Dermatology
#Medicine
Gonorrhea
Cause: Neisseria gonorrhoeae.
Transmission:Sexually,neonate during birth
Features: The most common presentation in males is a purulent creamy urethral discharge.
If not treated leads to "Disseminated gonococcal infection" which ccc by Hemorrhagic, painful pustules on erythematous bases on the palm and the finger of the other hand. These lesions occur at acral sites and are few in number.
DOC:
Ceftriaxone, 1 g IM or IV every 24 h.
#Dermatology
#Medicine
Cause: Neisseria gonorrhoeae.
Transmission:Sexually,neonate during birth
Features: The most common presentation in males is a purulent creamy urethral discharge.
If not treated leads to "Disseminated gonococcal infection" which ccc by Hemorrhagic, painful pustules on erythematous bases on the palm and the finger of the other hand. These lesions occur at acral sites and are few in number.
DOC:
Ceftriaxone, 1 g IM or IV every 24 h.
#Dermatology
#Medicine
Primary syphilis"Chancre"
Cause: T. pallidum
Button-like papule then to painless erosion and then ulcerates with raised border and scanty serous exudate.
-Site: mostly penis.
-Surface: may be crusted.
-Size: few millimeters to 1 or 2 cm in diameter.
-Border: may be raised.
-Palpation: firm with indurated border; painless.
DX:clinical +dark-field microscopy.
DOC: Penicillin G benzathine.
#Dermatology
#Medicine
Cause: T. pallidum
Button-like papule then to painless erosion and then ulcerates with raised border and scanty serous exudate.
-Site: mostly penis.
-Surface: may be crusted.
-Size: few millimeters to 1 or 2 cm in diameter.
-Border: may be raised.
-Palpation: firm with indurated border; painless.
DX:clinical +dark-field microscopy.
DOC: Penicillin G benzathine.
#Dermatology
#Medicine
CHANCROID
Cause: H.ducreyi
Transmission: sexual
Primary lesion: Chancroid
Tender papule with erythematous halo that evolves to pustule, erosion, and ulcer. Ulcer is usually quite tender or painful .Its borders are sharp, undermined, and not indurated.With surrounding oedema. Base is friable with granulation tissue and covered with gray to yellow exudate.
Painful inguinal lymphadenitis (usually unilateral).
Dx: culture
DOC: Azithromycin.
#Dermatology
Cause: H.ducreyi
Transmission: sexual
Primary lesion: Chancroid
Tender papule with erythematous halo that evolves to pustule, erosion, and ulcer. Ulcer is usually quite tender or painful .Its borders are sharp, undermined, and not indurated.With surrounding oedema. Base is friable with granulation tissue and covered with gray to yellow exudate.
Painful inguinal lymphadenitis (usually unilateral).
Dx: culture
DOC: Azithromycin.
#Dermatology
Tinea pedis
-Macerated interdigital type:
Local: Aluminum chloride hexahydrate 20%, with T.Antifungal.
Systemic
-Inflammatory or bullous and Moccasin:
Terbinafine
-Tinea manuum,Tinea ungium:
Terbinafine
-Tinea capitis:
Griseofulvin
With severe, painful kerion:
Prednisone
Tinea versicolor:
Ketoconazole shampoo.
#Dermatology
-Macerated interdigital type:
Local: Aluminum chloride hexahydrate 20%, with T.Antifungal.
Systemic
-Inflammatory or bullous and Moccasin:
Terbinafine
-Tinea manuum,Tinea ungium:
Terbinafine
-Tinea capitis:
Griseofulvin
With severe, painful kerion:
Prednisone
Tinea versicolor:
Ketoconazole shampoo.
#Dermatology
-In basal fractures of the skull, all cranial nerves are liable to be injured EXCEPT the 12th CN.
#Surgery
#Surgery
Nikolsky sign:
-SSSS
-Pemphigus
-TEN
-Von Zumbesch
-Severe EM major
Desqumation:
-SSSS
-Scarlet fever.
#Dermatology
-SSSS
-Pemphigus
-TEN
-Von Zumbesch
-Severe EM major
Desqumation:
-SSSS
-Scarlet fever.
#Dermatology
•Intralesional Triamcinolone Uses:
(Dose is usually 3-5 mg /ml)
- Inflammatory Cysts & Nodules of acne.
- Alopecia areata.
- Keloids & Hypertrophic scars.
- Small Thick psoriatic plaques.
- Cutaneous Sarcoidosis.
- Lichen planus.
- Prurigo nodularis.
- Hydradenitis suppurativa.
- Dyshydrotic Eczema.
- Granuloma annulare.
-Lichen simplex chronicus.
-Recurrent localized Bullous pemphigoid
-Scabietic Nodules.
#Dermatology
(Dose is usually 3-5 mg /ml)
- Inflammatory Cysts & Nodules of acne.
- Alopecia areata.
- Keloids & Hypertrophic scars.
- Small Thick psoriatic plaques.
- Cutaneous Sarcoidosis.
- Lichen planus.
- Prurigo nodularis.
- Hydradenitis suppurativa.
- Dyshydrotic Eczema.
- Granuloma annulare.
-Lichen simplex chronicus.
-Recurrent localized Bullous pemphigoid
-Scabietic Nodules.
#Dermatology
Telangiectasia can be seen in:
1-Systemic sclerosis "CREST syndrome".
2-SLE.
3-Dermatomyositis.
4-Rosacea.
5-BCC.
6-Habitual corticosteroid use.
7-Alcoholism.
8-Pregnancy.
9-Hereditary.
10-Chronic exposure to the sun or extreme temperatures.
#Dermatology
1-Systemic sclerosis "CREST syndrome".
2-SLE.
3-Dermatomyositis.
4-Rosacea.
5-BCC.
6-Habitual corticosteroid use.
7-Alcoholism.
8-Pregnancy.
9-Hereditary.
10-Chronic exposure to the sun or extreme temperatures.
#Dermatology
•Rifaximin:
-It is a broad-spectrum, nonabsorbable oral antibiotic.
-Reduces the number of ammonia-producing intestinal bacteria.
-May be added to lactulose if a second episode occurs to prevent recurrent episodes of hepatic encephalopathy.
زمان كانوا يستخدموا Neomycin.
#Medicine
-It is a broad-spectrum, nonabsorbable oral antibiotic.
-Reduces the number of ammonia-producing intestinal bacteria.
-May be added to lactulose if a second episode occurs to prevent recurrent episodes of hepatic encephalopathy.
زمان كانوا يستخدموا Neomycin.
#Medicine
Difficult intubation:
L E M O N
-Look externally
-Evaluate 3-3-2 rule
-Mallampati score
-Obstruction
-Neck Mobility.
#Medicine
L E M O N
-Look externally
-Evaluate 3-3-2 rule
-Mallampati score
-Obstruction
-Neck Mobility.
#Medicine
Varicose vein : symptoms
AEIOU
-Aching
-Eczema
-Itching
-Oedema
-Ulceration (LDS, hemosiderin, varicosities)
#Medicine
AEIOU
-Aching
-Eczema
-Itching
-Oedema
-Ulceration (LDS, hemosiderin, varicosities)
#Medicine
C
🇺🇸👤JOE BIDEN 🏛
🗳Juvenile eating disorder(anorexia nervosa)
🗳Other(pregnancy, systemic sclerosis, myotonic dystrophy)
🗳Environmental and dietary(low fiber diet, immobility,...)
🗳Bowel obstructing lesions
🗳Irritable bowel syndrome, Idiopathic chronic constipation
🗳Drugs(Aluminum,Opiates,
...), Dyssynergic defecation
🗳Endocrine and metabolic (hypothyroidism,hypokalemia,hypercalcemia)
🗳Neurogenic disorders(Multiple sclerosis, Hirschsprung disease,...)
#Medicine
auses of chronic constipation
🇺🇸👤JOE BIDEN 🏛
🗳Juvenile eating disorder(anorexia nervosa)
🗳Other(pregnancy, systemic sclerosis, myotonic dystrophy)
🗳Environmental and dietary(low fiber diet, immobility,...)
🗳Bowel obstructing lesions
🗳Irritable bowel syndrome, Idiopathic chronic constipation
🗳Drugs(Aluminum,Opiates,
...), Dyssynergic defecation
🗳Endocrine and metabolic (hypothyroidism,hypokalemia,hypercalcemia)
🗳Neurogenic disorders(Multiple sclerosis, Hirschsprung disease,...)
#Medicine
Hypercalcemia DDx
🥛HyperCALCEMIAS
💠Hyperparathyroidism
💠Carcinoma
💠Antacids containing Calcium, Acute renal failure
💠Lymphoma, Leukemia, Low phosphate, Lithium
💠Calcium Supplements, Congenital (familial hypocalciuric hypercalcemia)
💠Endocrine: hyperthyroidism, pheochromocytoma
💠Multiple Myeloma, Metistatic Lesions to Bone, Milk-alkali syndrome
💠Immobilization (exacerbates another underlying disorder), Iatrogenic(thiazide, diuretics, vitamin D)
💠Addison's Disease, Acromegaly, A hypervitaminosis
💠Sarcoid and other granulomatous diseases
#Medicine
🥛HyperCALCEMIAS
💠Hyperparathyroidism
💠Carcinoma
💠Antacids containing Calcium, Acute renal failure
💠Lymphoma, Leukemia, Low phosphate, Lithium
💠Calcium Supplements, Congenital (familial hypocalciuric hypercalcemia)
💠Endocrine: hyperthyroidism, pheochromocytoma
💠Multiple Myeloma, Metistatic Lesions to Bone, Milk-alkali syndrome
💠Immobilization (exacerbates another underlying disorder), Iatrogenic(thiazide, diuretics, vitamin D)
💠Addison's Disease, Acromegaly, A hypervitaminosis
💠Sarcoid and other granulomatous diseases
#Medicine