Forwarded from Ahlam Moh.
سؤال امتحان
1/ Indication of topical steroid
2/ their side effects
1/ Indication of topical steroid
2/ their side effects
🛑For comparison between Psoriasis and lichen planus
🟠Psoriasis?!
1- non - Puriritic
2- " vulgaris "effect Extensor surfaces
3- effecting scalp causing non- scarring alopecia
4- In nail as mentioned before + Oil drop sign
5- no mucus mambrane involvement
6- Don't use Systemic steroid " Contraindicated "
7- not considered as pre- malignant
_______
🔴Lichen planus :-
1- Puriritis
2- Effect Flexor surfaces
3- Causing Scarring alopecia
4- Effect nail :- same as Psoriasis ( Ptyrgiaum instead of oil drop )
5- Effect the Mucus mambrane " Weckham strea "
6- Treatment is with steroids☑️
7- considered as pre-malignant if it involves scalp , nails , mucus mambrane
✨✨
#جلدية
#Derma
🟠Psoriasis?!
1- non - Puriritic
2- " vulgaris "effect Extensor surfaces
3- effecting scalp causing non- scarring alopecia
4- In nail as mentioned before + Oil drop sign
5- no mucus mambrane involvement
6- Don't use Systemic steroid " Contraindicated "
7- not considered as pre- malignant
_______
🔴Lichen planus :-
1- Puriritis
2- Effect Flexor surfaces
3- Causing Scarring alopecia
4- Effect nail :- same as Psoriasis ( Ptyrgiaum instead of oil drop )
5- Effect the Mucus mambrane " Weckham strea "
6- Treatment is with steroids☑️
7- considered as pre-malignant if it involves scalp , nails , mucus mambrane
✨✨
#جلدية
#Derma
🔶 Syhpilis
♦️Primary syphilis
-Chancre
-Painless
-Infectious
-Bil. LN not tender
-Diagnose by Dark ground
♦️Secandry syphilis
-Skine rash , MM involved
-Condoloma Lata >more infectious ,painles
-Great imitator (polymorphic)
-Never vesicle
-Non cicatricial alopecia
-Diagnose by Serology100% positive,Dark
♦️Tertiary (gamma)
-Type 4 hypersensitivity so non infectious *
-Painless
-No LN enlargement
✨✨Neurosyphilis (or Syphilis with HIV)
-Not give benzathin penicillin
But gives Crystalline penicillin
✨✨pt. Allergy to penicillin gives
-Tetracyclin
-Doxacyciln
-Ceftriaxon
✨✨No primary syphilis (no chancre)
-in blood transfusion transmission
-congenital syphilis
#جلدية🌚
♦️Primary syphilis
-Chancre
-Painless
-Infectious
-Bil. LN not tender
-Diagnose by Dark ground
♦️Secandry syphilis
-Skine rash , MM involved
-Condoloma Lata >more infectious ,painles
-Great imitator (polymorphic)
-Never vesicle
-Non cicatricial alopecia
-Diagnose by Serology100% positive,Dark
♦️Tertiary (gamma)
-Type 4 hypersensitivity so non infectious *
-Painless
-No LN enlargement
✨✨Neurosyphilis (or Syphilis with HIV)
-Not give benzathin penicillin
But gives Crystalline penicillin
✨✨pt. Allergy to penicillin gives
-Tetracyclin
-Doxacyciln
-Ceftriaxon
✨✨No primary syphilis (no chancre)
-in blood transfusion transmission
-congenital syphilis
#جلدية🌚
Forwarded from Surgical notes
Defferences b/w CSF Rhinorrhoea and nasal secretion
♦️Also Nasal discharge, because of its mucus content it stiffens the handkerchief & but CSF not .
🔹other fluid contain Beta-2 transferrin
🔸perilymph
🔸aqueous humour
#ENT
♦️Also Nasal discharge, because of its mucus content it stiffens the handkerchief & but CSF not .
🔹other fluid contain Beta-2 transferrin
🔸perilymph
🔸aqueous humour
#ENT
Forwarded from Surgical notes
" Adenoid "
🔸Dif. Hypertrophy of subepithelial lymphoid tissue of nasopharynx
🔸Aetiology :
-reccurent Rhinitis ,sinusitis ,tonsilitis
-allergy of the URT
🔸C/P
♦️Nasal symptoms:
-Nasal obstraction (MC)>>mouth breathing >>interferes with feeding or suckling > fails to thrive
-Snoring , sleep apnae
-Nasal discharge > wet bubbly nos
-Sinusitis
-Epistaxis
-Voice change > rhinolalia clausa
♦️Aural symptoms :
-Tubal obstraction > retracted drum >CHL
-recurrent atack of AOM ( Aotalgia)
-chronic suppurative OM
-Serous OM
♦️General
🔹Adenoid facies
Deu to prolonged mouth breathing >
-Enlarged face with dull expression
-Open mouth
-Prominent and crowded upper teeth
-Elevated upper lip
-Receding lowe jaw
-Pinched nostril
-High arched Hard palate
🔹pulmonary HTN > cor pulmonale
🔹Aprosexia ( lack of concentration)
🔸manegment
🔹mild case >medical as
Decongestant nasal drop , anti histamine ,treat infection > cure
🔹marked symptoms > adenoidoctomy
#ENT
🔸Dif. Hypertrophy of subepithelial lymphoid tissue of nasopharynx
🔸Aetiology :
-reccurent Rhinitis ,sinusitis ,tonsilitis
-allergy of the URT
🔸C/P
♦️Nasal symptoms:
-Nasal obstraction (MC)>>mouth breathing >>interferes with feeding or suckling > fails to thrive
-Snoring , sleep apnae
-Nasal discharge > wet bubbly nos
-Sinusitis
-Epistaxis
-Voice change > rhinolalia clausa
♦️Aural symptoms :
-Tubal obstraction > retracted drum >CHL
-recurrent atack of AOM ( Aotalgia)
-chronic suppurative OM
-Serous OM
♦️General
🔹Adenoid facies
Deu to prolonged mouth breathing >
-Enlarged face with dull expression
-Open mouth
-Prominent and crowded upper teeth
-Elevated upper lip
-Receding lowe jaw
-Pinched nostril
-High arched Hard palate
🔹pulmonary HTN > cor pulmonale
🔹Aprosexia ( lack of concentration)
🔸manegment
🔹mild case >medical as
Decongestant nasal drop , anti histamine ,treat infection > cure
🔹marked symptoms > adenoidoctomy
#ENT