🛑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
Forwarded from Surgical notes
🦉Hyponasality (Rhinolalia cluasa) It is lack of nasal resonance for words which are resonated in the nasal cavity, e.g. m, n, ng.
It is due to blockage of the nose or nasopharynx.
🦉Hypernasality (Rhinolalia aperta)
It is seen when certain words which have little nasal resonance are resonated through nose. The defect is in failure of the nasopharynx to cut off from oropharynx or abnormal
communication between the oral and nasal cavities.
#ENT
It is due to blockage of the nose or nasopharynx.
🦉Hypernasality (Rhinolalia aperta)
It is seen when certain words which have little nasal resonance are resonated through nose. The defect is in failure of the nasopharynx to cut off from oropharynx or abnormal
communication between the oral and nasal cavities.
#ENT