DR.MOHAMMED IRFAN SHEIKH
DR.MOHAMMED IRFAN SHEIKH
in Case Study
Pyostomatitis Vegetans
Pyostomatitis Vegetans
A 63-year-old man was evaluated for a 6-month history of oral ulcerations. His medical history was notable for ulcerative colitis. Physical examination revealed numerous white, friable micropustules in a cobblestone pattern on labial and buccal mucosae, as well as ulcerations and hemorrhagic crusting (Panel A). A shave-biopsy specimen revealed an acanthotic epidermis, parakeratosis, exocytosis of neutrophils, and microabscesses. Pyostomatitis vegetans was diagnosed. Pyostomatitis vegetans is an oral manifestation of inflammatory bowel disease, more commonly seen in patients with ulcerative colitis. Bowel disease can precede oral lesions by years. Such lesions may also be a marker of subclinical intestinal disease. Pathogenesis is attributed to antigens that cross-react between the bowel and the skin. Treatment is aimed at controlling intestinal disease; the administration of antineutrophilic agents has also been effective. The patient was treated with dapsone, 200 mg daily, with improvement in the ulcerations within 1 week after the initiation of therapy (Panel B) and no residual oral lesions at the 1-year follow-up (Panel C).
Andy Wells
Andy Wells
in General
Mammillary Bodies | Neurology | Thiamine Deficiency
Vitamin B1 deficiency (thiamine deficiency) can lead to Wernicke-Korsakoff Syndrome (WKS): a defect in the mammillary bodies causing amnesia (anterograde amnesia, retrograde amnesia and confabulation)
Jafar Aziz
Jafar Aziz
in General
The thyroid system
The thyroid system
The figure explain the thyroid galnd how work in the body and what're hormones act on .
F.K
F.K
in Learning Materials
Algorithm for Triage of suspected patients with Corona virus infection
Algorithm for Triage of suspected patients with Corona virus infection
Niven Abu Ramadan
Niven Abu Ramadan
in Case Study
Heterochromia baby😍
Heterochromia baby😍
Heterochromia is when a person’s irises are different colors. There are a few kinds of heterochromia. Complete heterochromia is when one iris is a different color than the other. When part of one iris is a different color than the rest of it, this is called partial heterochromia. Central heterochromia is when there is an inner ring that is a different color than the outer area of the iris.
Raj Kumar
Raj Kumar
in Learning Materials
Microscopic image of CORONA VIRUS (COVID-19)
Microscopic image of CORONA VIRUS (COVID-19)
DR.MOHAMMED IRFAN SHEIKH
DR.MOHAMMED IRFAN SHEIKH
in Case Study
Intestinal Lipomatosis
Intestinal Lipomatosis
A 74-year-old woman presented to the gastroenterology clinic with a long history of bloating and abdominal distention. On physical examination, the abdomen was found to be distended but was nontender on palpation, with normal bowel sounds. Findings on computed tomography of the abdomen and pelvis were consistent with fat-containing lesions throughout the small bowel. Esophagogastroduodenoscopy showed numerous submucosal masses in the duodenum with a pillow sign (i.e., indentation of a subepithelial lesion when prodded with biopsy forceps). Unroofing of the subepithelial lesion on biopsy revealed yellow adipose tissue. Histopathological examination confirmed the presence of mature adipose tissue consistent with lipoma. Intestinal lipomatosis involves multiple lipomas in the small or large intestine. Patients may be asymptomatic or have mild symptoms or present with complications of bowel obstruction or intussusception. No specific treatment is available except for surgical management in severe or complicated cases. Surgery was not offered in this case because of involvement of the entire small bowel. At the 3-month follow-up, the patient reported a moderate reduction in symptoms after some dietary alterations.
Jafar Aziz
Jafar Aziz
in General
Atelectasia
Atelectasia
Atelectasis is a collapse of lung tissue affecting part or all of one lung. ‏​ This condition prevents normal oxygen absoption to healthy tissues. ‏​ And these are Common causes of Atelectasis.
Abhishek S
Abhishek S
in Discussion | 2 days ago
Bijan
Bijan
in Case Study
My Patient is 26 year old. He is suffering from this coronal lesions. No improvement by taking Phenoxy methyl Penicillin(Penvik 250), Cefixim, Flucloxacillin from Nearest pharmacy for 5 days. Then He comes to me and i suggest him to do VDRL, TPHA & HBSAg But All are negative. Most Sensitive & Specific Test for Syphilis- Darkground Microscopy is not Available Here. What can i do now?? Now Injection Benzyl Penicillin therapy will be helpful or not?? Symptoms - Mild pain in this lesion, Bodache, Mild Fever. No Urethral Discharge.
Coronal lesions on Glans Penis
Coronal lesions on Glans Penis
My Patient is 26 year old. He is suffering from this coronal lesions. No improvement by taking Phenoxy methyl Penicillin(Penvik 250), Cefixim, Flucloxacillin from Nearest pharmacy for 5 days. Then He comes to me and i suggest him to do VDRL, TPHA & HBSAg But All are negative. Most Sensitive & Specific Test for Syphilis- Darkground Microscopy is not Available Here. What can i do now?? Now Injection Benzyl Penicillin therapy will be helpful or not?? Symptoms - Mild pain in this lesion, Bodache, Mild Fever. No Urethral Discharge.
DrSUN (Medical student)
DrSUN (Medical student)
in General
What’s your diagnosis and treatment ?
What’s your diagnosis and treatment ?
A 82 years old female have had this ulcer around 1-2 months result of prolong sleep on the bed ( she can’t walk because of pelvic fracture ) and now this ulcer become worst...
DR.MOHAMMED IRFAN SHEIKH
DR.MOHAMMED IRFAN SHEIKH
in Case Study
Sarcoidal Reaction in a Tattoo
Sarcoidal Reaction in a Tattoo
A 42-year-old man presented to the dermatology clinic with a 5-month history of numerous papules along the pattern of his tattoos, which he had received 10 years earlier (Panel A). There was no associated pain or pruritus. He reported that he had not had any dyspnea, fever, arthralgias, visual symptoms, or other systemic symptoms, and the remainder of his physical examination was normal. A biopsy of the papules showed noncaseating granulomas with black and brown pigment within the superficial and deep dermis (Panel B, arrow), which supported the diagnosis of a cutaneous sarcoidal reaction. Tissue cultures for bacteria, mycobacteria, and fungi were negative. Thoracic computed tomography revealed bilateral hilar and mediastinal lymphadenopathy with no parenchymal abnormalities. Further investigation for systemic sarcoidosis, including ophthalmic, pulmonary function, and cardiac testing, was negative. Granulomatous reactions to tattoo ink or scars may occur years after the provoking event. The patient’s skin lesions resolved after several months of treatment with a potent topical glucocorticoid.
Mohsen Merati
Mohsen Merati
in Learning Materials
32y/o man is complained of forming erythematous lesion on the right knee with sharp margin and pustular lesion from 2weeks ago that now is tender and warm. What is your diagnosis?!
Erythematous skin
Erythematous skin
F.K
F.K
in Case Study
Please let me know.
What's your diagnosis? What do you suggest for management?
What's your diagnosis? What do you suggest for management?
A 67 years old female with history of cardiac disease and DM and HTN refered to ED with dyspnea and chest pain. In ph/ex there were BP of 110/80 and pitting edema (2 plus) and she was pletoric.
Lennon McKenzie
Lennon McKenzie
in Discussion | 3 days ago
®EsIDENT®EZ@
®EsIDENT®EZ@
in Learning Materials
Treatment of an mi
Dr reza hasanzade
Dr reza hasanzade
ALLAH
MŐH!T
MŐH!T
in General
Eyeball
Eyeball
Muhammad Haris
Muhammad Haris
in Learning Materials
An Overview Of Venous System
An Overview Of Venous System
Bijan
Bijan
in Case Study
Please tell next Steps and Treatment.
Skin Disease
Skin Disease
No Improvement with Terbinafin Tab & Cream with Raw Sulfur for 2 month. Increase by using Betamethason and Salysailic Acid. Patient is Male, 28 year old with diabetic and Spinal TB patient. He takes everyday 3FDC & Metfoin with vildagliptin. Please Tell me what can i do as a next step??
Jafar Aziz
Jafar Aziz
in Case Study
X-ray
X-ray
Radiograph of a patient with a complete right-sided pneumothorax due to a stab wound.
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