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DR.MOHAMMED IRFAN SHEIKH

in Case Study

Eczema Herpeticum

Eczema Herpeticum

An 8-year-old girl with atopic dermatitis presented with a 3-day history of a diffuse eruption of pruritic, umbilicated, erythematous vesicles with erosion and crusting on the flexor surfaces of the legs (Panel A) and arms. Her parents reported that eczematous lesions had previously occurred in these locations. The patient was afebrile, and no lymphadenopathy was present. A vesicle was unroofed, and cytologic analysis of the fluid revealed giant, ballooned keratinocytes that were consistent with herpes virus infection. A direct fluorescent antibody test was positive for herpes simplex virus (HSV) type 1. The patient received a diagnosis of eczema herpeticum, an eruption of a viral infection on a preexisting site of skin disease — typically, atopic dermatitis. Eczema herpeticum is most commonly caused by HSV. The differential diagnosis includes impetigo, bullous impetigo, scabies, eczema vaccinatum, and primary varicella infection. Bacterial superinfection is an important consideration. Eczema herpeticum can be severe and in some cases life-threatening. Early diagnosis and systemic antiviral treatment can minimize complications. The patient was treated with acyclovir, and the lesions healed completely after 3 weeks

#LYMPHADENOPATHY

#ECZEMAHERPETICUM

Hanin Kaa

in Case Study

Omg this girl was playing a friendly game of arm wrestle when her elbow suddenly breaks! Source; medicmad

Mishey

in Learning Materials

Raccoon eyes

DR.MOHAMMED IRFAN SHEIKH

in Case Study

Venous Congestion in Ischemic Bowel

A 57-year-old man with cirrhosis presented to the emergency department with acute abdominal pain that had been present for 1 day. On physical examination, his abdomen was tender to palpation over the epigastrium and lower abdomen, with rebound tenderness and guarding. Laboratory studies revealed a white-cell count of 8400 per cubic millimeter (normal range, 4000 to 11,000) and a serum lactate level of 18.4 mmol per liter (normal range, 0.5 to 2.2). Computed tomography revealed pneumatosis intestinalis. Because of concern about ischemic bowel, the patient underwent emergency laparotomy. During surgery, the jejunum and ileum were noted to be cyanotic and congested, and the mesenteric veins contained visible air with venous pulsation (see video). No bowel was resected, because bowel peristalsis was present. Mesenteric ischemia can be caused by acute arterial or venous thromboembolism or by decreased blood flow to the splanchnic vessels, usually owing to hypotension in patients with atherosclerotic disease. If a patient presents with acute peritonitis, urgent laparotomy is indicated to evaluate for infarcted bowel. After surgery, the patient was admitted to the intensive care unit and received vasopressors, fluids, antibiotic agents, and low-molecular-weight heparin, and he had a full recovery.

#INFERIOR_MESENTERIC_ARTERY

Dr Vijay Sharma

in General

Glasgow Coma Scale (GCS)

Glasgow Coma Scale (GCS) is a neurological scale which aims to give a reliable way of recording the conscious state of a person for initial as well as subsequent assessment.

Glasgow Coma Scale (GCS) Glasgow Coma Scale (GCS) is a neurological scale which aims to give a reliable way of recording the conscious state of a person for initial as well as subsequent assessment.

#MEDICALSTUDENT

Medicogram

in General

Liver metastasis

Liver metastasis

Cross section of a human liver, showing Liver metastasis. Liver metastasis is cancer that started in another part of the body and spread to the liver. It’s sometimes called secondary liver cancer or metastatic liver disease. Liver metastasis is not the same as cancer that starts in the liver (called primary liver cancer). Liver metastasis is much more common than primary liver cancer.

Sara

in Discussion | 14 hours ago

Hey Does anyone know, is septum atrioventriculare closed or open by adults and children (after birth) , does any blood come from right atrium, to left ventricle through it ?

Rirra

in Discussion | 21 hours ago

Hi everyone What’s the most common cause of adernal incidentaloma? When you find a tumor or a mass in CT or MRI by accident! is called incidentaloma.

Lorenzo Molina

in Case Study

PEG MANAGMENT

Patient is 59 y/o female, degenerative MS since 20 years, Bed bound for 5 years. PEG has been places July 2019, without any infections or complications till now. This abscess-like protuberance appeared 3 days ago, reported itchiness and pain. What is your diagnosis and treatment plan pls?

Shivendra Parmar

in Learning Materials

Human desaction

Shivendra Parmar

in General

Laparoscopy

Tedrik Markarian

in General

Imaging shows a large mass growing within the brain. After further observation, it was known to be GBM (Glioblastoma Multiforme). Unfortunately, GBM is not a benign tumor. It is a malignant one. It is a very aggressive and fast growing tumor. Even when neurosurgeons perform a craniotomy for the resection of a GBM, they may assign the patient to radiotherapy and chemotherapy.

Tedrik Markarian

in Learning Materials

Study shows promise for donor lung preservation device

Study shows promise for donor lung preservation device

A landmark study conducted by a team of researchers found that a portable perfusion device was associated with less primary graft dysfunction, a syndr

Claudia Alexandru

in General

65 year old woman came to the hospital with sensation of burning pain and itching. In the image you can see the rash becomes vesicular, forming small blister filled with a serous exudate. The vesicles eventually become cloudy or darkened as they fill with blood, and crust over within 8-12 days. After severe blistering, scarring and discolored skin remain.

Development of Herpes Zoster blisters on the torso

Development of Herpes Zoster blisters on the torso

Painful skin rash with blisters occurring in a stripe caused by Varicella Zoster virus.

Fryad pharmacist

in Learning Materials

Tuberculosis

Tuberculosis (TB) is a disease caused by bacteria called Mycobacterium tuberculosis. The bacteria usually attack the lungs, but they can also damage other parts of the body. TB spreads through the air when a person with TB of the lungs or throat coughs, sneezes, or talks. Both latent TB infection and active TB disease are treated with antibiotics. Treatment lasts at least six months because antibiotics work only when the bacteria are actively dividing, and the bacteria that cause TB grow very slowly. While latent TB infection can be treated with only one antibiotic, active TB disease is treated with several antibiotics at one time, to decrease the chances that the bacteria will evolve resistance to the drugs. Active TB disease must be treated aggressively, and patients may have to start treatment with a hospital stay to keep them from spreading the disease.

DR.MOHAMMED IRFAN SHEIKH

in Case Study

Sweet’s Syndrome in a Patient with Rheumatoid Arthritis

Sweet’s Syndrome in a Patient with Rheumatoid Arthritis

A 52-year-old woman with rheumatoid arthritis presented with a 1-month history of multiple painful, erythematous plaques on her palms and the fingers. One and a half years earlier, she had been treated with etanercept for 6 months. At the time of this presentation, her maintenance medications for rheumatoid arthritis included sulfasalazine and azathioprine; this regimen had been stable for 3 years. In addition to the skin lesions, which were limited to the palms and fingers, physical examination revealed ulnar deviation and Z deformity of both hands — findings consistent with chronic changes due to rheumatoid arthritis. The patient was afebrile. Laboratory testing revealed an erythrocyte sedimentation rate of 50 mm per hour (normal value, <15), a C-reactive protein level of 20.2 mg per liter (normal value, <3.5), and a white-cell count of 3670 per cubic millimeter with 87% neutrophils. A skin biopsy revealed papillary dermal edema and perivascular and interstitial lymphohistiocytic and neutrophilic infiltration consistent with the inflammatory disorder Sweet’s syndrome (also called acute febrile neutrophilic dermatosis). The differential diagnosis includes vasculitis, drug eruption, and infectious processes. After a short course of methylprednisolone therapy, the skin lesions resolved and did not recur over 1 year of follow-up. The patient’s treatment regimen for rheumatoid arthritis was continued.

#RHEUMATOIDARTHRITIS

Dr Vijay Sharma

in Case Study

Removed brain tumur

Hanin Kaa

in Discussion | a day ago

What is the difference between gram-positive and gram-negative

Medicalcortex

in General

Phacoemulsification

Phacoemulsification is a modern cataract surgery in which the eye's internal lens is emulsified with an ultrasonic handpiece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution to maintain the anterior chamber. Before the phacoemulsification can be performed, one or more incisions are made in the eye to allow the introduction of surgical instruments. The surgeon then removes the anterior face of the capsule that contains the lens inside the eye. Phacoemulsification surgery involves the use of a machine with microprocessor-controlled fluid dynamics. These can be based on peristaltic or a venturi type of pump. Video by @oftalmoabc

#cataractsurgery

#medicalstudent

سیده کرن زهرا 💫

in Discussion | 2 days ago

What's the role of stapedius muscle in middleear?

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