فوازير برامج نت الطبيــــة Clinical Cases & Medical Problems

[د/عمـــرو درة]

http://forum.amrkhaled.net/images/smilies/frh--.gif
مســـــــــــــــــــابقات
http://forum.amrkhaled.net/images/smilies/at--.gif
برامج نت الطبية

http://forum.amrkhaled.net/images/smilies/frh--.gif

هنفكر و نذاكر
و هنفيد بعض
على طريقة المسابقات
http://forum.amrkhaled.net/images/smilies/marsa152.gifhttp://forum.amrkhaled.net/images/smilies/th.gif
CASE SOLVIG PROBLEMS

كل فترة هأعرض عليكم حالة طبية
CASE
مسألة
http://forum.amrkhaled.net/images/smilies/th.gif
نفكر فيها مع بعض

و نحاول نوصل ل
DIAGNOSIS
http://forum.amrkhaled.net/images/smilies/ac.gif






أخوكم
د/عمــــرو درة

[د/عمـــرو درة]

(1)

http://master.emedicine.com/email/image/image80/80.jpg BACKGROUND
A 59-year-old man presents to the emergency department complaining of a diffuse, painful rash. The rash first arose 3 months ago and resolved after a course of oral prednisone. However, the rash recurred a month ago, manifesting in its current state and affecting most of the surface of his upper and lower extremities. No new drugs were added when the initial rash started, and he received only tapered prednisone therapy before his most recent presentation. At that time, he began applying an antibiotic ointment (Neosporin) on affected areas, with subsequent worsening of his rash. A short course of fluocinonide cream resulted in mild improvement. He is now taking only hydroxyzine for symptomatic relief of severe pruritus. He denies having other complaints.

The patient's medical history is significant for allergic contact dermatitis and hypertension. On physical examination, fissuring is present on the creases of his palms and heels, and his nails are thin. An erythematous, macular, scaly rash is observed on the patient's forearms and on the lateral aspects of both thighs, with multiple excoriations and pale, superficial ulcerations. His vital signs and the rest of the physical findings are unremarkable. A KOH preparation of a sample obtained from a thigh lesion yielded negative results.

What is the diagnosis?

[د/عمـــرو درة]

(2)

http://master.emedicine.com/email/image/image78/78.jpg BACKGROUND
Parents bring their 28-day-old female neonate to the emergency department with a 1-week history of progressive erythema and swelling of her left nipple and breast. The mother reports the child has had no trauma to the breast, nipple discharge, or fevers; however, the patient has had decreased oral intake and tenderness of the affected breast.

The area is not responding to a regimen of cephalexin that the patient's pediatrician prescribed 3 days ago. The patient was born by means of caesarean delivery; the rest of her perinatal history is unremarkable.

Physical examination reveals an afebrile and well-appearing infant in no obvious distress. The left breast (see Image 1) is warm and tender, with an underlying area of fluctuance. Other findings are normal. Laboratory tests reveal a slightly elevated WBC count.

What is the diagnosis
?

[د/عمـــرو درة]

(3)


http://master.emedicine.com/email/image/image76/76.jpg

BACKGROUND
A 76-year-old Caucasian man with a history of well-controlled hypertension presents to the emergency department with a 1-week history of painless facial edema. The swelling is most pronounced on his awakening in the morning and improves throughout the day but persists in the periorbital region. He has been taking lisinopril for several years, without any dosage adjustments or medication changes. He has no known drug allergies. He denies having any visual changes, headaches, nausea, fevers, night sweats, dyspnea, orthopnea, wheezing, stridor, rash, cough, or dysphagia, but he has noticed a 15-lb involuntary weight loss over several months. He denies having a history of tobacco use.

On physical examination, prominent edema of the upper and lower eyelids is present, with a slightly full appearance of the rest of the face. No rash, erythema, warmth, or areas of induration are noted. No cervical lymphadenopathy is appreciated. Lung sounds are clear, with no wheezing, stridor, or rales. The heart sounds are normal, without notable gallops or murmurs. A prominent right external jugular vein is noted, with slight fullness of the right supraclavicular region (see Image). The abdomen is soft, with no palpable masses. No edema of the extremities is observed. All vital signs are within normal limits.

What is the diagnosis
?

[أبو حيدرة التوتي]

Take it easy Doc

[أبو حيدرة التوتي]

one by one

[juba8]

شكرا كل سنه وانت طيب

[أبو حيدرة التوتي]

I still in the 3rd year and I do not know much about medicine.. so I really want to know the answers...

[ghalebalmahdi]

(1)

http://master.emedicine.com/email/image/image80/80.jpg BACKGROUND
A 59-year-old man presents to the emergency department complaining of a diffuse, painful rash. The rash first arose 3 months ago and resolved after a course of oral prednisone. However, the rash recurred a month ago, manifesting in its current state and affecting most of the surface of his upper and lower extremities. No new drugs were added when the initial rash started, and he received only tapered prednisone therapy before his most recent presentation. At that time, he began applying an antibiotic ointment (Neosporin) on affected areas, with subsequent worsening of his rash. A short course of fluocinonide cream resulted in mild improvement. He is now taking only hydroxyzine for symptomatic relief of severe pruritus. He denies having other complaints.

The patient's medical history is significant for allergic contact dermatitis and hypertension. On physical examination, fissuring is present on the creases of his palms and heels, and his nails are thin. An erythematous, macular, scaly rash is observed on the patient's forearms and on the lateral aspects of both thighs, with multiple excoriations and pale, superficial ulcerations. His vital signs and the rest of the physical findings are unremarkable. A KOH preparation of a sample obtained from a thigh lesion yielded negative results.

What is the diagnosis?







السلام عليكم
أعتقد أن الرجل مصاب بالصدف psoriasis
و شكرا