• A 45 year old male from AA, presented with asymptomatic skin lesion over the back & buttocks of 03 months duration, the lesion started on the back as ill-defined hypopigmentation  which progressively increase in number and  involve the buttocks has numbness on the extremities & difficulty to differentiate hot and cold objects, otherwise no history of chronic medical illness or prior medication history,  his father had similar illness died 6 years ago unknown reason
•  
• P/E – V/S = stable

                            Intug. = Multiple irregular bordered erythematous plaque

                    The lesions are anesthetic

                                          Has enlarged, non-tender, enlarged great auricular & ulnar

                   nerves bilaterally

• What is the most likely diagnose?
• How do you diagnose?
• How do you manage the patient?
• Mention common complications
• A 27 year old female from Humera, came with the chief complaints of skin lesion on her right cheek of 05 months of duration, associated with mild itching sensation, but has no history of trauma or allergy or medication
• No family history, but has similar illness in her vicinity
• No history of chronic medical illness
• P/E = V/S – stable
•           Intug. -  has solitary well demarcated 2x2cm erythematous indurated
•                          Plaque on right cheek
• What is the most likely diagnose?
• How do you diagnose?
• How do you manage the patient?
• How do you follow her?
• A 6 year old male child, presented with diffuse whitish lesion over the scalp of 06 months duration , associated with itching sensation; his younger sister has similar lesion, but has no history of allergy or drug intake
• P/E = V/S – stable
•           Intug. – There are diffuse erythematous scaly plaques over the scalp
•                         Has posterior cervical LAP bilaterally
•  What is the most likely diagnose?
• How do you diagnose?
• How do you manage the child?
• How do you follow him?
• A 29 year old male unmarried long distance driver, who presented with whitish penile discharge of 03 days duration, associated with burning upon urination; has history of unsafe intercourse 05 days back, otherwise no prior history of similar illness or chronic illness. On P/E  he has creamy purulent discharge from urethra with surrounding erythema
• What is the most likely diagnose?
• How do you diagnose?
• How do you manage him?
• How do you follow him?
• A 52 year old female known RVI on HAART for the last 10 years, who presented with a 1year history of nail lesions on her middle& ring fingers of both hands, which is asymptomatic, otherwise no previous history of nail or skin diseases or no history of trauma; her P/E revealed that lateral onycholysis with varying hyperkeratosis extending from NF to distal nail margin on 3^rd  & 4^th finger nails bilaterally

           A)   What is the most likely diagnose?

           B)   How do you diagnose?

           C)   How do you manage her?

           D)   How do you follow her?

           E)  How is the prognosis?

• A 36 year old male patient came at your OPD with a 2 days history of skin lesion over the right side of the chest, associated with severe pain, burning & tingling sensation, but has no fever, cough or SOB. No history of allergy or medication. His serostatus is unknown. on P/E  there are multiple grouped vesicles which started from below the right nipple to right trunk, but not cross the midline

           A)   What is the most likely diagnose?

           B)   How do you diagnose?

           C)   How do you manage him?

           D)   What are the common complications & their management?

          

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A 45 year old male from AA presented with asymptomatic skin lesion over the back buttocks of 03 months duration the lesion started on the back as illdefined hypopigmentation which progressively increa... View the full answer