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Showing posts with label Weekend Case. Show all posts
Showing posts with label Weekend Case. Show all posts

Saturday, March 05, 2011

Weekend Case: This rash started on a 55-year-old man's forearms and legs and spread to his trunk ...

This rash started on a 55-year-old man's forearms and legs and spread to his trunk (A), palms (B), and soles. He also had fever, headache, myalgia, arthralgia, and a history of a recent interstate travel in the southeastern and south central states. Thr infection occur during the summer, when frequent outdoor activity in an urban area. Additional manifestations are cough, bleeding, edema, confusion, focal neurological signs, and seizures. His symptoms appeared from 2 to 14 days after his trip and the rash usually develops between the third and fifth days of illness.

What is the Diagnosis and Treatment?






Answer:

Rocky mountain fever............The disease is caused by Rickettsia rickettsii, a species of bacterium that is spread to humans by Dermacentor ticks. Initial signs and symptoms of the disease include sudden onset of fever, headache, and muscle pain, followed by development of rash Petechial rash Abdominal pain Joint pain severe manifestations of this disease may involve the respiratory system, central nervous system, gastrointestinal system, or renal system.

Saturday, February 26, 2011

Weekend Case: A 3.5-year-old boy presents with snorting and sniffing, and has been congested and plugged up

A 3.5-year-old boy presents with his mother as a new patient to your practice. His mother describes that he has been snorting and sniffing, and has been congested and plugged up for a few months. The patient intake form that his mother completed before the visit notes that the symptoms might have started 6-8 months ago, although she does not remember any specific starting date. She thinks that the symptoms worsen when they visit her in-laws on the farm and friends who have cats. He has had 2 ear infections in the past 4 months. She does not report him having any wheezing or coughing. His immunizations are all up-to-date, and he has never had any surgeries or hospitalizations. He is the product of a normal full-term pregnancy and delivery.

Q1. In physical finding the picture below is seen. What are those lines beneath his lower eyelids?

Q2. What is your diagnosis?