tag:blogger.com,1999:blog-7639830395871329337.post3315279951812491066..comments2024-03-27T02:10:58.710-07:00Comments on PACES resources,MRCP(uk) Practical Assessment of Clinical examination SKills: exam questions 2Dr Elmuhtady M SAID, FRCP(Glasg),FRCP(I),FEBGH,Dip Gastrohttp://www.blogger.com/profile/12052172963814856861noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-7639830395871329337.post-15665815964108452902009-06-25T05:52:52.549-07:002009-06-25T05:52:52.549-07:00Symmetrical patches of hypopigmentated skin lesion...Symmetrical patches of hypopigmentated skin lesion consistent of vitiligo. I would like to examine her palmar creases and buccal mucosa for hyperpigmentation secondary to associated autoimmune addison's disease, examine for conjuctiva pallor and angular stomatitis for signs of anaemia which could be secondary to pernicious anaemia, dipstick her urine for glucose and perform random glucose level for diabetes mellitus, examine her thyroid glad and thyroid status for signs of hypo/hyperthyroidism as well as performing a TFT level. The diagnosis is vitiligo which could be associated with underlying autoimmune conditions. Treatment for vitiligo include sunblock cream and long sleeve shirt to prevent area of sunburn on the vitiligo.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7639830395871329337.post-39813453092924035142009-03-01T05:24:00.000-08:002009-03-01T05:24:00.000-08:00txcosmetic make up and sunscreentopical steroidsPU...tx<BR/>cosmetic make up and sunscreen<BR/>topical steroids<BR/>PUVAAnonymoushttps://www.blogger.com/profile/09427224270485987703noreply@blogger.comtag:blogger.com,1999:blog-7639830395871329337.post-84871300676140136962008-06-15T11:34:00.000-07:002008-06-15T11:34:00.000-07:00symetrically destributed hypopegmented patches.ass...symetrically destributed hypopegmented patches.<BR/><BR/>associated with organ-specific autoimmune condition:<BR/>1-Graves disease<BR/>2-pernicious anaemia<BR/>3-diabetes<BR/>4-addison's diseaseAnonymousnoreply@blogger.com