Dear friends and colleagues, Passing the MRCP UK is an important step in the medical career. PACES is the practical clinical exam and require a wide breadth of knowledge. This blog is a space to share materials, information and knowledge and I hope you find it useful. Am open for any ideas or suggestion and would value your contributions and comments.
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Best wishes, Dr Elmuhtady Said
papular eruption on the centre of the face,likely adenoma sebaceum,I would like to ask about history of epilipsy and mental state. this is likey due to tuberous sclerosis.
papular eruption ont eh nasolabia area resembling adenoma sebaceum. I would look for shagreen patches on the back, ash leaf macules(hypopigmented macules), periungal fibroma on the fingers or toes, cafe-au-leit spots. I would also enquire about family history of tuberous sclerosis, history of epilepsy, learning difficulty, dipstick her urine for protein and blood, measure her blood pressure for hypertension which could be secondary to chronic renal failure secondary to angiomyolipoma. The physical signs are consistent with tuberous sclerosis.
this is adenoma sebaceum,isnt it?
ReplyDeletepapular eruption on the centre of the face,likely adenoma sebaceum,I would like to ask about history of epilipsy and mental state.
ReplyDeletethis is likey due to tuberous sclerosis.
AD in 80%
ReplyDeleteshagreen patches
ReplyDeleteungual fibromata
hypopegmented macules
cafe`-au-lait macules
ACtually called angiofibromata with truncal shagreen patches, nail fold, cerebral, retinal, renal, cardiac, lung and heart involvement
ReplyDeletepapular eruption ont eh nasolabia area resembling adenoma sebaceum. I would look for shagreen patches on the back, ash leaf macules(hypopigmented macules), periungal fibroma on the fingers or toes, cafe-au-leit spots. I would also enquire about family history of tuberous sclerosis, history of epilepsy, learning difficulty, dipstick her urine for protein and blood, measure her blood pressure for hypertension which could be secondary to chronic renal failure secondary to angiomyolipoma. The physical signs are consistent with tuberous sclerosis.
ReplyDelete