Concomitant pathology varicose diseases since 35

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Concomitant pathology – varicose diseases since 35 years. Objectively: foci have large-scalloped margins, distinctly separated from adjacent healthy skin with corneous layer of the epidermis, which sloughs off. Skin in the lesion regions is highly hyperemic, congestive bluish, slightly infiltrated, the surface has erosions resembling moist disc-like regions. Erosions are covered with a large number of thin, plate-like crusts-scales of yellowish-greenish color. The process is distributed in the periphery. Your initial diagnosis? А. Erysipelas В. Microbial eczema С. Superficial chronic diffuse streptoderma D. Allergic dermatitis Е. Pemphigus vulgaris Plan of examination and treatment. Patient, 39 years old, has been suffering from skin disease for 8 years. Rashes are constantly present on the skin of the elbows and knees. In winter, rashes are more generalized. Objectively: multiple bright red papular rashes with distinct margins are on the skin of the scalp, the trunk, and the extremities, the central surface of papulae is covered with silverish exfoliation. Your diagnosis?
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А) extensive psoriasis, progressive stage, winter form; В) extensive lichen ruber planus, progressive stage; С) extensive psoriasis, regressive stage, winter form; D extensive psoriasis, progressive stage, summer form; Е) limited lichen ruber planus, progressive stage. Which diagnostic tests for making this diagnosis can you name and describe? Patient M., 34 years old, complains of reddening of the face and arms, itching. She has been suffering for 3 weeks. The disease started after repair of apartment (contact with nitro dyes). On examination: hyperemis, edema, bullae, erosions on the arms, neck, face. What is initial diagnosis? А. Simple contact dermatitis; В. Acute eczema; С. Urticaria; D. Allergic contact dermatitis; Е. Toxicodermia. Conduct differential diagnostics of this disease. A patient consulted a doctor complaining of pain during urination, discharge from the urethra. The complaints had been present for 5 days. Objectively: sponges of the urethra are hyperemic, swollen, purulent discharge in large amount. Urine in the first glass of two-glass test is diffuse- cloudy. In smears – leukocytosis, diplococci are located in pairs. Your initial diagnosis? А. Chlamydiosis В. Gonorrhea С. Mycoplasmosis D. Gardnerella infection Е. Candidosis 1. Confirmation of initial diagnosis. 2. Tactics of treatment. A female patient, 27 years old, presented with complaints of itching, rash on the trunk and upper extremities. Objectively: polygonal papulae with lustrous, wax-like surface are on the trunk, flexor surfaces of the forearms; umbilicate depression is visualized in the center of some elements. Initial diagnosis? А) secondary syphilis; B) psoriasis; С) lichen ruber planus; Д) atopic dermatitis; Е) tuberculosis papulonecrotica.
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  • Winter '18
  • Jane doe
  • Syphilis, Pemphigus, D. AIDS

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