А acute epidermal necrolysis lyells syndrome в

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А. Acute epidermal necrolysis – Lyell’s syndrome; В. Pemphigus vulgaris; С. Erythema multiforme; D. Ritter’s exfoliative dermatitis; Е. Duhring’s disease (dermatitis herpetiformis); Compile plan of a patient’s examination. A 19-year old patient experienced redness and burning in the corner of the mouth, which appeared after visit to a dentist. Objectively: fissure, covered with yellow crust is in the right corner of the mouth. Skin around the site is of bright-red color. Make initial diagnosis А. streptococcal angular cheilitis В. pemphigus С. herpetic infection D. primary syphilis Е. candidal stomatitis Conduct differential diagnostics A patient has noticed purulent discharge from the urethra, pain during and at the end of urinating, frequent voids to urination, frequent erections and pollutions for several days. Terminal hematuria is observed. Manifestations appeared in 7 days after sexual contact with a hardly familiar woman. Objectively: erythema and swelling of the external urethral canal. On palpation: the urethra is somewhat infiltrated, painful. In conduction of two-glass test – urine is cloudy in both portions. Which diagnosis is the most likely? A. Fresh acute total urethritis B. Fresh acute anterior urethritis C. Fresh acute posterior urethritis D. Chronic gonorrheal urethritis E. Chronic chlamydial urethritis 1. Diagnostic tactics. 2. Treatment tactics. Patient M., 55 years old, was admitted to inpatient department by sanitary aviation. On examination: the patient’s general condition – severe, active movements are complicated due to pain, t 38.3 0 С, the mouth opens with difficulty, and remnants of hemorrhagic crusts are on vermillion border. Multiple extensive erosions, covered with dirty plague, with papillomatous growths are observed on the skin of the abdomen, in axillary, submammary, inguinal folds. Vesicles, bullae are on the periphery of lesion foci on the background of healthy skin. Nikolsky’s symptom is positive. Which dermatosis is meant in this case? А. Eczema В. Pemphigus С. Herpes zoster
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D. Herpes Е. Lichen ruber planus With which diseases should differential diagnosis be performed? In a woman, 26 years old, rash appeared on the skin of flexor surfaces of the upper and lower extremities, trunk, which is accompanied by intensive itching. Objectively: papulae, lichenifications are present on erythematous background. She has been suffering for 10 years. She links rash appearance with previous stressful situation. Which diagnosis is the most likely in this patient? А. Eczema; В. Psoriasis; С. Contact dermatitis; D. Allergic dermatitis; Е. Neurodermitis. Compile plan of examination and treatment for this patient. Patient M., 19 years old, consulted a dermatologist complaining of skin itching, usually at night.
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  • Winter '18
  • Jane doe
  • Syphilis, Pemphigus, D. AIDS

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