Objectively glans penis is hyperemic and swollen

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Objectively: glans penis is hyperemic and swollen, sponges of the outer orifice of the urethra are swollen. A large amount of yellowish-green pus discharges from the urethral canal. Make initial diagnosis. A. Ureaplasmosis B. Trichomoniasis C. Chlamydiosis D. Fresh gonorrhea E. Gardnerella infection 1. Substantiate initial diagnosis.
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2. Diagnostic tactics. A 54-year old man consulted a dermatologist, complaining of rash appearance on mucosa of the soft and hard palate, tenderness while eating solid food. On examination: bright red, round multiple erosions, without inflammatory reaction around. Your diagnosis? A. Pemphigus vulgaris B. Herpes C. Candidiasis D. Aphthous stomatitis E. Leukoplakia Which additional methods of examination should be performed to confirm diagnosis? A 45-year old woman was admitted to inpatient department complaining of general weakness, rash on the skin, accompanied by itching. Objectively: grouped tight bullae, size from a pea to hazel nut, filled with transparent content, are observed on the skin of the trunk, buttocks, femoroinguinal folds on erythematous background. The skin of the palms and soles is not affected. In general blood analysis – eosinophilia. Initial diagnosis? А. pemphigus vegetans В. Herpetiform Duhring’s dermatosis С. Pemphigus vulgaris D. Seborrheic pemphigus Е. Herpes Compile treatment plan for this patient. A patient, 45 years old, complains of appearance of nodular elements on the skin of the sacral area, upper and lower extremities. Rashes have tendency to peripheral growth and fusion, painless. He has been ill for 2 years. Exacerbation is observed usually in spring. It is known from anamnesis that his father suffered from similar skin lesion. Objectively: pathological elements include drop- like and nummular nodules, plaques, covered with white scales, which slough off easily. Your initial diagnosis? A) Neurodermitis; B) Lichen ruber planus; C) Psoriasis; D) Pityriasis rosea; E) Seborrheic eczema; Technique of a patient’s examination for verification of diagnosis and differential diagnostics? Patient K., 47 years old, was admitted to dermatological department after consultation with an infectious disease doctor. From anamnesis: complaints of skin itching, insomnia, decreased work capacity, irritability. The patient notices appearance of the mentioned symptoms after eating dishes containing sea fish. His condition rapidly worsened and rash spread to the skin of entire trunk, extremities after treatment of skin with 5% iodine solution. Dermatological condition: tough tiny vesicles, bullae and papules with a tendency to grouping are detected on the skin of the trunk and extremities. Nikolsky’s symptom is negative. Which diagnosis may be made? А. Pemphigus vulgaris В. Duhring’s dermatosis С. Allergic dermatitis D. Lichen ruber planus Е. Mycosis of the mucous membranes
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Describe your tactics of treatment of this patient.
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  • Winter '18
  • Jane doe
  • Syphilis, Pemphigus, D. AIDS

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