discussion of cases in clinical medicine

[Dr.eye lash]

hi every 1??hw is ur vac??
here we'll discuss some of clinical cases//

i write hx, then we put the imp clinical finding ..then some q about the case..











in the name of ALLAH..












22Y-old female ptn came 2 ur clinc ,complain of fatigability,joint pain.mouth ulcer,&she is worried about cry_1butterfly rash on face??







what q u want 2 ask??
what system u examine??








Doctor_1Rosy1_1im waiting ur answer,

[طموح وتميز]

السلام عليكم


young female, childbearing age, fatigability, joint pain, mouth ulcer

CapoMafioso_1iam suspecting SLE
im going to ask about


any swelling in her body - lymphadenopathy
mass in the abdomen - splenomegaly
previous spontaneous abortion
drug history ( procainamide & hydralazine ) to exclude drug
induced lupus


and i will examine the


CVS for pericarditis & pericardial effusion
RESPIRATORY SYSTEM for interstitial fibrosis & pleural effusion
lymph node palpation & abdominal
examination


and check the blood for presence of anti-double- stranded DNA antibodies

and take a skin biopsy & examine it using the immunofloresence microscopy looking for immune complex deposition at the dermo-epidermal junction


BiggestSmile_1Doctor_1Doctor_1Doctor_1BiggestSmile_1

[هبه العراق]

I also suspect SLE and to the previous answer I add
checking the blood for pancytopenia
واشكر دكتورتنا العزيزة اي لاش وياريت تستمرين بالكيسات

[Dr.eye lash]

السلام عليكم


young female, childbearing age, fatigability, joint pain, mouth ulcer




CapoMafioso_1iam suspecting SLE


excellent:)

im going to ask about


any swelling in her body - lymphadenopathy
mass in the abdomen - splenomegaly
iamnt accepted these n hx..these u find
it n exam..
previous spontaneous abortion
drug history ( procainamide & hydralazine ) to exclude drug
induced lupus


and i will examine the


CVS for pericarditis & pericardial effusion
RESPIRATORY SYSTEM for interstitial fibrosis & pleural effusion
lymph node palpation & abdominal
examination


and check the blood for presence of anti-double- stranded DNA antibodies


and take a skin biopsy & examine it using the immunofloresence microscopy looking for immune complex deposition at the dermo-epidermal junction



BiggestSmile_1Doctor_1Doctor_1Doctor_1BiggestSmile_1

very good>>

[Dr.eye lash]

I also suspect SLE and to the previous answer I add
checking the blood for pancytopenia
واشكر دكتورتنا العزيزة اي لاش وياريت تستمرين بالكيسات
excellent..
nice 2 see u here heba

[Dr.eye lash]

suppose this ptn hav drug-induced lupus erythematous..
how u confirm ur dx??

------------------------
what r the common causes of death in SLE???

[goodnessheart]

السلام عليكم وشكرا علئ الموضوع
to confirm that drug induced SlE we stop that drug and see if any improvement occour as aresult
by see the percentage of ANA
the causes of death
1renal failure
2polmonary embolisim due to thrombus formation due to antiphospholipid antibodiES
3pleurisy and pericarditis myocarditis

[Dr.isra]

there is an antibody with good speceficity and sensetivity to drug induced lupus..anti-histone i guess

i think cardiac problems is the most causes of death

v.nice case dr.

keep on

[طموح وتميز]

السلام عليكم


drug- induced lupus

antihstone antibodies
disappearance of symptoms after drug discontinuation
less CNS & renal involvement

-----------------------

common causes of death in SLE

pericarditis & renal failure
im not sure .... just guessing

Doctor_1BiggestSmile_1BiggestSmile_1BiggestSmile_1Doctor_1

[Dr.isra]

MNEMONIC FOR SLE CLINICALLY:

BRAIN SOAP MD
B:blood abnormalities..pancytopenia ..etc
R: renal problems
A:ANA
I:Immuno..other antibodies- anti-dsDNA
N:neuro..from headache to siezures

S:
O:
A:
P:

M:
D:

يلا مين حاب يكمل ؟؟؟؟ اخر تنتين معروفين للجلد ...
هاي كتير حلوه التجميعه لل 11 شغله في الحمى الذؤابيه

سي يووو تومورو ان شاء الله

تصبحوا على خير

[goodnessheart]

[QUOTE=Dr.isra;713851]MNEMONIC FOR SLE CLINICALLY:

BRAIN SOAP MD
B:blood abnormalities..pancytopenia ..etc
R: renal problems
A:ANA
I:Immuno..other antibodies- anti-dsDNA
N:neuro..from headache to siezures

S:
O:
A:
P:

M:
D:

يلا مين حاب يكمل ؟؟؟؟ اخر تنتين معروفين للجلد ...
هاي كتير حلوه التجميعه لل 11 شغله في الحمى الذؤابيه

سي يووو تومورو ان شاء الله

تصبحوا على خير
السلام عليكمSهو seizures, وoهوoral rashوpهوphotosensivityوmهوmalar rashوdهوdiscoid rashبس الaماداااذكره................وانتي من اهل الخير

[Dr.isra]

v.good ....dear goodnessheart :))

the answers:

BRAIN SOAP MD
B:blood abnormalities..pancytopenia ..etc
R: renal problems
A:ANA
I:Immuno..other antibodies- anti-dsDNA
N:neuro..from headache to siezures

S:serositis- pleuritis,myocaritis..etc
O:oral ulcer
A:arthritis
P: photosensitivity

M:malar rash

D:discoid rash

[P E A C E]

اوووووه مووضوع مرره نايس

ورحت لـ :

http://www.medicinenet.com

عشان اقرا عن الـ SLE

يعطيكم ألف عافيه ،، بس ليه موقفين شغل من يوم 16 / 7 :(

ياليت تحطون CASE جديده

WAITING FOR UR ACTIVITY

السلام عليكم

..

[Dr.eye lash]

Back again

..

14y-old lady dx 2 hv RHD#3monthes,presented 2 er with hx of polyartharlgia,low back pain,wt loss, anorexia,fever&headache#2w..
joint pain started on both knees with no swelling then ptn developed ankles pain .. wthout resolving knees pain associated with lower back pain which was sever enough 2 interfer her daily activity,,ptn seek medical advice in poly clinic with no improvment..
headache was in frontal area not radiating with no hx of nausea or vomiting..
she had on,off fever with chills doucmented at home=40c
no hx of fits,photophobia,loc..
ve hx of raw milk ingestion+
the mother notice multiple lump in hee LL&behind Rt ear,
family hx of brucellosis,,



?Mail_1?? this is incomplete hx what r Q u hv 2 ask
im trying 2 answer regading 2 ptn caseOpera_1

[هبه العراق]

اعتقد وغير متاكدة جدا من الجواب عليه ان اسالها اسئلة حتى استبعد ال rheumatic fever مثلا history of sore throut

[انيس]

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