Surgical notes

Defferences b/w CSF Rhinorrhoea and nasal secretion ♦️Also Nasal discharge, because of its mucus content it stiffens the handkerchief & but CSF not . 🔹other fluid contain Beta-2 transferrin 🔸perilymph 🔸aqueous humour #ENT

#ENT

ECT #نفسية

😂👌🏻

🔶 Syhpilis ♦️Primary syphilis -Chancre -Painless -Infectious -Bil. LN not tender -Diagnose by Dark ground ♦️Secandry syphilis -Skine rash , MM involved -Condoloma Lata >more infectious ,painles -Great imitator (polymorphic) -Never vesicle -Non cicatricial alopecia -Diagnose by Serology100% positive,Dark ♦️Tertiary (gamma) -Type 4 hypersensitivity so non infectious * -Painless -No LN enlargement ✨✨Neurosyphilis (or Syphilis with HIV) -Not give benzathin penicillin But gives Crystalline penicillin ✨✨pt. Allergy to penicillin gives -Tetracyclin -Doxacyciln -Ceftriaxon ✨✨No primary syphilis (no chancre) -in blood transfusion transmission -congenital syphilis #جلدية🌚

Nuerofibroma on skin :- CANL 1- Cafe au lait 2- Armpit Freckles 3- Neurofibroma 4- Lisch nodules #جلدية #Derma

Tuberous sclerosis #Derma #جلدية

#جلدية #Derma

🛑For comparison between Psoriasis and lichen planus 🟠Psoriasis?! 1- non - Puriritic 2- " vulgaris "effect Extensor surfaces 3- effecting scalp causing non- scarring alopecia 4- In nail as mentioned before + Oil drop sign 5- no mucus mambrane involvement 6- Don't use Systemic steroid " Contraindicated " 7- not considered as pre- malignant _______ 🔴Lichen planus :- 1- Puriritis 2- Effect Flexor surfaces 3- Causing Scarring alopecia 4- Effect nail :- same as Psoriasis ( Ptyrgiaum instead of oil drop ) 5- Effect the Mucus mambrane " Weckham strea " 6- Treatment is with steroids☑️ 7- considered as pre-malignant if it involves scalp , nails , mucus mambrane ✨✨ #جلدية #Derma

7Ps of lichen planus

Diagnostic criteria of atopic dermatitis

Poor prognosis of psoriasis

سؤال امتحان 1/ Indication of topical steroid 2/ their side effects

Poor prognosis of vitiligo #دكتورة_بلقيس

Types of acne scars

Subungual hyperkeratosis

Signs of Nail's Psoriasis ? 1- Pitting of nail plates 2- subungual hyperkeratosis 3- onycolysis 4- Oil drop ( salmon patch) وممكن في Leukonechea or splinter Hemorrhage #جلدية #derma

Types of hair and the cycle if Hair growth 🙊 #جلدية

#جلدية

Leishmaniasis skin lesion ? - Nodule ( Primary) - ulcer - crust - scar 🛑 note that skin lesion in both Leishmania + Syphilis are painless #Derma #جلدية