Clinical medicine

Chronic mild depression of more than__ duration is considered to be dysthymia ✌️.3 to 6 months ❤️ 6 Months to 1 year 💙 One to one and half years 👋More than 2 years

Psoriatics with extensive skin involvement and hepatic cirrhosis can be treated by: 👋- Narrow band UVB. 💙- Methotrexate. ✌️- Systemic steroids. ❤️- Systemic photochemotherapy (PUVA)

Favus is a type of fungus infection which may affect: ❤️- The hairy skin. 💙- Non hairy skin. ✌️- Nails. 😎- Mucous membranes. 😈- Hairy skin, non hairy skin and nails.

دعواتكم لأهلنا ومقاومتنا في غزة 🤲

Hutchinson in medicine:- 1- Hutchinson sign :- HZV 2- Hutchinson pupil :- pupil abnormalities of three stages occured typically in uncal herniation 3- Salmon patch of Hutchinson :- variant of Interstitial keratitis 4- Hutchinson's malignant freckle:- lentigo malignant melanoma 5- Hutchinson's nail sign :- Refers to pigmentation in the paronychial area suggesting aggressive subungual melanoma. 6- Hutchinson teeth :- congenital syphilis 7- Hutchinson fracture :- fracture of radial styloid process 8- Hutchinson triad :- of congenital syphilis 9- Hutchinson gilford syndrome :- progeria progressive genetic disorder that causes children to age rapidly, starting in their first two years of life. 10- Hutchinson maneuver :- manual proximal bowel compression and reduction of intussusception

Oil drop in ophthalmology:- 1- oil drop reflex :- keratoconus 2- oil drop cataract :- galactosemia 3- oil drop in aquous :- anterior lens dislocatiom 4- oil drop in lens :- lenticonus Don't forget oil drop sign -in nail- of psoriasis😁

6. fuchs spot in macula in high myopic pt. ==central scotoma

Fuchs in Opthalmology :- 1- Fuchs islets :- sign of pterygium. 2- Fuchs dystrophy:- is a dystrophy of corneal endothelium. 3- Fuchs heterochromic iridocyclitis :- is a chronic non-granulomatous uveitis. 4- Dalen-Fuchs nodules :- granulomas in posterior uveitis. 5- Fuchs spot :- raised macular lesion after a subretinal haemorrhage has absorbed.

➠Vogt in ophthalmology:- 1- Vogt stria:- early sign of keratoconus 2-Vogt-koyanagi-harada syndrome:- Idiopathic multisystemic AID affect the CNS, integumentury system and uvea 3- Vogt triad :- for chronic angle closure glaucoma 4- palisades of Vogt :- the reservoir for corneal stem cells. Formed by the radial ridges at the limbus 5- Vogt limbal girdle :- Age-related corneal degeneration commoner in women

Sunset in medicine:- 1- sunset syndrome :- sublaxation of IOL after cataract surgery 2- sunset eye :- hydrocephalus in infants and young children or in parinaud syndrome 3- sunset glow fundus :- in vogt-koyanagi-harada disease 4- sunset foot sign :- in chronic limb ischemia

➠ Cellulitis ➠ Beta Hemolytic Streptococcus

➠ Tinea Capitis -Black dots type Treatment:- Topical:- 1- Whitfield’s ointment. 2- Imidazoles, e.g. clotrimazole, econazole,ketoconazole. 3- Allylamines, e.g. terbinafine. Systemic:- 1- Griseofulvin, 10 mg/kg/day for at least 6 weeks. 2- Imidazoles:- Itra conazole

➠ Vitiligo Types:- A- localised 1- focal 2- segmental (dermatomal) B- Generalised 1- Vitiligo Vulgaris 2- Acrofacial Vitiligo 3- Universal Vitiligo

➠ Cutaneous candidiasis: intertrigo Clue:- Peripheral “satellite” papules and pustules that have become confluent centrally.

➠ psoraisis vulgaris Clue:- scales have been shed revealing a brightly erythematous and glistening base

➠ Papulopustular Acne Vulgaris Lesions:- 1- papules 2- pustules 3- some nodules