USMLE Forum Archives - USMLE Step 2 CK - medicine quizzzzzzzzzzzzz
medicine quizzzzzzzzzzzzz
drfuture - 02-17-09 06:35
25 y/o male patient came to dermatology out patient clinic complaining of pain localized to the left side of the chest increazing is severity for the last 2 days, a skin rash appeared on the same site. On examination there were grouped vesicles on an erythematous base in a dematomal distribution.The following are true except;
a. Herpes zoster is the most likely diagnosis.
b. History of prior varcieela infection is characterestic
c. Investigation for HIV infection is mandatory.
d. May be complicated by ramsy hunt syndrome.
e. Acyclovir is the treatment of choice.
drfuture - 02-17-09 06:35
25 y/o male patient came to dermatology out patient clinic complaining of pain localized to the left side of the chest increazing is severity for the last 2 days, a skin rash appeared on the same site. On examination there were grouped vesicles on an erythematous base in a dematomal distribution.The following are true except;
a. Herpes zoster is the most likely diagnosis.
b. History of prior varcieela infection is characterestic
c. Investigation for HIV infection is mandatory.
d. May be complicated by ramsy hunt syndrome.
e. Acyclovir is the treatment of choice.
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#2
Re: medicine quizzzzzzzzzzzzz ammara - 04-12-09 20:43 d...dont know about this syndrome but rest of the choices go in favour of scenario..if some1 pls explain this syndrome
#3
Re: medicine quizzzzzzzzzzzzz bingousmle - 04-12-09 23:54 its herpes zosterr oticus. there is facial paralysis along with rash in the external auditory canal and pinna. fifth and eightth nerve involvement may result in anaestesia of face , giddiness and hearing impairment.
i would go for C.
#4
Re: medicine quizzzzzzzzzzzzz usmlefever3 - 04-13-09 08:39 is acyclovir the drug of choice.........wht abt famciclovir
#5
Re: medicine quizzzzzzzzzzzzz bingousmle - 04-13-09 10:41 acyclovir is the std treatment... but famciclovir is also used.. i guess.
#7
Re: medicine quizzzzzzzzzzzzz Youngdoctor - 04-13-09 17:22 here the wording is except. Not the actual thing. i doubt b/c
#8
Re: medicine quizzzzzzzzzzzzz ammara - 04-13-09 23:28 as per ur explaination then on c is the odd option...
#10
Re: medicine quizzzzzzzzzzzzz Youngdoctor - 04-14-09 20:10 I think it would be C, however HIV initially can be non specif findings also, what you all think?.
#11
Re: medicine quizzzzzzzzzzzzz bingousmle - 04-15-09 10:40 the vignette very much points to a herpes zoster.. but youngdoctor, you might be correct, why dont you post a link to a reliable reference which suggests the same so we would finally zero down to an answer..
#14
Re: medicine quizzzzzzzzzzzzz mtniharika - 09-10-09 14:25 b/c it is characteristic of herpes zoster. but according to history as it goes..there is no decription of a previous varicella inf. As HZV infection comes when immunity is low...it would probably be mandatory to check for HIV infection.
#17
Re: medicine quizzzzzzzzzzzzz babbu5508 - 12-05-10 05:03 c.Investigation for HIV infection is mandatory...not needed in every caes of herpes zoster precipitated by many factors...........
#18
Re: medicine quizzzzzzzzzzzzz sudha2015 - 12-27-10 18:49 DIGNOSIS IS HERPES ZOSTER N SHOULD BE TREATED WITH ACYCLOVIR
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