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CXR

what could be that

Gastroschisis is a birth defect of the abdominal (belly) wall. The baby's intestines are found outside of the baby's body, exiting through a hole beside the belly button. The hole can be small or large and sometimes other

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gradual destruction of nasal mucosa c crust formation .sx is bad odour when the pt comes near .pt ll not have bad odour . in closed room u can find it . trt normal saline wash c special pump . glucose in glycerine can be applied ant bio oint if there is infection vit D estradiol spray . surgery if ncessary .
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candidiasis treat with Horn-o 1 tab bd for 7 days ,Fluconazole 200 one tab once in a week four tab to both partner and apply cream bpd vaginal two times daily keep both partner clean the private part two times daily
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Vulvovaginal Candidiasis Rx- Clotrimazole pv pessaries 500mg Nocte OD or Clotrimazole pv pessaries 200mg Nocte on day 1 and after 3 days or PO fluconazole 150mg stat. Characterize the nature of discharge, if distant from that of candisiasis, can give combibation meds eg "triokit" taken as a stat dose- contains antifungal and antibiotics covering genital infections.
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mild facial dysmorphism stiff joints, hirsuteness and coarse hairs, usually presented with a slowing of development and/or behavioral disturbance including temper tantrums, hyperactivity, destructiveness, aggressive behaviour, sleep disturbance normal muscle strength and mobility, disordered sleep.

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Can you explain the findings?

Here is a female patient of age 45 who is on thyroid treatment.She has developed black scaly discoloration since 8 days on both hands below elbows.it is of 5 to 6 cm.not associated with itching and redness.She had numbness since 2 months for which she is taking treatment.plz diagnose the case.