Image Challenge: A 65-year-old man who was otherwise healthy presented to the #dermatology clinic with a 5-month history of a progressively enlarging annular #rash over his right hand and forearm. He worked as a farmer in southern China and noted that the #erythema had developed after #trauma to his hand from agricultural work. What is the most likely diagnosis? Tap the link in our bio to submit your answer. #primarycare#clinicalpractice#medical#meded#medicaleducation
Hell thank you or this one XX
Aloe Vera After shave balm
A soothing and lubricating after-shave balm with a pleasant woodyspicy aroma, perfectly soothes and protects shaved skin. It contains shea butter, formed especially by a complex of beneficial unsaturated fatty acids. These acids are easily absorbed by the skin and they bind water exceptionally well (the skin is lubricated). Shea butter protects the skin against harmful climatic effects, improves skin elasticity and slows down the aging process. Anti-inflammatory and healing effects, contains vitamins A, D, E, F and supports natural skin immunity. This aftershave balm is also recommended for men with sensitive skin. #men#shave#rash#aftershave#balm#aloeshaveformen#sheabutter#antiflammatory
When Mei was 4 months we traveled to Alabama and this happened. Before then we had only experienced Baby Acne and cradle cap. For those of you who have read my book “Tiny Little Fingerprints on Everything: A Guide to winging it” you know the method I use to avoid this situation ever happening again.
Mei was treated for a bacterial and viral infection. The rash specialist couldn’t figure out exactly what it was. It was a combination of eczema, an allergic reaction and something else. I just know she had a slight fever and I found one bump on her leg. Driving back to Alabama she slept a lot and by the time we got home the rash had spread dramatically across her stomach, behind her legs, on her arms and more. I immediately saw her doctor and specialist.
I was so distraught, as a new mother because you don’t want to keep your child in a bubble but children are so sensitive you have to be the germ warrior. Don’t ever let anyone tell you are doing too much or being mean when you don’t let them touch your baby. Don’t rush to introduce foods that your baby’s little system is not ready for, clean and sanitize and don’t forget the light switches, door knobs, door handles, shopping carts and more. Lastly if you are traveling with your baby, bathe them in baby water if you can.
She has not had a break-out like this again, but I use a really good method to help with her eczema. It was really hard for me to talk about so I waited this long, I hope none of you new mommies and babies ever go through this @jaielean #eczema#mommy#parenting#rash#breastfeeding#love#fashion#makeup#virginislands#newmommy
Posted by my colleague and friend, Dr. Helena Pasieka, and sharing because we all need to have a high level of suspicion for this disease that many of us have never seen, until now... “MEASLES: Are you ready?
There have been 555 confirmed cases of Measles in the US as of April 11th - that’s only in the first 3 ½ months of 2019! Contrast this to 557 cases in total in the 7 year period from 2001-2008.
We, in dermatology, have been making efforts to train both our dermatology residents but also all of the community to be at the ready. Consider this post part of that effort!
Some of our faculty and our residents have cared for patients with measles – usually on electives or endeavors overseas. Now we’re bound to see it at home.
Walking through photos and reading cases is the best way to make the diagnosis, especially for diseases once thought to be eradicated.
• Measles is MUCH more contagious than flu. For each influenza patient, 1.4-4 people may get infected upon exposure to the sick patient. A person with measles infects, on average, 12-22 previously uninfected people. Following exposure, more than 90% of susceptible people develop the disease.
• Vaccination is the best prevention, for the patient and also to protect others (via herd immunity)!!!!!!
• Patients with fever and rash need respiratory isolation. Get them out of waiting rooms and into single-patient airborne isolation rooms as quickly as possible. Providers need N-95 masks.
• The virus can be transmitted from 4 days before the rash becomes visible to 4 days after the rash appears. The exposure was usually about 14 days prior to the onset of the rash.
• Immunocompromised patients may not develop a rash. We need to have a lower index of suspicion to detect measles in such patients.
• Airborne transmission via aerosolized droplets has been documented in closed areas (such as an exam room) for up to 2 hours! You will need a plan for closing exam rooms and maintaining clinical flow when patients with measles are evaluated.
Helena B. Pasieka, MD, MS
Board Certified, Internal Medicine & Dermatology (PS, permission granted to share!)”
1617 hours ago
خیال روی تو در هر طریق همره ماست
خیال روی تو در هر طریق همره ماست
نسیم موی تو پیوند جان آگه ماست
به رغم مدعیانی که منع عشق کنند
جمال چهره تو حجت موجه ماست
ببین که سیب زنخدان تو چه میگوید
هزار یوسف مصری فتاده در چه ماست
اگر به زلف دراز تو دست ما نرسد
گناه بخت پریشان و دست کوته ماست
به حاجب در خلوت سرای خاص بگو
فلان ز گوشه نشینان خاک درگه ماست
به صورت از نظر ما اگر چه محجوب است
همیشه در نظر خاطر مرفه ماست
پارکینگ خارجی هم داشت 🤣🤣🤣
امروز صبح رفتیم یکی صبحانه خوب در یک کافه دنج 😋😋😋
راستی میخوام یک هتل خوبم در رشت معرفی کنم برای کسانی که میخوان به رشت سفر کنن
کافه جنگا که روبرو سبزه میدون هستش
۳ مدل غذا سفارش دادیم کیفیت بالا بود و محیط دنج که با هوا دو نفره بیان اینجا که ماشالله هواش همش دونفرس 🤣🤣🤪
راستی شما صبحانه چی زدین بر بدن
قیمت تست ژامبون و پنیر : 🥪
قیمت صبحانه امریکایی : ۲۳۰۰۰
قیمت انگلیسی : ۲۲۰۰۰
آدرس : سبزه میدان - طبقه اول فروشگاه نجم ⭐️⭐️⭐️⭐️⭐️ @jengacafe
There are many different types of #vasculitis . Many have #skin changes and a #dermatologist is uniquely placed to recognise these changes. A dermatologist can also complete a #biopsy giving a histological #diagnosis given how accessible the skin is.
This is an example of a medium vessel vasculitis. My patient's #ANCA was negative.
Photograph courtesy of Dr Maddie Gorji 🔬