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Spot Diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Feb 28, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    what is your medical diagnosis ?

    Spot Diagnosis.jpg
     

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  2. dr.telu

    dr.telu Young Member

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    Post burn contracture.
     

  3. neo_star

    neo_star Moderator

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    textbook pic of Buruli Ulcer

    can it be Sq. cell Carcinoma ...i guess, no - becos the patient wouldn't have survived that long.

    i additionally see that the arm and forearm are sutured together by raising a flap ( possibly as a palliative measure )....i guess amputation and prosthesis wud hav been a better option, becos the villain ( M. ulcerans ) seems to hav made a meal out of the radial and ulnar nerves.
     

  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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  5. lepersan

    lepersan Active member

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    Buruli ulcer complicated by a Sq. cell Carcinoma
    a ulcer is by definition hollow. there is here a budding sign of carcigenesis
     

    Last edited: Mar 1, 2013
  6. neo_star

    neo_star Moderator

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    possible and only biopsy can confirm...but this can also be an exuberant granulomatous reaction ( of which Mycobacteria are capable of )

    additionally the edge of the lesion is not raised and everted as in a typical SCC
     

    Last edited: Mar 1, 2013
  7. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Buruli Ucler
     

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