-Henoch-Schonlein purpura.

Allergic purpura
Anaphylactoid purpura
(Henoch-Schonlein purpura)

(Purpura on the right lower leg of a child)

-Def:- is an allergic disorder in which the allergic reaction occur in the
wall of blood vessels in "JARS"

• Joints
• Abdomen(GIT)
• Renal(kidney)
• SKIN

-Aetiology:- (Antigen)
1-Infection.
2-Food or drug allergy.
3-Insect bite.

-Symptoms:-

• Purpura, arthritis and abdominal pain are known as the classic triad of Henoch–Schönlein purpura (1).
• Bluish purple bruises (purpura)— most often on Joints .
• Swollen, achy joints.
  fever.
• Bleeding in the digestive tract may cause abdominal pain.
• Hematuria may develop.
• Bleeding in the kidneys may cause kidney damage.

The diagnosis is based on the symptoms.

Prognosis:- Most people recover completely within a month, but symptoms may recur several times.

Return to other triads here.

-References:-
(1) Kraft DM, Mckee D, Scott C (1998)"Henoch-Schönlein purpura: a review" Am Fam Physician 58 (2): 405–8, 411. PMID 9713395.

-High risk groups for HBV,HIV,HCV.

"HIP"

H

• Health care workers.
• Heterosexual with multiple parteners.
• Homosexual men.

I

• I.v drug users.
• Infants to +ve mothers(congenital).

P

• Patient receiving repeated blood transfusion.
• Patient undergoing renal dialysis.
• Patient undergoing organ transplantaion.

With my best wishes

- Frose Bite.

*Def:- It is a state of angiospastic with agglutination of blood in the vesseles.

*Cause:-
exposure to low Temperture ( -5 and -10 C) (i.e freezing of the tissues).

*Stages:-

"SING"

• Spastic: spasm of blood vessels.
• Ischemic :- decrease blood supply to the tissues due to spasm of blood vessels.
• Necrotic ulceration:- chronic ulcers due to decrease blood supply to the tissues.
• Gangrenous stage:- either wet or dry.

Enjoy...
Dr Ibrahim

- Differential Diagnosis of acute red eye.

This is an illustrative picture for

differential Diagnosis of acute red eye

Due to non proptotic causes.

I think it is really simple & good for

systematic diagnosis of acute red eye..

wait for loading.. the picture...

Enjoy...

see you...

Dr Ibrahim.....

- Heat related illnesses.

Heat related illnesses
(Thermal stress)

"Sect MRI"

Heat Sroke.
Heat Exhaustion.
Heat Cramp,Circulatory instability,Conjunctivitis
Thermogenic anhydrosis.

Miliaria rubra.
Respiratory distress,Retinitis
Ischemic heart diseases.

Dr Ibrahim