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Peds Q nbme 3 - anishoara - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: Peds Q nbme 3 - anishoara (/showthread.php?tid=76006) |
Peds Q nbme 3 - anishoara - ArchivalUser - 02-27-2006 9 y boy, with cr simptoms of psoriasis (they don't tell you the Dgn of psoriasis) - uses for a long time glucocortig. cream. Now: purple-red discoloration on cheeks & upper eyelids, 1 week of lethargy. last days unable to climb stairs, comb hair, dress. U see atrophy of the proximal Muscles. he had a camping trip, and all these apear after that trip. He didn't have exposure to tick or poison Ive or oak. Dgn?? a Dermatomiositis b duchenne's c Lime d Rochy Montain Sp F e Psoriasis 0 - ArchivalUser - 02-27-2006 i think the answer is : c 0 - ArchivalUser - 02-27-2006 Seems like typical presentations of dermatomyositis? purple-red discoloartion on cheeks & upper eyelids, atrophy of the proximal muscles, muscle weakness? 0 - ArchivalUser - 02-27-2006 Yes calendar! A - is the answer. but I did it wrong in my test, because I thought DM is more common in women (what is true), and in older age-group (that is also true)... But I found in ped book (big one) - that can be in children also (with better prognosis), and all the simptoms that U wrote . Smart - U are! |