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  #1  
Old 11-23-2012
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Default Medicine Q ?

An 18-year-old man comes to the physician because of itchy lesions on his penis for 2 weeks and itching around his wrists and ankles for 1 week. He is sexually active and does not consistently use condoms.Examination shows scattered, crusted lesions on the penis and no significant inguinal lymphadenopathy. There are excoriated papules on the wrists and ankles, a few papules between the fingers,and excoriations along the belt line. Which of the following is the most likely diagnosis?

A
) Disseminated primary herpes simplex

B
) Eczema

C
) Scabies

D
) Secondary syphilis

E
) Vasculitis
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  #2  
Old 11-24-2012
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Scabies...........
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  #3  
Old 11-24-2012
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Quote:
Originally Posted by Novobiocin View Post
Scabies...........
Please explain why??
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  #4  
Old 11-24-2012
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Quote:
Originally Posted by aknz View Post
Please explain why??
He should be screened for HIV since he has crusted scabies.

Quote:
The characteristic symptoms of a scabies infection include intense itching and superficial burrows.The superficial burrows of scabies usually occur in the area of the hands, feet, wrists, elbows, back, buttocks, and external genitals.
Crusted scabies

The elderly and people with an impaired immune system, such as HIV, cancer, or those on immunosuppressive medications, are susceptible to crusted scabies (formerly called Norwegian scabies).[4][7][8] On those with a weaker immune system, the host becomes a more fertile breeding ground for the mites, which spread over the host's body, except the face. Sufferers of crusted scabies exhibit scaly rashes, slight itching, and thick crusts of skin that contain thousands of mites.
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  #5  
Old 11-24-2012
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i completely agree with novo......its scabies

rest options doesn't fit the above clinical scenario
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  #6  
Old 11-25-2012
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ill to go with scabies
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Old 11-25-2012
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Quote:
Originally Posted by aknz View Post
An 18-year-old man comes to the physician because of itchy lesions on his penis for 2 weeks and itching around his wrists and ankles for 1 week. He is sexually active and does not consistently use condoms.Examination shows scattered, crusted lesions on the penis and no significant inguinal lymphadenopathy. There are excoriated papules on the wrists and ankles, a few papules between the fingers,and excoriations along the belt line. Which of the following is the most likely diagnosis?

A
) Disseminated primary herpes simplex

B
) Eczema

C
) Scabies

D
) Secondary syphilis

E
) Vasculitis

c scabies.

it couldnt be 2 syphilis as no lad.
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  #8  
Old 11-26-2012
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C) Scabies
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