Download Free Medical case report PowerPoint Presentation

case report PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : lupus

Tags : lupus dermatology

Published on : Feb 13, 2020 | Views : 2366 | Downloads : 0

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

CASE REPORT
Slide 2-

A previously healthy 8 year old girl with a lesion to the side of the face for 9 months. Lesion was unresponsive to hydrocortisone and clotrimazole after being seen by the pcp for multiple visits. Parents note that the lesion began as a small pink papule and grew in size. Increased itching to the area over the last 3 days. No other new or constitutional symptoms. PRESENTATION
Slide 3-

ppt slide no 3 content not found
Slide 4-

ppt slide no 4 content not found
Slide 5-

Family had dermatology appointment scheduled at LBJ, but family wanted to be seen at TCH. Differential included discoid lupus versus partially treated tinea corporis Fungal culture obtained and sent. Discussed with family that it was a very slow growing test. Prescribed topical ketoconazole Discharged home with dermatology appointment in 3 days ER EVALUATION
Slide 6-

ppt slide no 6 content not found
Slide 7-

ppt slide no 7 content not found
Slide 8-

Visit #1 Suspect discoid lupus Punch biopsy needed for confirmation Patient was very tearful during discussion of biopsy so recommend biopsy in OR 11 days later parents declined biopsy due to significant skin improvement Trial of topical clobetasol prescribed Visit #2 referred to rheumatology and ophthalmology DERMATOLOGY EVALUATION
Slide 9-

ppt slide no 9 content not found
Slide 10-

Told derm that she was being followed by Harris Co. hepatology Labs sent and prescribed Plaquenil/hydrochloroquine orally
Slide 11-

2 months of initial ER visit –returned for vomiting/fever/LUQ pain Received (2) 20 ml/kg NS boluses for tachycardia/SIRS and ceftriaxone Abnormal labs including elevated liver enzymes, ANC=960, lipase=586 +SSA and ANA 1:320 Admitted to rheumatology for 6 days for pancreatitis 6 days stay with clinical improvement Discharged home on Plaquenil and steroids BACK TO THE ER
Slide 12-

Completed ophthalmology appointment with normal exam/no uveitis Wean steroids, continue Plaquenil and PPI Begin Imuran/Azathioprine Continue dermatology follow up RHEUMATOLOGY CLINIC
Slide 13-

ppt slide no 13 content not found
Slide 14-

Seen in dermatology clinic and doing well. Questions? LAST FOLLOW UP