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patient comes in with new onset astham, bilateral wheeze. facial pain
and nasal polyps are found
A chest x-ray demonstrated pulmonary infiltrates.
what is the most likely diagnosis and investigations - ✔✔chrug straus syndrome
and investigations
check pANCA levels
treatment with high dose of corticoid steroids and if not controlled then add immunosuppressants
treatment once an individual with mrsa is found - ✔✔nasal mupirocin and chlorhixadine
what is neurofibromatosis - ✔✔its a benign tumour that grows along the nerves
autososmal dominant two types
type 1 most common
skin symptoms:
freckles in unusal places axilla groin
cafe au spots (indicates neurocutaneous syndromes
neurofibromas which are lumps under the skin scoliosis
leanring difficulties:
mild cognitive impairment- stuggle with radin or wiritng
can aalso have attention deficit disorder
or be part of the autism spectrum
the eyes: can get optic pathway glioma (OPG)- CASUE BLURRING THE CHILDS VISION- may bump into
things
can also get brown spot on the iris- Lisch nodules
high blood pressure- phaemocytochropma
physical developmentmay have scoliosis
may have larger heads
may be generally small
can also develop psuedoarthiritis- pathological fractures