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Kaplan Qbank USMLE



Author7 Posts
  #1

3 days after undergoing right hip replacement for rheumatoid arthritis,a 77 year old man is brought to the physician becos of 2 day history of pain, burning and itching of his left eye and left side of his forehead. he has sensation that there is a speck of dirt in his left eye.current medications include prednisone and methotrexate. examination shows conjunctival injection and swelling of the left upper eyelid. there is an erythematous rash on the left side of the forehead and tenderness to palpation from the upper eyelid to the vertex. which of the following is the most appropriate next step in the management?
measurement of ESR
acyclovir therapy
corticosteroid therapy
LP
MRI of brain with contrast

  #2

acyclovir therapy

___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "

  #3

acyclovir therapy

___________________
life is reality without an eraser

  #4

acyclovir therapy

  #5

whats the mechanism? is it herpes zoster infection in this patient ...? predisposed becos of IC state as he is on prednisone?

  #6

yup...herpes zoster.....

  #7

agreed...its herpes



___________________
-Amit







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