sunny2
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4 month infant not feeding well since yesterday, blinking his eyes and staring sometimes ,he has no fever .physical examination chest -clear abdomen -soft, mouth -reveals offwhite color plaques on the tongue and mucosa of the buccal cavity that is not going away even after mild scrape, which of the following is the area that is also likely to get affected ?
A.Ears
B.Eyes
C.Nasal cavity
D.Perineum
E.Scalp
F.Finger web
G.Toe
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| msyamp
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perineum?? oral thrush??
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| Jinx
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sounds like oral thrush
but is that common in this age group?
perineum sounds like a likely place for candida too
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| achilles
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C-nasal cavity ?
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| yasmeen
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c
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| sarika
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can it be diptheria
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| Jinx
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yup i think ur rt sarika
and then i guess it would have to be nasal cavity
good one yasmeen and achilles
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| msyamp
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Sunny2 answer please
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| sunny2
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sorry for not posting the answer earlier.
It is D. Perineum - candida
good work msyamp and jinx.
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| achilles
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doesn't candidiasis get scraped off much easily and then the underlying surface bleeds. i thought this was leukoplakia(which doesn't get scrapped off easily) and oral leukoplakia is associated with EBV which is associated with nasopharyngeal Ca.
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| sunny2
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candida is common cause of oral thrush and diaper dermititis in infants. Thrush consists of white, curdlike plaques on tongue, gums and buccal mucosa that are difficult to remove, skin manifestations include a beefy red maculopapular rash that may coalasce and form a sort of sattelite lesions. Intriginous area especially the diaper area -perinium is often involved.
leukoplakia ! I think it would not show any maifestation in this age group except for that rare hairy leukoplakia in HIV infected children, I am not sure on this -please correct if I am wrong. I hope this explanation helps , i hope others will also contribute to clear your doubts achilles.
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| yasmeen
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 i thought it was dipheria chil isn,t feeling well afebrile.
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| yasmeen
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diptheria sorry
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| achilles
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thanks sunny.
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| achilles
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and keep posting more questions sunny. they are good. and always try and give some topic to your questions rather than try this Q. that would be even better. thanks again. (maybe i stretched my thinking a little too much on this question )
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