brucella2007
Forum Junior
Topics: 9
Posts: 72
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1.a)painless ulcer
1b)painful ulcer ?
2. a.differentials of bubo
b. lymphadenopathy ( without bubo)?
duz any one a learning aid for these?
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| sunny2
Forum Elite
Topics: 51
Posts: 385
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1.a) painles ulcer- Lymphogranuloma venerum and Granuloma Inguinale
1.b) painful ulcer- Chancroid - Haem ducreyi ( you cry  )
ulcer without lymphadenopathy is Granuloma Inguinale
ulcer followed by perirectal adenopathy ---groove sign Lymphogranuloma venerum
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| brucella2007
Forum Junior
Topics: 9
Posts: 72
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Buboes --> 3 main differentials
Bubonic plague
LGV
CHANCROID.
LGV histo --stellate abscesses. Primary lesion is a self healing papule or shalow ulcer.
Condyloma accuminatum-- papillary laesion..not buboes
Granuloma inguinale--spreading ulcer…not buboes
Hsv--vesicular..not buboes
Syphillis--no buboes
source ( step 1 q bank)
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