An 8 month old child presents with spots on the legs

Discussion in 'Plab 1 and 2 forum' started by Neha Gupta, Feb 11, 2013.

  1. Neha Gupta

    Neha Gupta Active Member

    An 8 month old child presents with spots on the legs. He is well and feeding well. 39+6/40 3.5kg, no neonatal problems. No drugs nor medications, fully immunised. No FH/SH of note.
    On examination temperature 37.6°C (tympanic), RR 30/min, HR 110/min. Well perfused, capillary refill time of 1 second. 20- 30 1-2mm non-blanching purpuric spots over the shins.

    What is the most likely diagnosis?

    (Please select 1 option)

    Child physical abuse
    Cough petechiae
    Enteroviral infection
    Henoch Schoenlein purpura
    Idiopathic Thrombocytopaenic purpura
  2. Neha Gupta

    Neha Gupta Active Member

    Prominent signs and symptoms of cholangiocarcinoma include abnormal liver function tests, abdominal pain, jaundice, and weight loss. generalized itching, fever, and changes in color of stool or urine may also occur. The disease is diagnosed through a combination of blood tests, imaging, endoscopy, and sometimes surgical exploration, with confirmation obtained after a pathologist examines cells from the tumor under a microscope. Known risk factors for cholangiocarcinoma include primary sclerosing cholangitis (an inflammatory disease of the bile ducts), congenital liver malformations, infection with the parasitic liver flukes Opisthorchis viverrini or Clonorchis sinensis, and exposure to Thorotrast (thorium dioxide), a chemical formerly used in medical imaging. However, most patients with cholangiocarcinoma have no identifiable specific risk factors.

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