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VERY VERY IMP
80 yr old man lives alone . his eating habits have attracted rats to neighbouhood . looks dirty . diffuse purpura onlegs and there is perifillicular inflamation
1 aplastic anemai
2 rat bite fever
3 scurvy
4 warfarin ingestion
5 leukemia
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3 vit c deficiency. as perifollicular inflammation ,purpura all occurs in VIT C DEFICIENCY
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this is very funny q....doctorsahib u made me chuckle!!!
the rats......hahaha
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ok now what do u c if it is rat bite fever and warfarin necrosis
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in what rat bite fever or warfarin induced necrosis
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warfarin necrosis is seen in pts who have protein c or s or antithrombin deficiency .
3-10 days after
breast buttocks thigh favourite sites
purpuric erythematous lesios
slow healing eschar .
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rat bite fever .
caused by streptobacillus
also called as haverhill fever
fever chills headache muscle aches
arthritis red/purple plaques