Wards

Behcet Disease

  • increased WBC and neutrophils

  • recurrent oral and genital ulcers

  • Uveitis, joint involvement

Acute Genital Ulceration

  • preciptated by EBV

  • diagnosis by exclusion

Pt with genital ulcers

  • nurse exposed

New pt

  • new pt

  • bleeding disorder, echymosis since young

  • hematochezia with mild pain with tissues in stool, croup cough, no stridor, no WOB. No currant jelly stools. Benign abd exam

  • emesis, fever, diarrhea

  • elevated CRP

  • decreased PO, no urine for 2 days

  • xray: right middle lobe pneumonia. Lung exam benign

  • Ddx: meckels, gastroenteritis, IBD, past juvenile polyp (painless rectal bleeding, slough and pass = tissue, lots of bleeding)

  • stool biofire, UA rule out , consider meckel scan (start zantac to increase sensitivity), CBC (internal bleeding, H&H)

  • K of 3

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