Extremely itch since last night with pt aged abt 50yrs, may be insect bites? kindly diagnis n adv treat

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History of condition since last night . Most likely a case of fracture penis Points in favour 1.Typicsl egg plant deformity also called Aubergine sign 2.Dark coloured bruising of penis typically seen in fracture penis 3.Loss of erection 4.Haemorrhage can extend to scrotum as in this, case which may progress to Fournier 's gangrene 5.Since history is specifically of last night , may be having sex as it occurs only in an erect penis . It is a Surgical emergency. Get a MRI scan and urethrogram done to confirm the diagnosis. Start parenteral 3rd generation cephalosporins. Shift to O.T for emergency surgery after catheterisation with Foley's catheter. A debridement with evacuation of clot. followed by repair of tunica albuginea is indicated

This is not egg plant deformity. Appearance is not that of a case of fracture penis. It is most likely allergic reaction to be treated with calamine lotion and antihistamine and steroids topical and systemic may be considered.
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It's a case of.. ? FOURNIER'S GANGRENE.. Symptoms of Fournier's gangrene usually start's with vague abdominal pain..or.. severe itching.. Better to go for .. USG STUDY.. Tissue histopathological study..

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Fournier's gangrene May be any trauma penis Need some pathology MRI Nd Management as per dd with personal hygiene maintained

DD. Pyrenie's disease due septum in the mid penile tissue sepating the two corpora spongiosa.vitE, Antioxidants

Allergic contact dermatitis Contact dermatitis Treatment consists of antihistamines antiseptic and Topical cream and lotion. Keep clean usable clothes and inner ware.

It is a case of chronic paraphimosis. Management -reduce the eden by multiple puncture and sqezzing.Antibiotics and Anti inflamatory analgesics.

DD.... SEEMS. TO. BE.... THE. AFTER. EFFECT OF... ...... SOME....... .......... ALLERGIC. REACTION... OR..... ........ SOME. INSECT. BITE

Thank you doctor
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Allergic reaction to some ointt. applied or spider bite

Thank you doctor
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FOURNIER'S GANGRENE USG SCROTUM CBC RFT LFT BLOOD SUGAR FASTING PP HIV PUS FOR C /S ANTIBIOTICS AS PER CULTURE REPORT SURGEON OPINION

This is not Fournier gangrene ; there is no gangrene at all. Patient should able to pass urine. This is just an allergic reaction. No investigation other than exclusion of DM, necessary Treat for allergy conservatively with steroid if necessary.
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FOURNIER'S GANGRENE ADVISABLE... USG BIOPSY

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