pt age 50y, f diabetic, with severe itching and burning durning urination and passing stools pt felt small raised bumps inside vulvar area while application of creams which are paniful. severe sweating all over the body. feeling of sleeplessness. diagnosis and treatment wise?

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Clinical impression:Pyoderma (Infective etiology). Give broad spectrum antibiotic like MOXCLAV. Avoid anti inflammatory drugs. Meanwhile investigate or reinvestigate CBC, ESR CRP (LS) HIV ELIASA URINE ROUTINE Ref to gynec for any deeper involvement. Review after 48 hours. (I am be wrong. But I would have managed this way). Regards

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History suggestive of immunosuppression due to Diabetes mellitus It may be vulvovaginitis with postmenopausal xerosis Start her with antihistamins along with topical moisturiser and ask to keep area dry

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? POST MENOPAUSAL SYMPTOMS AGGRAVATED DUE TO DM.. ? POST MENOPAUSAL VULVOVAGINITIS..& XEROSIS..

Tnx &wc Dr Rohini Purnima
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Post menopausal xerosis may cause itching Rule out UTI as it can be one of the cause of prolsapse

all reports are normal mam
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SUGGESTIVE. OF... D. M....AGGRAVATED... MENOPAUSE SYNDROME... WITH ASSOCIATED VULVOVAGINAL. DERMATOSIS

Watch is DM??
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Vulvo vaginitis Zocon Miconazole Doxy

Menopausal syndrome with Vulvoviginitis

ATROPHIC VULVOVAGINiTIS ?

Post menopausal syndrome wd associated vulvovaginitis

Menopausal symptoms more due to dm alagra120 od 10dayd

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