Case report wooly hair
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A 4-year-old girl presented with nevoid hypermelanosis, appearing as hyperpigmented macules at birth that gradually spread in a whorled pattern following Blaschko's lines from her C3 to C6 dermatome. She also exhibited wooly hair nevus beginning at age 1, with one patch of tightly curled, discolored hair on her occipital region, distinct from the surrounding normal scalp hair. This case report describes the association between nevoid hypermelanosis and wooly hair nevus in a pediatric patient.
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Hidrocystoma apocrine
A 35-year-old woman was referred for assessment of lesions on her face that had been present for 3 years. Apocrine hidrocystomas are benign cystic skin growths of apocrine gland origin that typically appear as solitary, translucent skin-colored or bluish nodules, commonly located on the face. Histological examination revealed cystic spaces in the dermis with papillary projections, characteristic of apocrine hidrocystomas.
Lesion on the face
A 35-year-old woman was referred to a dermatologist for evaluation of facial lesions that had been present for 3 years. A biopsy was performed and histological examination revealed the diagnosis to be rosacea, a chronic inflammatory skin condition that mainly affects the face.
Seborrheic kertaosis
A 65-year-old man was referred for assessment of a 10-year-old lesion on his head. Dermoscopy showed a sharply demarcated lesion with a moth-eaten border and irregular crypts resembling a brain-like appearance with fissures and ridges. Within the lesion, networklike structures were seen that differed from a classic pigment network in melanocytic lesions by being larger with hyperpigmented lines that abruptly ended at the periphery.
Lesion on the head
A 65-year-old man was referred to a dermatologist for evaluation of a pigmented lesion on his head that had been present for 10 years. After examination with dermoscopy, the dermatologist diagnosed the lesion.
Lesion on the back 2012
A 65-year-old woman was referred to a dermatologist for evaluation of a pigmented lesion on her back that had been present for 6 years. The dermatologist examined the lesion and determined it was a congenital birthmark that had been on the woman's back since birth.
Spitz nevus
A 35-year-old woman was referred for assessment of a lesion on her right leg that had been present for 3 years. Dermoscopy revealed a vascular pattern with peripheral dot vessels. Pathology confirmed the lesion was a Spitz nevus. Spitz nevi can present as evolving lesions in various colors and patterns including globular, starburst, reticular, or homogeneous under dermoscopy. They may also display an atypical pattern or vascular pattern with dotted vessels, as was seen in this case.
Lesion on the leg.
A 35-year-old woman was referred to a dermatologist for evaluation of a lesion on her right leg that had been present for 3 years. Based on the limited information provided, the dermatologist cannot make a definitive diagnosis about the lesion.
Extradigital tumour glomus
A 45-year-old man presented with a painful 1 cm round reddish papule on his right leg that had been present for 3 months. A biopsy showed a well-circumscribed dermal tumor consisting of sheets of pale cells with punched-out nuclei surrounding dilated vascular spaces, consistent with an extradigital glomus tumor. Extradigital glomus tumors are a subtype of glomus tumors that can develop in the dermis and subcutaneous tissue outside of the digits, and are typically excised for diagnosis and treatment.
Fixed drug eruption
A 38-year-old man developed a lesion on his palm 3 days after taking ibuprofen. He had experienced two similar episodes previously in relation to taking ibuprofen. The man was referred to a dermatologist to assess the palm lesion, which appeared to be a fixed drug eruption caused by his use of the drug ibuprofen.
Imiquimod
A 50-year-old woman was referred to a dermatologist for assessment of a lesion on her nose that had been present for 1 year. A biopsy confirmed it was a superficial basal cell carcinoma. She was treated with imiquimod 5% cream applied 5 times per week, which caused mild side effects after 2 weeks but cleared the lesion completely after 4 weeks of treatment.
Imiquimod
A 50-year-old woman was referred to a dermatology department for assessment of a lesion on her nose that had been present for 1 year. A biopsy confirmed it was a superficial basal cell carcinoma. She was treated with imiquimod 5% cream applied 5 times per week for 6 weeks. After 2 weeks of treatment, she developed mild erythema, crusting, and burning sensation at the site.
Pinkus
A 47-year-old man was referred for assessment of two lesions on his right gluteal and lower back that had been present for 3 years. The lesion was excised and histopathological examination revealed features consistent with fibroepithelioma of Pinkus (FEP). FEP is an uncommon variant of basal cell carcinoma first described by Hermann Pinkus in 1953. It presents as a single or multiple dome-shaped papules or large pedunculated tumors that can be pink, yellow, brown, or skin colored. Treatment options for FEP are similar to those for basal cell carcinoma.
Keratoacanthoma. spontaneous regresion
A 70-year-old woman was referred to a dermatologist for evaluation of a lesion on her forehead that had developed over the previous 4 weeks. A biopsy confirmed it was a keratoacanthoma. The patient did not attend her scheduled surgical treatment. When she returned 3 months later, the lesion had completely regressed, leaving only a scar. Keratoacanthomas are rapidly growing skin tumors that may occur as single or multiple lesions. They typically stop growing after 6-8 weeks, remain unchanged for 2-6 more weeks, then slowly regress over 2-12 months, often healing with scarring.
Extragenital lichen answer
A 50-year-old woman presented with hypopigmented, atrophic plaques on her abdomen and inframammary area. A biopsy showed features consistent with lichen sclerosus. Laboratory tests were normal. She was diagnosed with extragenital lichen sclerosus. Extragenital lichen sclerosus most often affects the abdomen and treatment typically involves topical corticosteroids, which resolved the lesions in this patient.
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9
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Date: May 29, 2024
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Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
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Chapter 6
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Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
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1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
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