শনিবার, ২৯ জানুয়ারী, ২০১১

what is your diagnosis?


case study:
   jotsna,45yrs old female,akkelpur,Joypurhat,Bangladesh
having this growth over left side of her nose for about 2 years
there was woozing of discharge from the nose pierce and ultimately it was closed and the growth started to develop
it often discharges and bleeds
she is non diabetic
O/E: 
1x1sq.cm,filliform,pedunculated,skin coloured,rough edged,non compressible,non flactuating,non reducible,originated from skin,no regional lymphadenopathy
Investigations:
CBC:neutrophilic leukocytosis,ESR=20mm in 1st hour,VDRL-negative, MT-negative


 DEAR DR.
YOUR VALUABLE OPINION PLEASE.....................................


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