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This trichobezoar was extracted from a teenage patient with trichotillomania (hair-pulling disorder) & trichophagia (compulsive hair-eating).
This trichobezoar ... teenage patient with trichotillomania ... extension of the trichobezoar ... Hummaz Mehbub #trichobezoar ... surgery #extraction #trichotillomania
Trichobezoar on Endoscopy
13 years old.  Vomiting since 1 year with hair loss and abdominal lump.
Trichobezoar on ... year with hair loss ... filled with a large trichobezoar ... the side of the trichobezoar ... Sanil Kumar #Trichobezoar
Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
 • Scarring Alopecia:
Framework for Hair Loss ... Localized / Focal Hair Loss ... Tinea Capitis, Trichotillomania ... Diffuse Hair Loss ... male pattern hair loss
Obsessive-Compulsive & Related Disorders - Differential Diagnosis Algorithm

Non-Specific Obsessions and/or Compulsions
 - Obsessive Compulsive Disorder -
Appearance - Trichotillomania
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm

DIFFUSE
Scarring - Irreversible-biopsy required
 • Lupus
Hair Loss (Alopecia ... capitis • Trichotillomania
Black and Bloody Stools - Melena and Hematochezia
Melena - Refers to passage of black, tarry (sticky
Involves loss ... Less commonly, when ... slow, blood loss ... or anus; much less ... stools; blood loss
Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
movement, vision loss ... Episcleritis is typically less ... with no vision loss
Principal patterns of loss of sensation.
 (a) Thalamic lesion: sensory loss throughout opposite side (rare).
Principal patterns of loss ... lesion: sensory loss ... and ipsilateral loss ... and temperature loss ... dorsal column loss
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
increase protein loss ... hypoalbunemia (usually less
Electrolyte Composition of Body Fluid Losses
 • Vomiting and nasogastric tube loss
 • Biliary drain loss
nasogastric tube loss ... Biliary drain loss ... excess colostomy loss ... High volume ileal loss ... • Pure water loss