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This trichobezoar was extracted from a teenage patient with trichotillomania (hair-pulling disorder) & trichophagia (compulsive hair-eating).
teenage patient with trichotillomania ... hair-pulling disorder) & trichophagia ... surgery #extraction #trichotillomania ... #trichophagia #
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 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
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
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Hair Loss (Alopecia ... capitis • Trichotillomania
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
Nikolsky’s Sign - Febrile & Positive Nikolsky’s Sign: Patients in this group have the potential to
the potential to lose ... lead to fluid loss
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