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Arua Clinic

6 months

Short case📖. A two weeks old neonate presents with tender bilateral breast enlargement associated with a clear milk-like discharge. What's your diagnosis? #MedEd #MedX

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Arua Clinic

@aruaclinic

9 months

Spot diagnosis: A 4yrs old child was brought in for evaluation of an itchy creeping skin eruption. What's your diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

A 16year old boy presented with a photosensitive skin rash associated with diarrhea and recent changes in mood and concentration. What is the clinical sign and likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

9 months

A 46yr old man known DM type 2 with poor control presents with spiking fevers, loss of weight associated with chesty cough and chest pain for over 5 weeks. What are your observations on the chest x-ray & the likely diagnosis? #MedTwitter #MedEd

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Arua Clinic

@aruaclinic

6 months

Short case; - Central obesity. - Moon face. - Abdominal striae. - Easy bruising. - Buffalo bump. - Elevated blood pressure. Comment the diagnosis. #MedEd

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Arua Clinic

@aruaclinic

5 months

Spot diagnosis; A 3years old child with a very itchy creeping skin lesion on the buttocks. He loves to play in the sand. What's your diagnosis? #MedEd

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Arua Clinic

@aruaclinic

1 year

Spot diagnosis. 7 months old infant. Mother reports that the outgrowth started as a tiny red spot a week after birth and has grown quickly over the past few months. What's the most likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

A 25yr old lady, known ISS presented for evaluation of multiple firm dome-shaped papules on her skin. What's the likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

6 months

@PeterItebimien @BrownJHM @IhabFathiSulima @DrAkhilRaghavan @mohammadala33 @TSM_Humanist @modern_webmed @drkeithsiau Acute necrotizing gingivitis or noma or cancrum Oris is a fast spreading gangrene that causes destruction of the mucous membranes of oral cavity and facial muscles. It's commonly caused by a spirochete Borrelia v in association with anaerobic bacteria.

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Arua Clinic

@aruaclinic

9 months

Spotter: This sign was observed in a 78years old lady. What's the sign and most likely diagnosis? #MedEd #MedTwitter

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Arua Clinic

@aruaclinic

6 months

A 58yr/M presents for evaluation of a painful rash on his left pectoral and axillary region. What's your diagnosis? Note: Pictures are taken & shared with consent. #MedEd

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Arua Clinic

@aruaclinic

8 months

@IhabFathiSulima - Cushing's syndrome - Acromegaly

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Arua Clinic

@aruaclinic

6 months

A 50yr/F, known hypertensive with poor drug adherence presents with; - Light headedness & sudden onset left chest pain. - Easy fatigability. - Swollen feet & ankles. - A history of orthopnea and PND. Her BMI is 34.6kg/m². What's ur differentials, investigations & immediate Rx?

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Arua Clinic

@aruaclinic

9 months

Spot diagnosis. A 4yrs old child was brought in for evaluation of an itchy creeping skin eruption. What's your diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

A 20year old female patient presents with a 2months history of dryness and burning sensation of the eyes associated with decreased night vision. Opthalmic exam revealed the sign below. What's the clinical sign and likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

6 months

@IhabFathiSulima @PeterItebimien Acute necrotizing gingivitis or noma or cancrum Oris is a fast spreading gangrene that causes destruction of the mucous membranes of oral cavity and facial muscles. It's commonly caused by a spirochete Borrelia v in association with anaerobic bacteria.

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Arua Clinic

@aruaclinic

6 months

@Osuta_Snr @BrownJHM @ChefKarim02 @docxusofficial @drkeithsiau @DrMutungaEA @DrOribaDan @imedverse @ManualOMedicine @NiravValand30 @PeterItebimien Yes, correct.

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Arua Clinic

@aruaclinic

11 months

A two months old infant is brought to the paediatric department for evaluation of the large, wrinkled appearance of abdomen and undescended testicles from birth. An abdominal ultrasound scan showed hydronephrosis in the right kidney. What's the likely diagnosis? #MedEd

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Arua Clinic

@aruaclinic

1 year

An 8weeks old infant is brought into the paediatric department for evaluation of recurrent projectile, non-bilious vomiting after feeding. What's the clinical sign on imaging and likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

7 months

The organism below was observed in a urine sample under the lens of a microscope, what's the diagnosis? #MedEd

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Arua Clinic

@aruaclinic

8 months

A 52yr/M known smoker presents with persistent chesty cough associated with shortness of breath on exertion & PND. Chest exam reveals a ⬇️ crico-sternal distance & an expiratory wheeze. What's the likely diagnosis? #MedTwitter #MedEd

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Arua Clinic

@aruaclinic

6 months

@KATIITINOAH04 @BrownJHM @ChefKarim02 @docxusofficial @drkeithsiau @DrMutungaEA @DrOribaDan @imedverse @ManualOMedicine @NiravValand30 @PeterItebimien Great differential. It's a case of neonatal Mastauxe though.😅 Poorly managed Mastauxe may result into mastitis.

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Arua Clinic

@aruaclinic

4 months

A 75yr/Female presents with a history of persistent 'bone' pains lower back pain & progressive bilateral limb weakness over the last 2years. Recently, she's been diagnosed with stage 2 CKD. What is the most probable diagnosis? How'd you proceed? #MedX #MedEd

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Arua Clinic

@aruaclinic

7 months

Short case!📋 The hand and foot anomaly below was an incidental finding in a patient who presented for repair of a parietal scalp tear 2° to a fall. What's your diagnosis? #MedEd

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Arua Clinic

@aruaclinic

6 months

@drkeithsiau

Arua Clinic

@aruaclinic

9 months

Spot diagnosis: A 4yrs old child was brought in for evaluation of an itchy creeping skin eruption. What's your diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

@holyagba @SamsonOpindeni @Osuta_Snr @Sthanu5 @DrRayNiyati_23 @DrCindyCooper @BrownHospMed @ManualOMedicine Yes, correct!

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Arua Clinic

@aruaclinic

1 year

There's an outbreak of Mumps in Arua. What you should know. A thread.

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Arua Clinic

@aruaclinic

6 months

Emergency consult: 🚨 A 47yr/F known DM, presents with an altered mental status, polydipsia and hyperventilation. Her BP is 133/79mmHg, RBS is 18.7mmol/l with ketones & SPO2 90%. What's your diagnosis? #MedEd

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Arua Clinic

@aruaclinic

6 months

@docxusofficial Herpes zoster or shingles is a viral infection that causes an outbreak of a painful rash or blisters on the skin. It is caused a virus called varicella zoster after reactivation of the chickenpox virus.

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Arua Clinic

@aruaclinic

8 months

@DrOribaDan @lacor_hospital @ahoysvet @BrownJHM @dr_evenakato @Dreadful45 @drkeithsiau @DrOtileUg @DrSerunjogiEmma @faith_nabushawo Leukonychia DDx: - Chronic liver disease - Chronic Kidney disease. Probable hypoalbuminemia Let's do LFTs, RFTs,Hep B test.

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Arua Clinic

@aruaclinic

8 months

Diabetic Cataract and Diabetic foot ulcer. Longstanding poor blood glucose control.

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Arua Clinic

@aruaclinic

11 months

A 47yr old male truck driver presented for evaluation of a throbbing left calf pain swelling. The affected area is tender and reddened. What's the likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

A 7year old child is brought into the paediatric department with a tender submental/submandibular swelling associated with DIB. Prior to this, he had a dental abscess and tooth extraction. What's the likely diagnosis?

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Arua Clinic

@aruaclinic

1 year

@DrCindyCooper @BrownHospMed @Janetbirdope @ManualOMedicine @MedicalGlobe_MG @Sthanu5 @DrRayNiyati_23 @SamsonOpindeni The poetry makes it better. Thank you Doc.

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Arua Clinic

@aruaclinic

1 year

Spotter; A neonate presents with large multiple patches of hyperpigmented skin present at birth. What's the likely diagnosis? #MedTwitter #dermtwitter

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Arua Clinic

@aruaclinic

6 months

@OGdukeneurosurg Ankle clonus, an upper motor neuron lesion is likely.

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Arua Clinic

@aruaclinic

1 year

A 25year old man presented with myalgia, body weakness associated with failure to finish his routine workout session today and a dark colored urine. Labs showed elevated Creatinine kinase(CK) levels. What's the likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

An infant with poor weight gain is brought in with shortness of breath associated with bluish looking skin color. What is the radiologic sign and likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

A 35yr old man presented for evaluation of dry itchy and hyperpigmented patches of skin on his ankles for the last 4months. What is the likely diagnosis? #dermatology #MedTwitter

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Arua Clinic

@aruaclinic

1 year

A 45yr old man with a history of productive cough (blood stained sputum) for one month associated with night sweats, chest pain and weight loss. What's the likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

6 months

@PeterItebimien @BrownJHM @ChefKarim02 @docxusofficial @drkeithsiau @DrMutungaEA @DrOribaDan @imedverse @ManualOMedicine @NiravValand30 Quite elaborate. Thank you Peter.

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Arua Clinic

@aruaclinic

1 year

@BrownHospMed Orange peel sign, breast cancer.

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Arua Clinic

@aruaclinic

1 year

Spotter Clue; Non tender, intact epithelium, trauma. What's your diagnosis? #MedTwitter #MedEd

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Arua Clinic

@aruaclinic

9 months

@SamsonOpindeni @BrownJHM @drkeithsiau @DrCindyCooper @DrOribaDan @rkalyes1 @DrRayNiyati_23 @Janetbirdope Right on doc.

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Arua Clinic

@aruaclinic

11 months

@BrownJHM @KohanAndres Corrigan sign, aortic regurgitation.

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Arua Clinic

@aruaclinic

8 months

@DrOribaDan @rkalyes1 @drkeithsiau @dr_evenakato @DrOtileUg @DrSerunjogiEmma @CelestinoGutirr @IAmTheOlum @faith_nabushawo That periumbilical swelling is the Sister Mary Joseph's nodule in GI malignancy. The CT scan shows intra-abdominal masses. It's so unfortunate for her that the diagnosis has taken 5 good years to come.🥺😓

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Arua Clinic

@aruaclinic

11 months

An 8months old infant was brought in for evaluation of red rubbery bumps on the forehead that started as small red lesions a few days after birth. What's the likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

@imedverse Palmo-planter pustulosis.

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Arua Clinic

@aruaclinic

8 months

@IhabFathiSulima Giant coffee bean sign, Sigmoid volvulus!

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Arua Clinic

@aruaclinic

5 months

@rkalyes1 @DrOribaDan @Asadthegeek @damshel @NiravValand30 @ASOU_Official @Makerere_Medics @TSM_Humanist @ErasmusMD @DrAkhilRaghavan @drkeithsiau @DMavine @ps_lukwago @DrEtolu @DrMutungaEA @DrOlweny @dr_evenakato @DrOtileUg Acute kidney injury, AKI with metabolic acidosis. Complicated by pneumoperitoneum 2° gut perforation?, hyperkalemia, hypocalcemia. Let's manage in ICU. - ABCDE - Urgent respiratory support. - Emergency dialysis. - IV calcium gluconate.

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Arua Clinic

@aruaclinic

1 year

A 55year old patient presented with thickened, discolored and crumbled finger and toe nails for the last 7 months. What's the likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

1 year

A 45year old man with Hepatitis C presents with a generalized purplish pruritic papular rash. What is the likely diagnosis? #MedTwitter

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Arua Clinic

@aruaclinic

9 months

@PeterItebimien @BrownJHM @ChefKarim02 @DrCindyCooper @drkeithsiau @rkalyes1 @imedverse @NiravValand30 A great summary. Right on!

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Arua Clinic

@aruaclinic

6 months

@drkeithsiau Wrist drop is a disorder caused by radial nerve palsy. The radial nerve is responsible for innervation of the extensor muscles of the wrist and digits. Patients who have a radial nerve damage or injury cannot actively extend the wrist.

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Arua Clinic

@aruaclinic

6 months

@medictests A deep vein thrombosis occurs when a blood clot forms in one of the deep veins in the body, usually in the legs. Some of the risk factors include a sedentary lifestyle and sitting too long without moving such as in air travel.

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Arua Clinic

@aruaclinic

1 year

@BrownJHM Systemic lupus erythematosus

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Arua Clinic

@aruaclinic

6 months

@docxusofficial Adenoma sebaceum. Dx; Tuberous sclerosis. Genes TSC1, TSC2

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Arua Clinic

@aruaclinic

1 year

Spotter: A 2years old child was brought in for evaluation of a persistent generalized dry, thickened and scaly skin that started a few months after birth. Attempts to use skin moisturizers all yielded no positive results. What's the likely diagnosis? #MedTwitter #dermtwitter

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Arua Clinic

@aruaclinic

1 year

Spotter; A 30yr/M known epileptic on carbamazepine and phenytoin for several years presents for a routine medical checkup. What is the finding below and it's likely cause? #MedTwitter

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Arua Clinic

@aruaclinic

6 months

Today is 14 November, World diabetes day. A 2021 study by IDF (International Diabetes Federation) estimates that 537 million people between the age of 20-79years are living with diabetes. There's a short thread about diabetes. 🧶

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Arua Clinic

@aruaclinic

6 months

@rkalyes1 @BrownJHM @ChefKarim02 @drkeithsiau @NiravValand30 @DrOribaDan @PeterItebimien @ManualOMedicine Noted with thanks professor!

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Arua Clinic

@aruaclinic

8 months

@NiravValand30 @BrownJHM @ChefKarim02 @dermatology @DrCindyCooper @drkeithsiau @DrOribaDan @IAmTheOlum @PeterItebimien @rkalyes1 We thought so too.

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Arua Clinic

@aruaclinic

1 year

@BrownJHM @scientissimum The giant coffee bean 😅

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Arua Clinic

@aruaclinic

8 months

Today is World Heart Day. Employ these 10 tips to maintain a healthy heart. - Healthy diet - Physical exercises - Quit smoking - Maintain healthy body weight - Quit Alcohol - Monitor cholesterol levels - Monitor your BP - Monitor your blood sugar levels - Annual health checks

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Arua Clinic

@aruaclinic

1 year

March is the annual Endometriosis awareness month. Let's learn about Endometriosis, it's causes, symptoms and management. A thread 🧶!

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Arua Clinic

@aruaclinic

7 months

@drkeithsiau @BrownJHM @ChefKarim02 @DrCindyCooper @DrOribaDan @NiravValand30 @rkalyes1 @SamsonOpindeni @PeterItebimien Rotaria rotatoria is an asexual freshwater bdelloid rotifer parasite.

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Arua Clinic

@aruaclinic

6 months

@Hubert71044338 @BrownJHM @ChefKarim02 @drkeithsiau @NiravValand30 @DrOribaDan @PeterItebimien @rkalyes1 @ManualOMedicine The patient is diabetic and RBS this evening is 22mmol-1. Management is ongoing as we await certain investigation results. Thank you.

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Arua Clinic

@aruaclinic

6 months

@BrownJHM @NicoGagelmann Urinary bladder stones are hard masses of minerals in the bladder that develop when minerals in concentrated urine crystalize and form stones.

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Arua Clinic

@aruaclinic

9 months

@isidney75 @BrownJHM @SamsonOpindeni @drkeithsiau @DrCindyCooper @DrOribaDan @rkalyes1 @DrRayNiyati_23 @Janetbirdope No.

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Arua Clinic

@aruaclinic

6 months

@ManualOMedicine @BrownJHM @ChefKarim02 @drkeithsiau @DrOribaDan @DrMutungaEA @imedverse @NiravValand30 @rkalyes1 Right on! Thank you for the link.

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Arua Clinic

@aruaclinic

8 months

@IhabFathiSulima Boot shaped heart. Tetralogy of Fallot!

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Arua Clinic

@aruaclinic

1 year

A neonate presents with peeling and erythematous skin associated with fever and extreme irritability. Labs show ⬆️WBC count. What is the likely diagnosis? @BrownHospMed @DrCindyCooper @Sthanu5 @medictests @ManualOMedicine @SamsonOpindeni #MedTwitter

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Arua Clinic

@aruaclinic

9 months

@PeterItebimien @BrownJHM @ChefKarim02 @DrCindyCooper @drkeithsiau @DrOribaDan @Janetbirdope @rkalyes1 @SamsonOpindeni Great explanation and summary!

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Arua Clinic

@aruaclinic

6 months

@PeterItebimien @BrownJHM @IhabFathiSulima @drkeithsiau @mohammadala33 @dermatology @DrAkhilRaghavan Mycetoma

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Arua Clinic

@aruaclinic

1 year

@BrownHospMed Uremic frost, a manifestation of advanced CKD.

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Arua Clinic

@aruaclinic

6 months

@IhabFathiSulima Pseudoxanthoma elasticum, a common ocular complication is vision loss.

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Arua Clinic

@aruaclinic

9 months

What other investigations would you consider for this patient?

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Arua Clinic

@aruaclinic

8 months

@rkalyes1 @lubulwaabdu @DrOribaDan @dr_evenakato @HilderKoriang @NiravValand30 @Asadthegeek @Beingmediccoo @DrOlweny @DrSerunjogiEmma @Dreadful45 @DrOtileUg @ddunguh @ps_lukwago @27Jipman Black water fever.

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Arua Clinic

@aruaclinic

11 months

Infantile hemangiomas are benign blood vessel tumors that are made up of blood vessels that form incorrectly and proliferate more rapidly than normal. Hemangiomas usually appear at birth or few weeks after birth.