What is the confirmatory radiological test for the diagnosis of this condition?

Lupus vulgaris: • One of the most prevalent forms of cutaneous tuberculosis. • Occurs in previously sensitised individuals. • More common in women • Diascopy : Apple jelly nodules • Rx : Standard multidrug ATT

Umbilical hernia with painful, non-reducible swelling: Sx : Umbilectomy with umbilical herniorrhaphy Indication : Strangulation, bowel obstruction

Porphyria Cutanea Tarda: • High association with HepC • Hallmark feature: Blistering rash • First-line management: Phlebotomy • Second-line: Chloroquine and hydroxychloroquine

Superior Quadrantanopia: • Involvement of the Meyer Loop • Inferior fibers of the optic radiations affected • “Pie in the sky” defect. • Ipsilateral superonasal visual field loss and contralateral superior-temporal visual field loss.

Ataxia telangiectasia: • Increased risk of lymphoreticular neoplasms • Café au lait macules • Combined immunodeficiency • Premature aging • Truncal and limb ataxia • Raised AFP

The X-ray of a young male who was rushed to the ER from an RTA scene is shown. What is the most likely diagnosis?

Celiac disease + Dermatitis Herpetiformis • Pruritic, erythematous papules • Management: Gluten-free diet for celiac disease • Rx: Dapsone for Dermatitis herpetiformis

Hoffman’s sign: • Equivalent to the Babinski sign • Position your right index finger beneath the patient's middle finger's DIP • Use your right thumb to tap the patient's finger downward. • Check for thumb reflex flexion

The presence of a heliotrope rash and proximal muscle weakness point towards a diagnosis of dermatomyositis. Important clinical signs: • V sign • Shawl sign • Gottron's sign • Gottron’s papules- Pathognomonic of dermatomyositis. • Presence of an internal malignancy

Epidemic Keratoconjunctivitis: • Adenovirus • Follicles involving the lower fornix and palpebral conjunctiva • Supportive treatment: -> Cold compresses, & sunglasses to decrease glare. -> Decongestant and lubricant teardrops. • Topical antibiotics help to prevent superadded bacterial infections.