If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

 Best of Five 7

 

   

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BOF: 7

A soldier returns from training in Belize. He has developed an ulcer on his right leg that has failed to heal despite treatment with antibiotics and daily dressings.

Skin biopsy from the edge of the lesion has been examined histologically and amastigotes  have been detected.

 Your next course of action would be.

a) Leave the lesion alone and await spontaneous healing.

b) Freeze the lesion with liquid nitrogen

c) Treat the patient with a twenty-day course of sodium stibogluconate

d) Surgical excision

e)Intralesional injection of sodium stibogluconate

 

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