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Diagnosis Clinical Features • Appearance: Rough, scaly, erythematous or brownish papules/plaques on sun-exposed areas (face, scalp, ears, forearms, hands). • Texture: “Sandpaper-like” when palpated. • Symptoms: Usually asymptomatic but may itch, burn, or be tender. • Number: Often multiple lesions, may coalesce into larger patches. Risk Factors • Chronic sun exposure (UV radiation). • Fair skin, light hair, blue/green eyes. • Age > 40. • Immunosuppression (e.g., o...

acute otitis media (AOM): diagnosis and management: Diagnosis Typical Symptoms • Ear pain (otalgia), irritability in children. • Fever. • Hearing loss, ear fullness. • Sometimes otorrhea if tympanic membrane (TM) ruptures. Physical Exam • Tympanic membrane findings (key to diagnosis): o Bulging TM (most specific sign). o Decreased mobility on pneumatic otoscopy. o Erythema, opacity. o Middle ear effusion (fluid line, air-fluid bubbles). Diagnostic Criteria (per AAP/AAF...

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