Cutaneous pan
A form of vasculitis that involves small to medium size arteries of the dermis and subcutaneous tissue. The disorder manifests with tender subcutaneous nodules, livedo reticularis, cutaneous ulcers and necrosis; while internal organ involvement is typically spared, extra-cutaneous symptoms may be present.
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A 50 yrs old patient (history given below) kindly suggest further management *Chief Complaints* Unresponsive/vomiting/headache/fever/seizure 2/left side weakness /episode/history of epitaxis 2 days back *History* K/c/o HTN with irregular medicine *Vitals* BP 210/120 Temp 103.f Pulse -122 Spo2 86% *Physical Examination* Left side weakness Patient is semiconscious but drowsy, moderately built, appears uncomfortable. In mild respiratory distress. Left-sided weakness noted. Vitals monitored. *Investigations* Attached *Diagnosis* Acute ischemic stroke with rt mca acute thrombosis *Management* Medical management Monocef/pantop/strocit/manitol/lobet infusion/nimodepin/Ecosprin gold/pcm/emeset/levera/deriphyllin/dexa/nebulizer/o2 inhaler
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