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ishockk
Since when did ducreyi start causing pustules? and satellite lesions? This fits with Strep pyogenes much more than ducreyi
+2
tinylilron
First aid says papule/pustule-->ulcer/chancroid
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tinylilron
I wanted to choose HSV but it was not an option
+1
bobson150
It's frustrating that they'd expect us to know prognosis at this level. I know metastatic pancreatic cancer is bad news bears, but the AAA fits criteria for repair (in a healthy person)
+13
ishockk
Wait so if his aneurysm was symptomatic would you repair it?
what are the clauses for (not) repairing? they should mention that in surgery fundamentals!
+1
fuckyoudie
this answer definitely seems like it could be argued. According to https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3076160/, the annual risk of rupture for an aneurysm of his size is 20-40%. Dying by exsanguinating into your own abdomen does not seem like a very pleasant way to die, and so it doesn't seem out of the question to fix his AAA to prevent that particular outcome, development of further symptoms.
I could see this question becoming quickly out of date as chemotherapeutics for pancreatic cancer and AAA repair technology get better.
+4
The STD that forms a painful ulcer aka chancroid = H ducreyi (ducreyi makes you cry, as they say).