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| {{CMG}}; {{AE}}{{MIR}} | | {{CMG}}; {{AE}}{{MIR}} |
| ==Overview== | | ==Overview== |
| * The overview section should include the disease name in the first sentence.
| | Patients with molluscum contagiosum usually appear well and healthy. Physical examination of patients with molluscum contagiosum is usually remarkable for skin papules that are small, shiny, and firm. |
| * The goal is to summarize the physical examination page in several sentences. This section can be the same as the physical examination segment on the overview page.
| |
| * To see an example of an overview section on a physical examination page, click [[Gastric cancer physical examination|here]].
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| ===Template===
| |
| *'''First Sentences:'''
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| :Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
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| :OR
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| :Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
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| :OR
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| :The presence of [finding(s)] on physical examination is diagnostic of [disease name].
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| :OR
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| :The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
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| *'''Examples:'''
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| :Example 1: Patients with shigellosis usually appear lethargic. Physical examination of patients with shigellosis is usually remarkable for high-grade [[fever]] and signs of dehydration, such as [[tachycardia]], [[tachypnea]], [[hypotension]], and dry mucus membranes.
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| :Example 2: Common physical examination findings of cholecystitis include right upper abdominal tenderness and a positive Murphy sign.
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| :Example 3: The presence of both upper motor neuron and lower motor neuron involvement on physical examination is diagnostic of amyotrophic lateral sclerosis.
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| :Example 4: The presence of facial tenderness and fever on physical examination is highly suggestive of acute sinusitis.
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| ==Physical examination== | | ==Physical examination== |
| ===Appearance of the Patient=== | | ===Appearance of the Patient=== |
| *This section should give a general description of what a patient with the disease you are describing may look like. | | * Patients are usually well-appearing. |
| *If patients typically appear normal, you may write: Patients are usually well-appearing.
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| *You may include a physical description such as obese, thin, cachectic, ill appearing, diaphoretic etc. Mention in which cases these findings are present (e.g. well-appearing in early stages of cancer, cachectic in late stage cancer)
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| * For an example of the appearance of a patient section in the physical examination page, click [[Stomach cancer physical examination|here]].
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| ===Vital Signs=== | | ===Vital Signs=== |
| <sup>Note: Vital signs traditionally include the temperature, blood pressure, heart rate, respiratory rate. The vital signs may also include oxygen saturation (at room air) and blood glycemia.</sup>
| | *Within normal limits. |
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| *High-grade / low-grade fever
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| *[[Hypothermia]] / hyperthermia may be present
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| *[[Tachycardia]] with regular pulse or (ir)regularly irregular pulse
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| *[[Bradycardia]] with regular pulse or (ir)regularly irregular pulse
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| *Tachypnea / bradypnea | |
| *Kussmal respirations may be present in _____ (advanced disease state)
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| *Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
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| *High/low blood pressure with normal pulse pressure / [[wide pulse pressure]] / [[narrow pulse pressure]]
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| ===Skin=== | | ===Skin=== |
| *[[Cyanosis]] | | *Skin papules: |
| *[[Jaundice]] | | **Firm |
| * [[Pallor]] | | **Dome shaped |
| * Bruises | | **Shiny |
| Note: To describe a rash, always report additional details that include the color (e.g. erythematous), shape (e.g. flat / bullous), dermarcation (e.g. well-circumscribed / diffuse), location (e.g. truncal / on the face / on the extremities), enclosing fluid (e.g. vesicular / filled with pus, clear), and if possible smell (e.g. foul-smelling / odorless)
| | **2 to 5 mm diameter |
| | | **May have central indentation or umbilication |
| <gallery widths=150px>
| | *Polypoid lesion: Occasionally, with a stalk-like base |
| | | *Visibly inflamed lesions occasionally may be seen |
| UploadedImage-01.jpg | Description {{dermref}}
| | *[[Erythema|Diffuse erythema]]: May be seen due to [[Gianotti-Crosti syndrome|Gianotti-Crosti]] like eruptions |
| UploadedImage-02.jpg | Description {{dermref}}
| | [[File:Molluscumcontagiosum1.jpg|500px]] |
| | | <br style="clear: left" /> |
| </gallery> | | [[File:Molluscaklein.jpg|500px]] |
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| ===HEENT=== | | ===HEENT=== |
| * Abnormalities of the head/hair may include ___
| | * [[Conjunctivitis|Conjunctivitis]]<ref name="pmid17026608">{{cite journal |vauthors=Schornack MM, Siemsen DW, Bradley EA, Salomao DR, Lee HB |title=Ocular manifestations of molluscum contagiosum |journal=Clin Exp Optom |volume=89 |issue=6 |pages=390–3 |year=2006 |pmid=17026608 |doi=10.1111/j.1444-0938.2006.00073.x |url=}}</ref>: |
| * Evidence of trauma
| | ** [[Conjunctival injection|Conjunctival erythema]] |
| * Icteric sclera
| | ** [[Keratoconjunctivitis|Follicular keratoconjunctivitis]] with or without obvious dermal lid lesions |
| * [[Nystagmus]] | | *** Multiple large lesions that do not respond to standard therapy or recurrent lesions are suggestive of immunocompromise. |
| * Extra-ocular movements may be abnormal
| | * [[Eyelid]] lesions |
| *Pupils non-reactive to light / non-reactive to accomodation / non-reactive to neither light nor accomodation
| | * Intra-[[oral]] and [[Gingiva|gingival]] lesions |
| *Ophthalmoscopic exam may be abnormal with findings of ___
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| * Hearing acuity may be reduced
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| *[[Weber test]] may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
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| *[[Rinne test]] may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
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| * [[Exudate]] from the ear canal
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| * Tenderness upon palpation of the ear pinnae / tragus (anterior to ear canal)
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| *Inflamed nares / congested nares
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| * [[Purulent]] exudate from the nares
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| * Facial tenderness
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| * Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
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| ===Neck===
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| *[[Jugular venous distension]]
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| *[[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
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| *[[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
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| *[[Thyromegaly]] / thyroid nodules
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| *[[Hepatojugular reflux]]
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| ===Lungs=== | |
| * Asymmetric chest expansion / Decreased chest expansion
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| *Lungs are hypo/hyperresonant
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| *Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally
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| *Rhonchi
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| *Vesicular breath sounds / Distant breath sounds
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| *Expiratory/inspiratory wheezing with normal / delayed expiratory phase
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| *[[Wheezing]] may be present
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| *[[Egophony]] present/absent
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| *[[Bronchophony]] present/absent
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| *Normal/reduced [[tactile fremitus]]
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| ===Heart=== | |
| *Chest tenderness upon palpation
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| *PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
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| *[[Heave]] / [[thrill]]
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| *[[Friction rub]] | |
| *[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]] | |
| *[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]] | |
| *[[Heart sounds#Third heart sound S3|S3]] | |
| *[[Heart sounds#Fourth heart sound S4|S4]] | |
| *[[Heart sounds#Summation Gallop|Gallops]] | |
| *A high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope | |
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| ===Abdomen===
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| *[[Abdominal distention]] | |
| *[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant | |
| *[[Rebound tenderness]] (positive Blumberg sign)
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| *A palpable abdominal mass in the right/left upper/lower abdominal quadrant
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| *Guarding may be present
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| *[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]]
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| *Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
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| ===Back===
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| *Point tenderness over __ vertebrae (e.g. L3-L4)
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| *Sacral edema
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| *Costovertebral angle tenderness bilaterally/unilaterally (may also be referred to as Murphy's punch sign, which is different from Murphy's sign that suggests cholecystitis. To avoid confusion, write "costovertebral angle tenderness")
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| *Buffalo hump
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| ===Genitourinary=== | | ===Genitourinary=== |
| *A pelvic/adnexal mass may be palpated | | *Lesions due to sexual transmitted infection typical appear in<ref name="pmid7928025">{{cite journal |vauthors=Gottlieb SL, Myskowski PL |title=Molluscum contagiosum |journal=Int. J. Dermatol. |volume=33 |issue=7 |pages=453–61 |year=1994 |pmid=7928025 |doi= |url=}}</ref>: |
| *Inflamed mucosa
| | **[[Groin]] |
| *Clear/(color), foul-smelling/odorless penile/vaginal discharge
| | **[[Genitals]] |
| <sup>Write additional pathognomonic findings, such as discharge that resembles cottage cheese for ''C. albicans'' vulvovaginitis / fish-odor for ''T. vaginalis'' ifnection</sup> | | **[[Proximal]] thighs |
| | | **Lower [[abdomen]] |
| | *Small round shiny [[papules]] |
| ===Extremities=== | | ===Extremities=== |
| *[[Clubbing]] | | *The hands and feet are the only part of body that are typically not involved in molluscum contagiosum infection. |
| *[[Cyanosis]]
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| *Pitting/non-pitting [[edema]] of the upper/lower extremities
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| *Muscle atrophy
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| *Fasciculations in the upper/lower extremity
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| ===Neuromuscular===
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| *Patient is usually oriented to persons, place, and time
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| * Altered mental status
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| * Glasgow coma scale is ___ / 15
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| * Clonus may be present
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| * Hyperreflexia / hyporeflexia / areflexia
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| * Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
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| * Muscle rigidity
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| * Proximal/distal muscle weakness unilaterally/bilaterally
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| * ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
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| *Unilateral/bilateral upper/lower extremity weakness
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| *Unilateral/bilateral sensory loss in the upper/lower extremity
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| *Positive straight leg raise test
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| *Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
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| *Positive/negative Trendelenburg sign
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| *Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
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| *Normal finger-to-nose test / Dysmetria
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| *Absent/present dysdiadochokinesia (palm tapping test)
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| ===Gallery===
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| ====Skin====
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| <gallery>
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| Image: Molluscum_contagiosum_01.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_05.jpeg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_06.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_08.jpeg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_09.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_15.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_16.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_19.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_20.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_21.jpeg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_23.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_25.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| </gallery>
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| ====Head====
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| <gallery>
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| Image: Molluscum_contagiosum_03.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_04.jpeg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_10.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_11.jpeg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_13.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_18.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| </gallery>
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| ====Eyes====
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| <gallery>
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| Image: Molluscum_contagiosum_12.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| </gallery>
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| ====Genitalia====
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| <gallery>
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| Image: Molluscum_contagiosum_02.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_07.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_14.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_22.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_24.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_26.jpg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| Image: Molluscum_contagiosum_27.jpeg| Molluscum contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12 With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
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| </gallery>
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| ==References== | | ==References== |
| {{reflist|2}} | | {{reflist|2}} |
| | |
| | [[Category:Emergency mdicine]] |
| | [[Category:Disease]] |
| | [[Category:Up-To-Date]] |
| | [[Category:Infectious disease]] |
| | [[Category:Dermatology]] |
| | [[Category:Otolaryngology]] |
