Picture Challenge 15

Category : Picture Challenge

3rd N Palsy complete

Complete 3rd Nerve Palsy due to surgical cause features with EARLY pupillary abnormality. Pupil will be Dilated and Fixed. Pupillary abnormal response is usually delayed in medical cause of 3rd Nerve palsy

 

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Picture Challenge 14

Category : Picture Challenge

Cluster headache FB OK

Cluster headaches typically involve unilateral excruciating pain which occurs as clusters for a relatively short period of time. There is usually associated lacrimation. Urgent treatment is 100% oxygen inhalation.

Migraine with aura does not present like this.

Trigeminal neuralgia is a definite differential however it usually is associated with face pain and does not involve the eye or come in clusters.

A complicated migraine typically has long tract findings of sensorimotor involvement of the limbs.

 

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Picture Challenge 13

Category : Picture Challenge

Pic 1-  This is the CXR of a 34 year aged lady who presented with cough for 3 month with nocturnal exacerbation with low grade fever, CBC- Hb- 9.9 g/dl, ESR 118, CRP 220, Gene Xpert test for AFB was Negative. This case was treated as a case of RUZ pneumonia with Amoxyclave for 10 days. Patient becomes OK after treatment  and follow up CXR as Pic 2,  and CBC, ESR, CRP all are normal.

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Picture Challenge 12

Category : Picture Challenge

Its Pompholyx, is a bullous/ vesicular eczematous lesion of hands/foot. It may be a feature of id reaction

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19062009069 Pompholyx FB OK


Picture Challenge 11

Category : Picture Challenge

20120713_170701

This  is Granuloma Annulare,  may be associated with Diabetes or may be idiopathic.  It may be confused with Ring Worm ( Mycosis) but this lesion is  non itchy whereas mycosis is itchy. It is  a self limiting dermatological disease.

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Picture Challenge 10

Category : Picture Challenge

Clubbing with cyanosis in a young boy with Heart problem most likely of Tetralogy of Fallot (TOF).

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Picture Challenge 09

Category : Picture Challenge

Bells FB OK This is Right sided lower motor facial palsy (Bell`s palsy) evidenced by Bell`s sign

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Picture Challenge 08

Category : Picture Challenge

This young man is a case of Mumps of Right Parotid gland  where angle of the jaw is obliterated.

Register FREE  in FORUM for FURTHER QUERY, DISCUSSION AND COMMENT- CLICK HERE Mumps FB OK


Picture Challenge 05

Category : Picture Challenge

Abdominal finding is splenomegaly as part of hemolysis triad ( Jaundice, Anemia, Splenomegaly)

Register FREE in FORUM for further Comments, Query and Discussion—-  CLICK HERE 20140715_120916 OK


Picture Challenge 06

Category : Picture Challenge

Acanthosis nigricans. This patient having it from his childhood. 2 Common causes are PCOS  and Abdominal malignancy

17032012096 FB OKRegister FREE  in FORUM for FURTHER QUERY, DISCUSSION AND COMMENT- CLICK HERE


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