Picture Challenge 15

Complete 3^rd 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 3^rd Nerve palsy

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

Picture Challenge 14

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.

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

Picture Challenge 13

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.

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

Picture Challenge 12

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

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

Picture Challenge 11

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.

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

Picture Challenge 10

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

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

Picture Challenge 09

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

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

Picture Challenge 08

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

Picture Challenge 05

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

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

Picture Challenge 06

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

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