MRCP(UK) Preparation course in Bangladesh
Category : Picture Challenge
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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Category : Picture Challenge
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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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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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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Category : Picture Challenge
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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Category : Picture Challenge
Clubbing with cyanosis in a young boy with Heart problem most likely of Tetralogy of Fallot (TOF).
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Category : Picture Challenge
This is Right sided lower motor facial palsy (Bell`s palsy) evidenced by Bell`s sign
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Category : Picture Challenge
This young man is a case of Mumps of Right Parotid gland where angle of the jaw is obliterated.
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Category : Picture Challenge
Abdominal finding is splenomegaly as part of hemolysis triad ( Jaundice, Anemia, Splenomegaly)
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Category : Picture Challenge
Acanthosis nigricans. This patient having it from his childhood. 2 Common causes are PCOS and Abdominal malignancy
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