IMAGE QUIZ
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![Page 1: IMAGE QUIZ](https://reader033.fdocuments.us/reader033/viewer/2022051610/5481fdd3b07959650c8b4666/html5/thumbnails/1.jpg)
PICTORIAL CMECITY PHYSICIAN MEET-
CHENNAI
K.M.JEYABALAJI
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CASE-1 HISTORY
A 56 YEAR OLD MALE PATIENT PRESENTED WITH RECURRENT EPISODES OF MALENA FOR PAST 2 YEARS
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CT ABDOMEN
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CT ANGIOGRAM
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OSLER RENDU WEBER SYNDROME
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CURACAO CRITERIA
Spontaneous recurrent epistaxis
Multiple telangiectasias
Proven visceral AVM (lung, liver, brain, spine)
First-degree family member with HHT
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CASE -2 HISTORY
A 28 year old male patient came to medical OP with complaints of
Abdominal pain for past 3 days
H/O similar episode on & off for past 2 years
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INFERENCE
ERUPTIVE XANTHOMA,LIPEMIA RETINALIS
DIFFERENTIAL DIAGNOSIS:
HYPERTRIGLYCERIDEMIA SYNDROMES – TYPE 1 ,3, 5
DIAGNOSIS
HYPERTRIGLYCERIDEMIA TYPE I WITH PANCREATITIS
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FREDRICKSON CLASSIFICATION
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CASE – 3 HISTORY
A 26 YEARS OLD MALE PATIENT CAME WITH COMPLAINTS OF
COUGH WITH EXPECTORATION FOR PAST 3 MONTHS
DIFFICULTY IN BREATHING FOR PAST 2 MONTHS
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RADIOGRAPHY
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INFERENCECENTRAL BRONCHIECTASIS
DIFFERENTIAL DIAGNOSIS:
Allergic broncho pulmonary aspergillosis
Kartagener’s syndrome
young’s syndrome
Eosinophilic lung diease
CYSTICFIBROSIS
Autoimmune causes- RHEUMATOID ARTHRITIS
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ABPA EXACERBATION:
worsening in clinical symptoms
new infiltrates in radiography
Serum Ig E levels going above twice the baseline
TREATEMENT:
Prednisone 0.5 mg/kg daily until resolution occurs is recommended. Resolution is achieved when symptoms improve, the infiltrate clears and IgE levels decrease by at least 35%. Steroids should be slowly taper over 3 to 6 months.
ITRACONAZOLE, VORICONAZOLE
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CRITERIA
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CASE – 4 HISTORY
A 46 YEAR OLD MALE PATIENT CAME WITH COMPLAINTS OF
UNSTEADYNESS WHILE WALKING
KNOWN ALCOHOLIC FOR PAST 13 YEARS
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MRI
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INFERENCE
EXTRA PONTINE MYELINOLYSIS
ALCOHOL INDUCED
DISRIBUTION:
MIDBRAIN
BASAL GANGLIA
CEREBELLUM
THALAMUS
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DD
EPM
CEREBELLAR HEMORRHAGE
MULTIPLE SCLEROSIS
GLIOMA
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CASE -5 HISTORY
A 45 YEAR OLD MALE PATIENT CAME WITH COMPLAINTS OF
PALPITATION , SHOSTNESS OF BREATH FOR PAST 2 MONTHS
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ECHOCARDIOGRAM
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FINDINGS
HYPER REFRACTILE SEPTUM , POSTERIOR WALL
SPECKLED PATTERN
HYPERTROPHIED SEPTUM, POSTERIOR WALL
FINDINGS SUGGESTIVE OF
AMYLOID HEART
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CASE – 6 HISTORY
A 42 year old male patient referred from dermatology dept suspecting a systemic disease
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FINDINGSHYPERPIGMENTED NONSCALY PLAQUE TYPE LEION IN RIGHT ARM
NODULES OF SIZE 3 mm IN ALA
MULTIPLE PAPULES IN BOTH CHEEKS
DIFFERENTIAL DIANOSIS
SARCOIDOSIS
CUTANEOUS TB
TUBERCULOID LEPROSY
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CASE – 7 HISTORY
A 34 year female patient came with complaints of
Attempted hanging 30 min back
Altered sensorium
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MRI
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INFERENCE
CORTICAL LAMINAR NECROSIS
DIAGNOSIS – HYPOXIC ISCHEMIC ENCEPHALOPATHY
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THANK YOU