620 likes | 633 Views
PICTURE SLIDES. What is the diagnosis What are the Predisposing factors Mention 2 causative organisms What is the treatment of choice. ANSWER. 1) Cancrum Oris 2)Measles, TB Infections, Ulcerative Gingivitis, Poor oral hygiene, Immunodeficiency. 3) Fusobacterium Necrophorum
E N D
What is the diagnosis • What are the Predisposing factors • Mention 2 causative organisms • What is the treatment of choice
ANSWER • 1) CancrumOris • 2)Measles, TB Infections, Ulcerative Gingivitis, Poor oral hygiene, Immunodeficiency. • 3) FusobacteriumNecrophorum • BacteriodesSpp • 4) Topical wound care • Reconstructive Surgery • Antibiotics ~ Penicillin, Metronidazole
List the abnormalities • What is the diagnosis • Mention other clinical features of this condition
ANSWER • 1) Generalized Edema • Flaky Paint Dermatitis with presence of scales • 2) Kwashiorkor • 3) Growth Retardation • Edema (constant, due to decrease capillary oncotic pressure) • Mental Retardation • Muscle wasting
What major invasive procedure is shown in the image • Describe the utility of the apparatus • Mention 4 conditions this apparatus is used
ANSWER • 1) Right Chest Thoracotomy (chest tube) • 2) Diagnostic~ used to diagnose pleural disease • Therapeutic~ used to drain pleural fluid • 3) Pleural Effusion • Pneumothorax • Hemothorax • Hydrothorax • Pyothorax
What is the diagnosis • Mention 5 causes of the condition • What is the classification
ANSWER • 1) Scleral Icterus • 2) Sickle Cell Disease • G6pd deficiency • Biliary atresia • Cholelitiasis • 3) Pre-Hepatic Post-Hepatic (Fancida-medication that can cause Jaundice)
Describe this condition • What is the diagnosis • Mention 1 differential diagnosis • List 2 complications
ANSWER • 1)Leftparietalswellingofthescalp • 2)Cephalohematoma • 3)Trauma • Instrumentationdelivery • 4)Jaundice • Anemia • Hypotension • Treatment • Conservativemanagementtocorrect*Jaundice,Anemia,Hypotension* • Usuallyresolvesonitsown.
Describe the abnormalities • What condition is this • List 2 differentials
ANSWER • 1)X-rayfeaturesinRickets-: • *Fraying(wideningandirregularityofthegrowthplate) • *Splaying(wideningofthemetaphysealendofthebone) • *Cupping(concavityofthemetaphysis) • 2)Rickets • 3)Blountsdisease(diseaseofthetibia,causesbilateralbowingofthetibia) • OsteogenesisImperfecta
Describe what you can see • What is the diagnosis • What is the mode of transmission • Mention 2 complications
ANSWER • 1) Left Submandibular / Jaw swelling • 2) Submandibular Parotitis/ Mumps Parotitis • 3) Airborne- respiratory droplet • 4) Meningitis • Encephalitis Orchitis Permanent hearing loss Differentials~ Burkitts Lymphoma Lipoma Dental Abscess Cervical Lymphadenopathy
Describe the posture • Mention 3 causes
ANSWER • 1) Hyperextensibilty of the muscle of the back • 2) Meningitis • Tetanus • Cerebral Malaria
What is the diagnosis • Mention 2 differential diagnosis • List 2 causative organsims • What is the most fatal complication
ANSWER • 1) Periorbital Cellulitis (POC) • 2) Orbital Cellulitis • Retinoblastoma • Ophtalmoplegia • 3) Strep Spp • Staph Aureus • 4) Cavenous Sinus Thrombosis
What is the pathology • List the stages of this condition • Mention 5 causes of this condition
ANSWER • 1) Bilateral Finger Clubbing • 2)Stages • *Increase nail-bed fluctuancy • *Loss of nail-bed angle • *Increase nail curvature • *Drum stick appearance of the nail • *Hypertrophic Osteoarthropathy • 3) Tetralogy of Fallot • Bronchiectasis • IBD • Liver Cirrhosis
ANSWER • 1)BitotspotandBandKerathopathy • 2)StagesofVitAdeficiency • *Nightblindness • *Xerophthalmia • *Keratomalacia*BitotSpot*ConjunctivalXerosis*Blindness • 3)Poorbonegrowth • Hyperkeratosis • Immunedeficiency
What is the diagnosis • What is the causative organism • List 3 predisposing factos • What is the treatment of choice
ANSWER • 1) Herpes Zoster Ophtalmicus • 2) Varicella Zoster • 3)Previous history of Chicken pox • HIV- Immunosuppression • Trauma • 4) Acyclovir
Describe the condition • Mention 3 causes
ANSWER • 1) Bilateral Single Palmar Crease • 2) Down Syndrome • Fragile X Syndrome • Fetal Alcohol Syndrome • Edwards Syndrome • Patau Syndrome
ANSWER • 1)MacrosomicBaby • 2)MaternalFetal • *Diabetes*Chromosomalabnormaliti • *Obesity*Hemihypertrophy • *Multiparity(Beckwith-Wiedemann) *PrevDelivery history 3)Hypoglycemia Polycythemia ShoulderDystocia PerinatalAsphyxia
Identify this clinical condition • Mention the types • What deficiency is implicated in this condition
ANSWER • 1) Spina Bifida Cystica • 2) Meningocele • Myelomeningocele • 3) Folate deficiency in mother
What clinical condition is this • Highlight 3 causes of this condition • List the classification of the disorder • List 3 useful investigations
ANSWERS • 1)AmbiguousGenitalia • 2)CongenitalAdrenalHyperplasia • Turner’sSyndrome • KlinfelterSyndrome • AndrogenInsensitivitySyndrome • PersistentMullerianDuctSyndrome • 3)46xyDSD • 46xxDSD • SexChromosomerelateddisorder (DisorderofSexDevelopment) 4)ChromosomalKaryotyping 17hydroxylprogesterone Serumelectrolyte AdenopelvicUltrasound
What is the identifiable clinical feature • What is the diagnosis • List 5 other clinical features
ANSWERS • 1)Koplik Spot for measles • 2) Measles • 3) Fever • Coryza • Conjunctivitis • Cough • Croup
What is the diagnosis • What organism is implicated • List the 3 chromosomal abnormalities associated with it • What is the treatment of choice
ANSWER • 1)BurkittsLymphoma(NonHodgkins) • 2)EpsteinBarrVirus(EBV) • (StarrySkyappearanceonhistology) • 3)ChromosomalTranslocation • 8:14 • 8:22 • 2:8 • 4)Chemotherapy • Cyclophosphamide-SE-haemorrhagiccystitis
What is the clinical feature shown in the diagram • Itemize the pathophysiology • List 5 causes of this condition
ANSWER • 1) Bilateral Pitting Edema • 2) Increase Capillary Hydrostatic Pressure • Decrease Capillary Oncotic Pressure • Increase Capillary Permeability • 3) Nephrotic Syndrome • Congestive Heart Failure • Kwashiorkor • Malnutrition • Malabsorption
What is the diagnosis • What organism is implicated • What is the preferred route for treatment • List three drugs used in treatment
ANSWER • 1)TineaCapitis (fungal infection) • 2) TrichophytusSpp • 3)Oral route • 4) Itraconazole • Griseofulvin • Shampooing with 2.5% selenium sulfide
A 13 year old boy presented with these skin lesions 1hour after using a medication • What is your diagnosis • Itemize 2 differential diagnosis • Mention 3 possible drugs that can cause this condition
ANSWER • 1)Steven-Johnson Syndrome • 2)Chemical Burns • Toxic Epidermal • Scalded Syndrome • 3) Penicillin • Fancida • Septrin
Identify the medical items • List 1 use of each 12 2 3
ANSWER • 1)MicrohematocritReader • Use-FormeasuringPCV • 2)FluorideOxalateBottle-Yellow • Use-BloodSugarBottle(fluorideinhibitsglucose) • BlueBottle-LithiumHeparin • Use-EUCR • 3)IVSoluteSet • Use-Administeringfluidforneonates
What clinical sign is demonstrated • In what syndrome is this feature seen • List 5 causes of this condition • List 3 investigations for this condition
ANSWER • 1) Head lag • 2) Floppy Infant Syndrome • Infantile Hypotonic Syndrome • 3) Cerebral Palsy • Kenicterus • Intracranial Hemorrhage • Poliomyelitis • Botulism • Hypothyroidism • 4) CT • Nerve Conduction • Electromyography
What is this clinical condition • Itemize the abnormalities • What are the treatment modalities
ANSWER • 1)Congenital TalipesEquinovarus (Club Foot) • 2)* Inversion(valrus)at the subtalar joint or heel • *Adduction at the talonavicular joint • i.evarus deformity of the forefoot • * Plantar flexion(equinus deformity) at the ankle joint • 3) Serial Casting • Braces • Splints
Describe what you see • What is the clinical condtion • Mention the crisis associated with this condition • Itemize 3 management plan