By Dr. Zahoor 1. Question 1: 1.What is the diagnosis? 2.Name one other manifestation. 2.

Photographic Quiz In Medicine

Photographic Quiz In MedicineBy Dr. Zahoor

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Question 1:What is the diagnosis?Name one other manifestation.2Answers 1

Yellow nail syndrome

Pleural effusion - Lymphodema3

Question 2:What is the diagnosis?Give one complication.4Answers 2

Neurofibromatosis

Acoustic neuroma Phaeochromocytoma5

Question 3What is the diagnosis?Give one associated feature.6Answers 3

Scleroderma

2. Reynaud's phenomenon Telangiectasia 7

Question 4What is the diagnosis?This patient with maturity onset diabetes developed necrolytic migratory Erythema rash8Answers 4

Glucogonoma

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Question 5What is the diagnosis?10Answers 5

Psoriasis (Distal interphalangeal joints are involved and there is nail pitting).11

Question 6What is the diagnosis?12Answers 6

Rheumatoid arthritis (Arthritis of proximal interphalangeal and metacarpal phalangeal joints and Vasculitis) 13

Question 7What is the diagnosis?This patient presented with severe abdominal pain and is in shock. He had bruising in the flank. (Grey Turners sign) 14Answers 7

Acute pancreatitis

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Question 8What is the diagnosis?16Answers 8

Herpes zoster of ophthalmic division of trigeminal nerve with secondary bacterial infection

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Question 9What is the diagnosis?18Answers 9

Hypertensive retinopathy

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Question 10Name the physical sign.20Answers 10

Lupus pernio

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Question 11What is the diagnosis?This patient has mucocutaneous pigmentation and was found to have gastrointestinal polyposis. 22Answers 11

Peutz Jegher syndrome it is Autosomal dominant.

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Question 12What is the likely diagnosis?24Answers 12

Hereditary hemorrhagic telangiectasiae. Autosomal Dominent

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Question 13What is the diagnosis?26Answers 13

Vitiligo 27

Question 14What are these lesions?Give one cause of this lesion.2829Answers 14

Spider naevi

Cirrhosis of liver Pregnancy 30

Question 15What is the abnormal physical sign?What is most likely diagnosis?

31Answers 15

Exopthalmos

Graves disease 32

Question 16What is the diagnosis?33Answers 16

Tendon xanthomas over the Achilles tendon. They occur in familial hypercholesterolemia.34

Question 17What is the physical sign?Give one condition, this sign is associated.35Answers 17

Pre-tibial myxoedema red brown thickened skin

Graves disease

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Question 18What physical sign is shown?What is the diagnosis?7 year old boy, pictured with his brother was unable to play football.37Answers 18

Pseudo hypertrophy of the calf muscle

Duchennes muscular dystrophy (X- linked recessive)38

Question 19 What is the diagnosis?Give one CVS associated abnormality. 39Answers 19

Downs syndrome trisomy 21

ASD VSD40

Question 20What is seen in the X-ray chest?63 year old man with history of working in a navel dockyard for more than 20 years. 41Answers 20

Multiple calcified pleural plagues Asbestos Plaque.

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Question 211. What is the diagnosis?43Answer 21

Bronchiectasis Cluster of ring shadows in the right lower lobe 44

Question 22What is the diagnosis?45Answers 22

Tension Pneumothorax

Thank you46