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MUTATION - October 2005 |
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| CLINICAL CASE |
| Chintan Doshi (7th sem) |
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45-year old Mrs. R.N. underwent abdominal hysterectomy for uterine fibroid yesterday.
Past history is uneventful.
She started vomiting and complained of pain in abdomen today morning. She does not have fever.
On examination,
Pulse : 104/min BP : 100/70 mm Hg
Temp.- normal No icterus.
Per Abdomen, distention +, tender.
Other systems normal.
Investigations :
TC/DC : Normal. S. Na+ 142 mEq/L
S. K+ 2.5 mEq/L S. Cl+ 94 mEq/L
X-Ray Abdomen clinches the Diagnosis.
Answer to Clinical Case : ADYNAMIC ILEUS
Answers to MCQ’S :
1 c. Duration of hypertension 2 c. Adventitia & outer 2/3rd of media
3 d. high BP in lower extremities 4 a. Glioma
5 a. small cell carcinoma lungs |
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| CLINICAL CASE |
| MCQ'S PATHOLOGY |
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1. In hypertensive heart disease, left ventricular hypertrophy is correlated with
a. cause of hypertension
b. severity of hypertension
c. duration of hypertension
d. severity of atherosclerosis
2. Vasa vasora perfuse the vessel wall as follows
a. adventitia & outer ½ of media
b. whole thickness
c. adventitia & outer 2/3 of media
d. whole adventitia & media
3. Post-ductal coarctation of aorta has the following features Except-
a. weak pulse
b. claudications of lower limbs
c. high BP in upper extremities
d. high BP in lower extremities
4. All of the following malignant tumors metastasize except
a. glioma
b. synovial sarcoma
c. malignant mesothelioma
d. Retinoblastoma
5. Hypercalcemia is a paraneoplastic syndrome observed in following except
a. squamous cell Ca lungs
b. small cell Ca lungs
c. Renal cell Ca
d. breast Ca |
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| SURVIVAL GUIDE-DESCRIBING X-RAY CHEST |
| MCQ'S PATHOLOGY |
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This is a chest x-ray PA view of Mr. XYZ with:
Adequate exposure & penetration checked by looking at clavicle heads & spinous processes,
Good inspiration checked by 6 anterior & 10 posterior ribs,
Centralization checked by both sterno-clavicular joints equidistant from midline
Now we get to the systemic description and follow a fixed protocol so we do not forget few key points. We go from soft tissue to hard tissue in following order:
1) Lungs normal shadows or any consolidation, cavity, etc
2) Pleura and pleural recesses
3) Heart - size & shape.
4) Aorta & other major vessels.
5) Hilar shadows.
6) Diaphragmatic shadow.
7) Bony thoracic cage.
8)Mention breast shadows if present.
9) Describe any artefact if present.
Now after describing the findings at respective places, summarize the findings and give possible differentials. |
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