Dec 29, 2012
247
3
Thompson
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Medical Student
68 yo male patient presents to your clinic with postprandial pain. X-ray below, whats the dx?
 

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OP
Zuhal
Dec 29, 2012
247
3
Thompson
Status
Medical Student
8 y/o boy is brought to the doc by his parents, pallor fatigue and dyspnea on p/e. doc orders labs+ blood smear(see image). whats the dx? and what will the pt's labs look like? Serum iron? Ferittin? TIBC? % saturation?
 

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OP
Zuhal
Dec 29, 2012
247
3
Thompson
Status
Medical Student
25 y/o male regular pt presents to your office w/ SOB, pallor and lethargy. See image

what's the dx?
what are some possible treatment complications?
 

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BelieveTheHype

Mad Widgetry
10+ Year Member
Jan 23, 2009
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1. That is the "thumb print" sign (edematous mucosa) --> due to ischemia
3. "Hair on end" appearance - B-Thalassemia. Tx can cause secondary hemochromatosis due to the need for repeated blood transfusion.
 
Oct 20, 2012
101
1
Status
Non-Student
8 y/o boy is brought to the doc by his parents, pallor fatigue and dyspnea on p/e. doc orders labs+ blood smear(see image). whats the dx? and what will the pt's labs look like? Serum iron? Ferittin? TIBC? % saturation?
Sideroblastic anemia (lead poisoning)
Serum iron increased Ferittin increased
TIBC decreased
% sat increased
 
OP
Zuhal
Dec 29, 2012
247
3
Thompson
Status
Medical Student
where is this ischemia likely to happen? im looking for an anatomical location
 

Goober11

Rarararamblin'
5+ Year Member
Oct 29, 2010
436
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where is this ischemia likely to happen? im looking for an anatomical location
Splenic flexure. It's a watershed region between the IMA and SMA.

Great thread!
 

BelieveTheHype

Mad Widgetry
10+ Year Member
Jan 23, 2009
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A healthy 50 year old male comes into the clinic with symmetric lesions over both his knees.
 
OP
Zuhal
Dec 29, 2012
247
3
Thompson
Status
Medical Student
59 y/o anemic pt presents to your clinic with a red, beefy tongue. what's ur differential dx
 

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OP
Zuhal
Dec 29, 2012
247
3
Thompson
Status
Medical Student
Vit. B2 defficiency
B2 gives you glossitis, however i don't think you can get anemia from b2 deficiency. but you're very close. I'm looking for a vitamin deficiency that will give you glossitis AND anemia
 
Oct 20, 2012
101
1
Status
Non-Student
B2 gives you glossitis, however i don't think you can get anemia from b2 deficiency. but you're very close. I'm looking for a vitamin deficiency that will give you glossitis AND anemia
Vit C
 
Oct 20, 2012
101
1
Status
Non-Student
As far as i remember b2 is giving glositis and magenta colored tongue
 
Oct 20, 2012
101
1
Status
Non-Student
Vit C can give you anemia but not glossitis as far I know. I'll give you another hint
this vitamin is used for an important inhibitory neurotransmitter synthesis
Vitaminc C deficiency can cause painful glossitis
 

Jonari

avatar: Mr. Wood Berry
10+ Year Member
Apr 8, 2007
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Person in the image presented has macroglossia
Could you please answer how the picture of the eye can tell you a person is a non-smoker without any environmental factors, please?
 

withrye

7+ Year Member
Mar 14, 2010
311
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This pic needs the other eye included, so we can see if the pupil is equal, constricted, or dilated compared to the other eye. It's also impossible to tell whether the ptosis is one sided.

Assuming it's unilateral ptosis and miosis, however, I'd say Horner's.

EDIT: MAYBE Brushfield spots in the outer iris, indicating Down Syndrome?

Jonari said:
Could you please answer how the picture of the eye can tell you a person is a non-smoker without any environmental factors, please?
I think Ycut was clarifying that this isn't in the context of a smoker or an environmental exposure. It was to offer context, not some deduction based on the image alone.
 
Last edited:
Oct 20, 2012
101
1
Status
Non-Student
Could you please answer how the picture of the eye can tell you a person is a non-smoker without any environmental factors, please?
He may even have thousands of risk factors but what i wanted to say is for this particular disease there are no environmental risk factors
 
Oct 20, 2012
101
1
Status
Non-Student
This pic needs the other eye included, so we can see if the pupil is equal, constricted, or dilated compared to the other eye. It's also impossible to tell whether the ptosis is one sided.

Assuming it's unilateral ptosis and miosis, however, I'd say Horner's.

EDIT: MAYBE Brushfield spots in the outer iris, indicating Down Syndrome?



I think Ycut was clarifying that this isn't in the context of a smoker or an environmental exposure. It was to offer context, not some deduction based on the image alone.
Yes
Brushfield spots
 
OP
Zuhal
Dec 29, 2012
247
3
Thompson
Status
Medical Student
in what hematological condition do you see the cells in the image? whats the pathophysiology?
 

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OP
Zuhal
Dec 29, 2012
247
3
Thompson
Status
Medical Student
male pt presents to your office with a 3 day h/o painless hematochezia. see braium enema results. whats the dx?
 

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Oct 20, 2012
101
1
Status
Non-Student
ImageUploadedByTapatalk1359518986.924296.jpg

In addition which disease can be present with this condition ?
 
Oct 20, 2012
101
1
Status
Non-Student
in what hematological condition do you see the cells in the image? whats the pathophysiology?
Target cells
Thalassemia asplenia - excessive membrane
liver disease-abnormal membrane
 
Feb 1, 2013
1
0
Status
Other Health Professions Student
anemias associated with glossitis
megaloblastic anemia folate b6 deficiency
pernicious anemia from failure to absorb b12
iron deficiency anemia