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USMLE images
Started by Zuhal
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.
3. "Hair on end" appearance - B-Thalassemia. Tx can cause secondary hemochromatosis due to the need for repeated blood transfusion.
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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
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!
A healthy 50 year old male comes into the clinic with symmetric lesions over both his knees.
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Splenic flexure. It's a watershed region between the IMA and SMA.
Great thread!
Yep, yep yep!
Psoriasis?
I agree with you, red lesion covered by silver scaly skin does scream psoriasis. the symmetrical part though is kinda throwing me off?
plummer vinson syndrome for beefy red tongue
Psoriasis?
Good job!
plummer vinson syndrome for beefy red tongue
yep thats one, what else?
yep thats one, what else?
Vit. B2 defficiency
wilson's?
wilson's?
No its not kayser fleischer ring
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
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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
is this a smoker with a high lipid profile?
Vit C
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
As far as i remember b2 is giving glositis and magenta colored tongue
yes but how does it give you anemia?
yes but how does it give you anemia?
🙂 im not saying its giving anemia
Just made a guess from picture
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
b6
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
That's it! Sideroblastic anemia
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Nonsmoker
Without any environmental risk factor
How'd you come to this conclusion, because I had no idea what I was looking at...
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?
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.
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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
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
Yes
Brushfield spots
Any idea why this happens in Down's patients?
Any idea why this happens in Down's patients?
No idea
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male pt presents to your office with a 3 day h/o painless hematochezia. see braium enema results. whats the dx?
Diverticulosis
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
anemias associated with glossitis
megaloblastic anemia folate b6 deficiency
pernicious anemia from failure to absorb b12
iron deficiency anemia
megaloblastic anemia folate b6 deficiency
pernicious anemia from failure to absorb b12
iron deficiency anemia
Babesia
Abscess
yep. Foul smelling sputum was obtained. what microbe is most likely responsible for these findings?
Babesia
Beat me, my guess too

