By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.

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Presentation transcript:

By Dr. Zahoor 1

Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2

Answers 1 1.Gynaecomastia 2.Liver cirrhosis - Drugs – Spironolactone, Estrogen, Cemitidine 3

Question 2: 1.What is the diagnosis? 2.What test you will do to confirm the diagnosis? 4

Answers 2 1.Thyriotoxicosis 2.T3, T4, TSH 5

Question 3 1.What is the diagnosis? 6

Answers 3 1.Hypothyroidism 7

Question 4 1.What is the diagnosis? 8

Answers 4 1.Angio oedema 9

Question 5 1.What do you observe in the picture? 2. What is the cause? 10

Answers 5 1. Very tall female 2.Gigantism 11

Question 6 1.What do you observe in the picture? 2.What is the diagnosis? 12

Answers 6 1.Webbed neck 2.Turner Syndrome – 45xo 13

Question 7 1.What is the diagnosis? 14

Answers 7 1.Marfan Syndrome 15

Question 8 1.Which cranial nerve palsy is shown? 16 Patient gives history of diplopia when she looks down.

Answers 8 1.Left Fourth cranial nerve palsy 17

Question 9 1.Which cranial nerve palsy is shown? 18

Answers 9 1. Right 12 th cranial nerve palsy 19

Question 10 1.Which cranial nerve palsy is shown? 20

Answers 10 1.Right 7 th cranial nerve palsy 21

Question 11 1.Which cranial nerve palsy is shown? 22 Patient is asked to look straight

Answers 11 1.Right 3 rd never palsy 23

Question 12 1.Which cranial nerve palsy is shown? 24 Patient is asked to look straight

Answers 12 1.Left 6 th nerve palsy 25

Question 13 1.What is the diagnosis? 26

Answers Horner left eye (Ptosis, small pupil) 27

Question 14 1.What is the diagnosis? 28 Patient complains of diplopia when she is tired.

Answers 14 1.Myasthenia Gravis 29

Question 15 1.What is the diagnosis? 30 Patient expression looks like this all the time

Answers 15 1.Myopathy 31

Question 16 1.What do you observe? 2.Give one cause. 32

Answers 16 1.Wasting of small muscles of hand 2. Syringomylia - Motor neuron disease 33

Question 17 1.This is EEG of a patient who had seizure. What this EEG is showing? 34

Answers 17 1.Grandmal seizure (generalized) 35

Question 18 1.This is an EEG of a 10 year old boy. What it is showing? 36

Answers 18 1.Petitmal Epilepsy (spike and wave pattern) 37

Question 19 1.This patient presented with severe headache and right hemiplegia. What is seen in the CT? 38

Answers 19 1.Left side intracranial hemorrhage 39

Thank you 40