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Identify the disease based on the symptoms and examination reports 🧐

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AIIMS.MAY

A patient present with pain and tenderness in the left iliac fossa. USG shows a 3 cm stone in the renal pelvis without any hydro-nephrosis. Most appropriate management:
Anonymous Quiz
34%
PCNL
30%
ESWL
17%
Diuretics
19%
Medical dissolution threapy with KCl
Which one of the following tests will you adopt while examining a knee joint where you suspect an old tear of
anterior cruciate ligament?
Anonymous Quiz
24%
Posterior drawer test
25%
Mc Murray test
38%
Lachman test
13%
Pivot shift test
AIIMS.MAY

Which of the following is the most appropriate method for obtaining a urine specimen for culture in an 8 month old girl:
Anonymous Quiz
36%
Suprapubic aspiration
23%
Indwelling catheter sample
26%
Clean catch void
15%
Urinary bag sample
AIIMS.MAY

An 8 Y old boy during a check up is found to have E. coli 1,00,000 cc/ml on a urine culture. The urine specimen was obtained by mid-stream clean-catch void. The child is asymptomatic. Which is the most appropriate next step in the management
Anonymous Quiz
47%
Treat as an acute episode of urinary tract infection
21%
No therapy
26%
Prophylactic antibiotics for 6 months
7%
Administer long term urine alkalinizer
AI.PG

A 5-year old boy while having dinner suddenly becomes aphonic and is brought to the casualty with the complaint of respiratory distress. Immediate management should be:
Anonymous Quiz
11%
Cricothyroidotomy
27%
Emergency tracheostomy
13%
Humidified oxygen
49%
Heimlich maneuver
Case 51 || Solution || First Part

The answer to the given question is "Rhinoscleroma"

It is chronic granulomatous infection

Bacterial granuloma

Causative agent: Kliebsiella Rhinoscleromatis [A.K.A Frisch Bacillus]

More common in North India (UP, Rajasthan)

It has 3 stages:

Atrophic stage: Presents typically as atrophic rhinitis

Granulomatous stage: Leads to hard external nose called woody nose

Stage of fibrosis: Leads to disfigurement of nose called Tapir nose, causes drooping of nose

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Case 51 || Solution || Last part

The answer to the given question is "Rhinoscleroma"

Biopsy Findings:

Russel Bodies [Solid Blue plasma cell like inclusion body]
Mikulicz cells [Large vacuolated cells with bacilli]

Treatment:

First line: Tetracycline + Streptomycin
Second line: Rifampicin
Terry Thomas is sign seen in: [Refer to the picture]
Anonymous Quiz
23%
Scaphoid fracture
59%
Scapholunate dissociation
11%
Fracture acetabulum
7%
Meniscus cyst
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AIIMS.NOV

A 20 year old female presents with the following laboratory values: hemoglobin 9gm%, MCV is 55%, RBC is 4.5 million/mm3. There is no history of blood transfusion. What is the most likely diagnosis out of the following?
Anonymous Quiz
11%
Thalassemia major
23%
Thalassemia minor
49%
Iron deficiency anemia
16%
Anemia of chronic disease
Forwarded from Medical Times
AI.PG

A 13 yr girl with fatigue and weakness was found to be having reduced hemoglobin. Her MCV 70fl , MCH 22pg and RDW was 28. What is her most likely diagnosis?
Anonymous Quiz
61%
Iron deficiency anemia
15%
Thalassemia minor
15%
Sideroblastic anemia
10%
Thalassemia major
AI.PG

A child presents with lid lag and an enlarged cornea with a diameter of 13 mm. Examination of the eye reveals double contoured opacities concentric to the limbus. Which of the following is the most likely diagnosis?
Anonymous Quiz
16%
Superficial keratitis
18%
Deep keratitis
31%
Thyroid Endocrinopathy
35%
Congenital Glaucoma
AIIMS.NOV

Down’s syndrome is associated with the clinical manifestation of mental retardation. Which of the following is not associated with Down’s syndrome?
Anonymous Quiz
26%
Trisomy 21
13%
Mosaic 21
15%
Translocation t (14,21), t (21,21)
46%
Deletion of 21
AIIMS.NOV

A patient presented with stridor and dyspnea which he developed after an attack of upper respiratory tract infection. On examination he was found to have a 3 mm glottic opening. All of the following are used in the management except:
Anonymous Quiz
22%
Tracheostomy
21%
Arytenoidectomy
32%
Teflon injection
24%
Cordectomy
2025/06/28 20:21:39
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