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#case|| Solution ||Part 1

The answer to the given question is “Marfan syndrome”


Clinical Features:

Skeleton system:

Tall stature

•Long arms & legs (Marfanoid Body Habitus)

Arachnodactyly

Overgrowth of ribs can cause:

•Pectus excavatum (Chest sinks in)
•Pectus Carinatum (Chest points out)

Flexible joints

Palate:

High arched
Narrow, that crowds the teeth

Eyes

Dislocation of Lens (Usually upwards direction)

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A 56-years-old male presented with sudden substernal pain, impending doom and died 4 days after. On autopsy, there was a large transmural anterior wall infarction. It would be associated with:
Anonymous Quiz
35%
Presence of collagen and fibroblasts
24%
Presence of neutrophils
30%
Granulomatous inflammation
11%
Granulation tissue
In myocardial infarction scarring completes by:
Anonymous Quiz
26%
1 month
16%
1 week
41%
3 months
18%
3 weeks
#case || Solution || Last part

The answer to the given question is “Marfan syndrome”

Marfan syndrome is a rare connective tissue disorder affecting approximately 1 in 5000 to 1 in 10,000 people

The above video shows:

Sign 1: Arachnodactyly

Sign 2: Thumb sign (Steinberg's sign)

Sign 3: Wrist sign (Walker-Murdoch sign)

Sign 4: Hyper-mobile joints


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Renal biopsy in an old man Hitesh demonstrates concentric, laminated thickening of arteriolar walls due to proliferation of smooth muscle cells. This process is best described by which of the following terms?
Anonymous Quiz
11%
Atherosclerosis
32%
Hyaline arteriolosclerosis
40%
Hyperplastic arteriolosclerosis
17%
Mönckeberg’s arteriosclerosis
Visceral aneurysm is most commonly seen in:
Anonymous Quiz
35%
Splenic
26%
Renal
15%
Hepatic
24%
Coronary
Enzyme elevated in first 2 hours of MI is:
Anonymous Quiz
65%
CPK MB
23%
LDH
6%
SGPT
6%
Acid phosphatase
A 30 year old male Munish with exertional calf pain and painful foot ulcers demonstrates hypersensitivity to intradermally injected tobacco extract. Which of the following pathologic processes is most likely responsible for this patient’s condition?
Anonymous Quiz
8%
Lipid-filled intimal plaque
20%
Onion-like concentric thickening of arteriolar walls
46%
Transmural inflammation of the arterial wall with fibrinoid necrosis
27%
Segmental vasculitis extending into contiguous veins and nerves
case || Solution|| Part 1

@medic_altimesMT

The answer to the given question is “Osteogenesis imperfecta (OI)”

The following may be noted:

‘Osteogenesis imperfecta (OI)’ also known as “Brittle Bone disease” is the most common inherited disorder of connective tissue

Caused by deficiencies in the synthesis of type I collagen

Usually results from Autosomal Dominant mutations in the genes that encode the α1 and α2 chains of type I collagen


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A 57Y F Benu presents with frequent throbbing headaches, which occur on one side. She has fever and tenderness over both temples

Investigations: Decreased hematocrit Elevated ESR This patient should be treated immediately to prevent the development of
Anonymous Quiz
56%
Blindness
21%
Deafness
13%
Loss of tactile sensation
10%
Loss of the ability to speak
2025/07/09 22:03:32
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