Case 34 || Solution || Part 1
@medic_altimesMT
The answer to the given question is “Bronchial Asthma”
⏩Obstructive Pulmonary Disorder
⏩It is chronic, relapsing, inflammatory disorder
⏩Due to inflammation there will be:
•Hyperactive Smooth Muscle
•Hypersecretion of mucus
⏩Ethology of Bronchial Asthma:
⏹ATOPY (Allergic Disorder)
Associated with Chromosome-5q (Long arm)
⏹Genetic Association:
•IL-13 gene polymorphism (Strongest & Most consistent Association)
•ADAM-33 Gene Polymorphism
•YKL-40 protein: Directly related with Severity of Asthma
⏹On Sputum Cytology:
3 characteristic Bodies are seen:
(Remember them as 3Cs)
A. Curschmann Spiralis
B. Charcot Leyden Crystal
C. Creola Bodies
⏹Curschmann Spiralis:
‘Spiral-shaped mucus plugs’ from subepithelial mucous gland ducts of bronchi
(As shown in the picture)
For more updates & full explanation
https://www.tg-me.com/medic_altimesMT
@medic_altimesMT
The answer to the given question is “Bronchial Asthma”
⏩Obstructive Pulmonary Disorder
⏩It is chronic, relapsing, inflammatory disorder
⏩Due to inflammation there will be:
•Hyperactive Smooth Muscle
•Hypersecretion of mucus
⏩Ethology of Bronchial Asthma:
⏹ATOPY (Allergic Disorder)
Associated with Chromosome-5q (Long arm)
⏹Genetic Association:
•IL-13 gene polymorphism (Strongest & Most consistent Association)
•ADAM-33 Gene Polymorphism
•YKL-40 protein: Directly related with Severity of Asthma
⏹On Sputum Cytology:
3 characteristic Bodies are seen:
(Remember them as 3Cs)
A. Curschmann Spiralis
B. Charcot Leyden Crystal
C. Creola Bodies
⏹Curschmann Spiralis:
‘Spiral-shaped mucus plugs’ from subepithelial mucous gland ducts of bronchi
(As shown in the picture)
For more updates & full explanation
https://www.tg-me.com/medic_altimesMT
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Forwarded from Medical NEET PG AIIMSPG PGI USMLE
Recent Questions:
Purtscher’s retinopathy is seen in:
Purtscher’s retinopathy is seen in:
Anonymous Quiz
9%
Meningitis
27%
Pancreatitis
38%
Uncontrolled hypertension
25%
Unilateral carotid artery occlusion
Forwarded from 📝 Usmle In Arabic 📝
فيديو جديد نزل الان للدكتور عبدالله مازن يشرح Cardiac Enzymes
رابط الفيديو في قناة اليوتيوب 🖍🖍
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رابط الفيديو في قناة اليوتيوب 🖍🖍
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Forwarded from Medical NEET PG AIIMSPG PGI USMLE
Recent Questions:
A patient Parul gives you the history that she has missed a single dose of her combined oral contraceptive pill. Which of the following will you advise her?
A patient Parul gives you the history that she has missed a single dose of her combined oral contraceptive pill. Which of the following will you advise her?
Anonymous Quiz
28%
Continue with the course without regard to the missed dose
61%
Take 2 pills the next day and continue with the course
5%
Take 2 pills everyday for the remaining part of the course
6%
Discontinue the course and use alternative method of contraception
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
Recent Questions:
A patient began taking alendronate & she was advised to take large amount of water & remain in the standing position for at least half an hour till she had the first meal of the day. These instructions were given to reduce the risk of:
A patient began taking alendronate & she was advised to take large amount of water & remain in the standing position for at least half an hour till she had the first meal of the day. These instructions were given to reduce the risk of:
Anonymous Quiz
14%
Cholelithiasis
16%
Constipation
63%
Erosive esophagitis
6%
Osteonecrosis
Case 34 || Solution || Part 3
@medic_altimesMT
The answer to the given question is “Bronchial Asthma”
⏹On Gross Examination:
Mucus Plug is seen within Bronchi
Why?
Due to Hyper-secretion of mucus
⬇️
Mucus plug is formed
⬇️
This plug will obstruct the bronchi
(As shown in the picture)
For more updates & full explanation
https://www.tg-me.com/medic_altimesMT
@medic_altimesMT
The answer to the given question is “Bronchial Asthma”
⏹On Gross Examination:
Mucus Plug is seen within Bronchi
Why?
Due to Hyper-secretion of mucus
⬇️
Mucus plug is formed
⬇️
This plug will obstruct the bronchi
(As shown in the picture)
For more updates & full explanation
https://www.tg-me.com/medic_altimesMT
Telegram
Medical NEET PG AIIMSPG PGI USMLE
NEET PG, AIIMS PG, PGI, FMGE👨⚕️
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https://medicaltimesmt.com/
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📒Slides
⏱MCQs
Detailed in depth analysis🤓
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Identify the disease based on the symptoms and examination reports 🧐
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Comment in the box below⬇️⬇️
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Case 35 || Solution
The answer to the given question is “Osteochondroma / Exostosis”
⏹ M/C Benign Bone Tumor
⏹ Not a True Bone Tumor
⏹ Age: 10-18yrs (Open Physis)
⏹Diaphyseal Aclasia (Developmental Malformation)
⏹Large to feel, Small on X-ray
⏹Growth plate grows abnormally outwards
⏹M/C site: Metaphysis of Distal Femur
⏹Incidental Finding
⏹Cauliflower like Growth (As shown)
⏹Two types:
✅Pedunculated (With Stalk):
•Grows away from Joint
•More common
✅Sessile (Without Stalk)
⏹It has a cartilagenous cap: Usually < 2cm
⏹Majority of them regress before skeletal maturity
⏹Usually Asymptomatic
⏹C/F:
✅Pain
✅Palpable Swelling
✅Compression over adjacent neurovascular tissue
⏹Causes of Pain:
✅Bursitis due to compression by lesion (M/C)
✅Neuro-vascular compromise
✅Fracture
✅Malignant Transformation: Chondrosarcoma
⏹Malignant Transformation occurs when:
A. Cartilage Thickness > 2cm (in MRI)
B. Rapid increase in size
C. Growth after skeletal maturity
D. Loss of Cortico-medullary Differentiation
⏹Management:
✅Wait & Watch (Mostly)
✅Extraperiosteal excision
➡️Indications of surgery
A. Cosmetic
B. Pain
C. Malignant Transformation
D. Joint obstruction
E. NV compromise
⏹Additional info:
➡️2 types:
✅Solitary (More common)
✅Multiple
➡️Masada Syndrome: Multiple Osteochondromatosis of forearm
The answer to the given question is “Osteochondroma / Exostosis”
⏹ M/C Benign Bone Tumor
⏹ Not a True Bone Tumor
⏹ Age: 10-18yrs (Open Physis)
⏹Diaphyseal Aclasia (Developmental Malformation)
⏹Large to feel, Small on X-ray
⏹Growth plate grows abnormally outwards
⏹M/C site: Metaphysis of Distal Femur
⏹Incidental Finding
⏹Cauliflower like Growth (As shown)
⏹Two types:
✅Pedunculated (With Stalk):
•Grows away from Joint
•More common
✅Sessile (Without Stalk)
⏹It has a cartilagenous cap: Usually < 2cm
⏹Majority of them regress before skeletal maturity
⏹Usually Asymptomatic
⏹C/F:
✅Pain
✅Palpable Swelling
✅Compression over adjacent neurovascular tissue
⏹Causes of Pain:
✅Bursitis due to compression by lesion (M/C)
✅Neuro-vascular compromise
✅Fracture
✅Malignant Transformation: Chondrosarcoma
⏹Malignant Transformation occurs when:
A. Cartilage Thickness > 2cm (in MRI)
B. Rapid increase in size
C. Growth after skeletal maturity
D. Loss of Cortico-medullary Differentiation
⏹Management:
✅Wait & Watch (Mostly)
✅Extraperiosteal excision
➡️Indications of surgery
A. Cosmetic
B. Pain
C. Malignant Transformation
D. Joint obstruction
E. NV compromise
⏹Additional info:
➡️2 types:
✅Solitary (More common)
✅Multiple
➡️Masada Syndrome: Multiple Osteochondromatosis of forearm
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
Recent Questions:
Tram track appearance on histopathology of kidney is seen in:
Tram track appearance on histopathology of kidney is seen in:
Anonymous Quiz
14%
Membranous nephropathy
61%
Membranoproliferative glomerulonephritis
17%
IgA nephropathy
8%
Crescentic glomerulonephritis
Identify the disease based on the symptoms and examination reports 🧐
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Recent Questions:
Most common cause of nephritic syndrome in adults is:
Most common cause of nephritic syndrome in adults is:
Anonymous Quiz
28%
Rapidly progressive glomerulonephritis
34%
Focal segmental glomerulosclerosis
28%
Membranous glomerulonephritis
10%
Minimal change disease