Case 37 || Solution
The answer to the given question is “Osteoid Osteoma”
⏹ M/C True Benign Bone Tumor
⏹Age: 2nd-3rd Decade
⏹Males > Females
⏹Location:
✅Just Below Neck of Femur (Diaphysis)(M/C)
✅Can also occur in spine (Posterior Column) (Rarely)
⏹Eccentric & Cortical Tumor
⏹Structure (X-Ray):
➡️Osteoid:
✅Central ‘Radiolucent’ Lesion / Central Nidus (Lytic Lesion)
✅Nidus (seed) has:
•Dilated Blood Vessels
•Osteoblast
•Osteoclast
✅Central Nidus releases Prostaglandins in high amount: Causes Pain
✅Diameter < 2cm
➡️Osteoma:
✅Thick,peripheral,reactive, ‘sclerotic’ rim
⏹C/P:
✅Intense Night Pain (due to PGs)
✅Relief by Aspirin: 90%
⏹Mx:
✅Low Dose Aspirin
✅Radiofrequency Ablation
✅Curettage
⏹Differential Diagnosis:
Osteoblastoma:
➡️Rare & Aggressive Bone Tumor
➡️Age: 2nd-3rd Decade
➡️Males > Females
➡️M/C Site: Spine (Posterior Column)
➡️Structure:
✅Central ‘Sclerotic’ Lesion
•Releases PGs (but less compared to previous one)
•Diameter > 2 cm
✅Peripheral ‘Radiolucent’ rim
➡️C/P:
✅Night Pain occurs, but less (due to less PGs)
✅Relief by Aspirin: 40-50%
➡️Mx:
✅Curettage/Excision with Bone Graft/cement
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The answer to the given question is “Osteoid Osteoma”
⏹ M/C True Benign Bone Tumor
⏹Age: 2nd-3rd Decade
⏹Males > Females
⏹Location:
✅Just Below Neck of Femur (Diaphysis)(M/C)
✅Can also occur in spine (Posterior Column) (Rarely)
⏹Eccentric & Cortical Tumor
⏹Structure (X-Ray):
➡️Osteoid:
✅Central ‘Radiolucent’ Lesion / Central Nidus (Lytic Lesion)
✅Nidus (seed) has:
•Dilated Blood Vessels
•Osteoblast
•Osteoclast
✅Central Nidus releases Prostaglandins in high amount: Causes Pain
✅Diameter < 2cm
➡️Osteoma:
✅Thick,peripheral,reactive, ‘sclerotic’ rim
⏹C/P:
✅Intense Night Pain (due to PGs)
✅Relief by Aspirin: 90%
⏹Mx:
✅Low Dose Aspirin
✅Radiofrequency Ablation
✅Curettage
⏹Differential Diagnosis:
Osteoblastoma:
➡️Rare & Aggressive Bone Tumor
➡️Age: 2nd-3rd Decade
➡️Males > Females
➡️M/C Site: Spine (Posterior Column)
➡️Structure:
✅Central ‘Sclerotic’ Lesion
•Releases PGs (but less compared to previous one)
•Diameter > 2 cm
✅Peripheral ‘Radiolucent’ rim
➡️C/P:
✅Night Pain occurs, but less (due to less PGs)
✅Relief by Aspirin: 40-50%
➡️Mx:
✅Curettage/Excision with Bone Graft/cement
Do leave a comment in the box given below if you like the questions & explanations
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
AIIMS.NOV
Which of the following drug is not used in multiple sclerosis?
Which of the following drug is not used in multiple sclerosis?
Anonymous Quiz
20%
Interferon b1b
27%
Interferon b1a
22%
Glatiramer acetate
31%
Mycophenolate mofetil
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
Recent Questions:
Patients should be cautioned not to consume alcohol when given a prescription for any of the following EXCEPT:
Patients should be cautioned not to consume alcohol when given a prescription for any of the following EXCEPT:
Anonymous Quiz
25%
Cefixime
15%
Cefoperazone
27%
Chlorpropamide
33%
Metronidazole
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
AI.PG
A 20 yr old man with HBs Ag +ve, HbeAg –ve with SGOT and SGPT raised 5 times the normal value. The HBV DNA copies are 1,00,000/ml. Which is the likely diagnosis?
A 20 yr old man with HBs Ag +ve, HbeAg –ve with SGOT and SGPT raised 5 times the normal value. The HBV DNA copies are 1,00,000/ml. Which is the likely diagnosis?
Anonymous Quiz
17%
Wild type HBV
34%
Surface mutant HBV
35%
PreCore mutant HBV
13%
Inactive HBV carrier
Identify the disease based on the symptoms and examination reports 🧐
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Comment in the box below⬇️⬇️
The more you participate, more you learn💪
Comment in the box below⬇️⬇️
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
AIIMS.NOV
Councilman bodies are seen in:
Councilman bodies are seen in:
Anonymous Quiz
45%
Acute viral hepatitis
17%
Wilson disease
26%
Alcoholic hepatitis
12%
Auto immune hepatitis
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
Recent Questions:
Mallory bodies contain:
Mallory bodies contain:
Anonymous Quiz
17%
Vimentin
45%
Cytokeratin
24%
Keratin
14%
Collagen
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
AIIMS.NOV
A patient ingested some unknown substance & presented with myoclonic jerks, seizures, tachycardia & hypotension. ECG shows a HR of 120/min. The arterial blood revealed a pH of 7.25, pCO2 of 30 mm Hg & HCO3- ions 15 mmol/L. Most likely agent is:
A patient ingested some unknown substance & presented with myoclonic jerks, seizures, tachycardia & hypotension. ECG shows a HR of 120/min. The arterial blood revealed a pH of 7.25, pCO2 of 30 mm Hg & HCO3- ions 15 mmol/L. Most likely agent is:
Anonymous Quiz
19%
Amanita phylloids
44%
Ethylene glycol
25%
Imipramine
13%
Phencyclidine
Forwarded from Medical Times
AIIMS.NOV
Lithium is used in a pregnant woman. Which of the following congenital anomaly occurs in the fetus?
Lithium is used in a pregnant woman. Which of the following congenital anomaly occurs in the fetus?
Anonymous Quiz
17%
Tetralogy of Fallot
69%
Ebstein’s anomaly
8%
Bicuspid atresia
6%
Pulmonary stenosis
Forwarded from Medical Times
Recent Questions:
Nutmeg liver is seen in:
Nutmeg liver is seen in:
Anonymous Quiz
65%
Right sided heart failure
18%
Left sided heart failure
14%
Increased pulmonary pressure
3%
Decreased pulmonary pressure
Case 38 || Solution
The answer to the given question is “Enchondroma”
⏹ M/C Bone Tumor of Hand Bones
⏹M/C Benign Bone Tumor of Hand Bones
⏹Age: 2nd - 5th decade
⏹Males > Females
⏹Metaphyseal
⏹Has Hyaline Cartilage
⏹M/C site:
✅Hand > Feet
✅In Hand: Phalanges > Metacarpals
⏹Usually SOLITARY, Rarely MULTIPLE
⏹X-Ray:
✅Well Defined, Sharply Demarcated area of lysis with cortical thinning with ‘STIPPLED CALCIFICATION’
(As shown in the picture)
⏹Treatment: Extended Curettage
⏹Additional info:
M/C Tumor of Hand: Squamous Cell Carcinoma
The answer to the given question is “Enchondroma”
⏹ M/C Bone Tumor of Hand Bones
⏹M/C Benign Bone Tumor of Hand Bones
⏹Age: 2nd - 5th decade
⏹Males > Females
⏹Metaphyseal
⏹Has Hyaline Cartilage
⏹M/C site:
✅Hand > Feet
✅In Hand: Phalanges > Metacarpals
⏹Usually SOLITARY, Rarely MULTIPLE
⏹X-Ray:
✅Well Defined, Sharply Demarcated area of lysis with cortical thinning with ‘STIPPLED CALCIFICATION’
(As shown in the picture)
⏹Treatment: Extended Curettage
⏹Additional info:
M/C Tumor of Hand: Squamous Cell Carcinoma
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
Recent Questions:
Micronodular cirrhosis is seen in all except:
Micronodular cirrhosis is seen in all except:
Anonymous Quiz
18%
Alcoholic cirrhosis
27%
Viral hepatitis
37%
Budd-Chiari syndrome
18%
Indian childhood cirrhosis
Forwarded from Medical Times
Recent Questions:
A patient of Parkinsonism is managed with levodopa. If Vitamin B complex is administered concurrently to the patient:
A patient of Parkinsonism is managed with levodopa. If Vitamin B complex is administered concurrently to the patient:
Anonymous Quiz
22%
The action of levodopa in brain will be potentiated
40%
Decarboxylation of l-dopa in brain will be decreased
19%
Side effects will be ameliorated
19%
Decreased efficacy will result
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
Recent Questions:
A 72-year-old patient with Parkinsonism presents with swollen feet. They are red, tender and very painful. You could clear up these symptoms within a few days if you tell the patient to stop taking:
A 72-year-old patient with Parkinsonism presents with swollen feet. They are red, tender and very painful. You could clear up these symptoms within a few days if you tell the patient to stop taking:
Anonymous Quiz
38%
Amantadine
16%
Benztropine
27%
Bromocriptine
20%
Levodopa
Forwarded from Medical Times
AIIMS.NOV
Which of the following is not a feature of fetal alcohol syndrome?
Which of the following is not a feature of fetal alcohol syndrome?
Anonymous Quiz
14%
Microcephaly
14%
Low intelligence
61%
Large proportionate body
10%
Intrauterine growth retardation
Identify the disease based on the symptoms and examination reports 🧐
The more you participate, more you learn💪
Comment in the box below⬇️⬇️
The more you participate, more you learn💪
Comment in the box below⬇️⬇️