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Histologic examination of the lesion in stomach reveal fat-laden cells, likely cause is:
Anonymous Quiz
14%
Lymphoma
15%
Postgastrectomy
53%
Signet-cell carcinoma stomach
18%
Atrophic gastritis
Identify the disease based on the symptoms and examination reports 🧐

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Case 41 || Solution

@medical_times

The answer to the given question is “Madelung Deformity”

Defect in palmar & ulnar aspect of lower radius

Prominent ulnar Head

50 % cases are Bilateral

More common in females

Associated with ‘Turner Syndrome’

Ulnar Variance: Positive [Ulna longer than Radius]

Defect:

Growth retardation of ulnar aspect of distal radial physis on its anterior surface

⬇️

Overgrown & posteriorly prominent ulna

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Volar subluxation of carpal bones

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“DINNER FORK DEFORMITY“

“DINNER FORK DEFORMITY“ seen due to malunion in Colle’s # is called as ‘Pseudo-Madelung ‘s Deformity’

Treatment: Darrach’s Procedure - Resect Excessive Grown ulna

Additional info:

Dinner Fork Deformity in children: Madelung Deformity (More common)

Dinner Fork Deformity in Elderly: Colle’s Fracture (More common)
Identify the disease based on the symptoms and examination reports 🧐

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Case 42 || Solution

The answer to the given question is “Neurofibromatosis Type 1”

Other names:

Von Recklinghausen disease [after the researcher Friedrich Daniel von Recklinghausen]

NF-1

Defect in Chromosome 17

Autosomal Dominant

Protein involved in NF1: Neurofibromin

Contrast Enhanced MRI [CEMR]

Tumor behind globe between the 2 recti (Lateral & Medial): Fusiform Enlargement of Optic Nerve [Optic Glioma]

Bony defects due to mesodermal dysplasia:

Bare/Empty Orbit Sign: [On 3D CT]

•Sphenoidal Dysplasia
•Greater wing of Sphenoid absent

Scoliosis

Tibial Pseudoarthrosis

Thin ‘Ribbon like ribs’

Lateral meningocele

Also a Neurocutaneous Disorder:

Brown spots on skin ‘Cafe-au-lait’ spots [Coffee with milk spots]

Lisch Nodules [Brownish-red spots in the colored part of the eye

Iris Hamartomas

Plexiform Neurofibromas [Large benign tumors of nerves]
AIIMS.MAY:

A couple has two children affected with tuberous sclerosis. On detailed clinical and laboratory evaluation (including molecular studies) both parents are normal. Which one of the following explains the two affected children in this family?
Anonymous Quiz
15%
Non penetrance
18%
Uniparental disomy
31%
Genomic imprinting
36%
Germline mosaicism
Recent Questions:

Ranitidine differs from cimetidine in the following respect:
Anonymous Quiz
10%
It is less potent
20%
It is shorter acting
52%
It does not have anti-androgenic action
18%
It produces more CNS side effects
Recent Questions:

Most common site for medulloblastoma is:
Anonymous Quiz
33%
Medulla
20%
Pineal gland
13%
Cerebrum
33%
Cerebellum
2025/06/30 15:56:17
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