Forwarded from Medical NEET PG AIIMSPG PGI USMLE
A patient developed pain and severe loss of vision 36 hours after cataract surgery. On examination the following was seen. Which of the following is the least useful for treatment tre given pathology? (Image above)
Anonymous Quiz
27%
Topical Antibiotics
27%
Intravitreal antibiotics
26%
Systemic antibiotics
20%
Pars plana vitrectomy
Forwarded from Medical NEET PG AIIMSPG PGI USMLE
A 60 year old male , known case of diabetes underwent a cataract surgery. 36 hours atier surgery the patient presents with the following picture. What is the first line of management?
Anonymous Quiz
39%
Intravitreal antibiotics
20%
Pad and bandage
21%
High dose steroids
20%
Topical Antibiotics
Case 47 || Solution || Last Part
The answer to the given question is “Peutz–Jeghers syndrome”
⏩ Seen in pediatric patient (Average age: 11yrs)
⏩Pathogenesis: Mutation in LKB-1 / STK-11 gene
⏩Gross Findings:
✅Bosselated Surface [Single mass having multiple small nodules]
⏩Microscopic Examination:
✅Arborisation of smooth muscles within glandur epithelium
✅Smooth muscles intersecting within hyperplastic glandular epithelium
The answer to the given question is “Peutz–Jeghers syndrome”
⏩ Seen in pediatric patient (Average age: 11yrs)
⏩Pathogenesis: Mutation in LKB-1 / STK-11 gene
⏩Gross Findings:
✅Bosselated Surface [Single mass having multiple small nodules]
⏩Microscopic Examination:
✅Arborisation of smooth muscles within glandur epithelium
✅Smooth muscles intersecting within hyperplastic glandular epithelium
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⬇️⬇️
Case 48 || Solution ||
The answer to the given question is “Oral Lichen Planus (LP)"
LICHEN PLANUS:
⏩Lichen Planus word is derived from leichen (tree moss) & planus (flat)
⏩Tree moss is purple; hence purple lesions
⏩Also lesions are flat
⏩Autoimmune, inflammatory disease of skin, mucosa and hair follicles
⏩5P's:
✅Purple (violaceous),
✅Polygonal
✅Pruritic
✅Plane topped (flat),
✅Papules
⏩On the surface, white criss-cross streaks (Wickham striae) are seen especially, if a thin layer of oil is applied to the surface [Classical feature]
⏩Flexural predisposition
⏩Even though itching is prominent, patients will rub (not scratch) the lesions. Hence, excoriation (scratch marks) not seen
⏩Association with liver disorders:
✅HCV
✅HBV
✅Primary biliary cirrhosis
⏩Koebner's phenomenon
⏩Usually self-limiting within 1 or 2 years & heals leaving hyperpigmentation
⏩Types of LP:
✅Acute widespread LP
✅Nail LP
✅Hypertrophic LP
✅Oral LP
✅Follicular LP
✅Actinic LP
✅LP pigmentosus (LPP)
ORAL LICHEN PLANUS:
⏩ Seen upto 30-70% patients with cutaneous LP
⏩Triggering Factor:
✅Dental Filling (Dental amalgam) can be causative
✅Mercury in this amalgam can cause oral LP at the area of contact onto the buccal mucosa
⏩Commenest form: Reticulate / Lacy pattern [M/C site - Buccal Mucosa]
⏩Rare form: Ulcerative / Erosive [Premalignant]
The answer to the given question is “Oral Lichen Planus (LP)"
LICHEN PLANUS:
⏩Lichen Planus word is derived from leichen (tree moss) & planus (flat)
⏩Tree moss is purple; hence purple lesions
⏩Also lesions are flat
⏩Autoimmune, inflammatory disease of skin, mucosa and hair follicles
⏩5P's:
✅Purple (violaceous),
✅Polygonal
✅Pruritic
✅Plane topped (flat),
✅Papules
⏩On the surface, white criss-cross streaks (Wickham striae) are seen especially, if a thin layer of oil is applied to the surface [Classical feature]
⏩Flexural predisposition
⏩Even though itching is prominent, patients will rub (not scratch) the lesions. Hence, excoriation (scratch marks) not seen
⏩Association with liver disorders:
✅HCV
✅HBV
✅Primary biliary cirrhosis
⏩Koebner's phenomenon
⏩Usually self-limiting within 1 or 2 years & heals leaving hyperpigmentation
⏩Types of LP:
✅Acute widespread LP
✅Nail LP
✅Hypertrophic LP
✅Oral LP
✅Follicular LP
✅Actinic LP
✅LP pigmentosus (LPP)
ORAL LICHEN PLANUS:
⏩ Seen upto 30-70% patients with cutaneous LP
⏩Triggering Factor:
✅Dental Filling (Dental amalgam) can be causative
✅Mercury in this amalgam can cause oral LP at the area of contact onto the buccal mucosa
⏩Commenest form: Reticulate / Lacy pattern [M/C site - Buccal Mucosa]
⏩Rare form: Ulcerative / Erosive [Premalignant]
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⬇️⬇️
Case 49 || Solution ||
The answer to the given question is "Pityriasis Rubra Pilaris (PRP)"
⏩Rubra = red, pila = hair follicle
⏩Red follicular hyperkeratotic papules occur
⏩Soon they coalesce to form large orange-red plaques. [Appearance has been compared to a "Nutmeg-grater"] (Fig. 1)
⏩Characteristic "islands of sparing" in between the follicular papules
⏩Keratoderma of the palms and soles
⏩Keratoderma on sole is so thick that it appears like a sandal [Keratotic sandal] (Fig. 2)
⏩Follicular papules can fuse together to affect > 90% body surface [erythroderma]
⏩Keywords in an MCQ
✅Keratotic sandal
✅Palmoplantar thick skin
✅Islands of sparing
The answer to the given question is "Pityriasis Rubra Pilaris (PRP)"
⏩Rubra = red, pila = hair follicle
⏩Red follicular hyperkeratotic papules occur
⏩Soon they coalesce to form large orange-red plaques. [Appearance has been compared to a "Nutmeg-grater"] (Fig. 1)
⏩Characteristic "islands of sparing" in between the follicular papules
⏩Keratoderma of the palms and soles
⏩Keratoderma on sole is so thick that it appears like a sandal [Keratotic sandal] (Fig. 2)
⏩Follicular papules can fuse together to affect > 90% body surface [erythroderma]
⏩Keywords in an MCQ
✅Keratotic sandal
✅Palmoplantar thick skin
✅Islands of sparing
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👩⚕️All our notes are written & reviewed by qualified doctors from a variety of resources and collective clinical experience.
📥They are delivered to you within few hours via a private email download link received after purchase. It can also be opened on any computer or tablet.
🧠It covers ALL the relevant anatomy, physiology, biochemistry, pathology, pathophysiology, histology, pharmacology and clinical presentations of conditions within that topic.
📚 Relevant for all kinds of exams (NEET, NEXT, JIPMER, AIIMS, PGIMER, FMGE, USMLE)
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💸Our notes are ‘one-time-purchases’, meaning you will receive lifetime access to whichever subject you buy, including any future edition updates! There is no ongoing subscription or hidden charges.
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