4089
as doctor will be busy.. whenever free will post mcq with explanation , important notes clinical cases so stay tuned
R lower abdomen is jejunal loops "concertina/ stack of coins appearance".yes intestinal obstruction.R upper abdomen ileal loops "characterless"appearance.....most noteworthy is also absence of gas in the sigmoid(L5S1)
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Amoebic liver abscess is very common in the subcontinent .Most of them resolve with conversative management with suitable anti amebicides. But a signification proportion of patients can have a complication. Highlighting rupture (hot topic for Indian Competitive exams ) in this presentation. The clinical / imaging pictures and exact scenarios are from my personal collection.
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Students have a lot of confusion about brain death ,is it different from the conventional death.The word "cadaver" in organ donation and transplant science can be confusing for an UG and PG......so please read this....it will also help in your physiology consolidation......Integration of subjects make
1)pre/ paraclinical fun for the 123 prof years
2) clinical clarity is assured for 4th prof years and beyond
Students have a lot of confusion about brain death ,is it different from the conventional death.The word "cadaver" in organ donation and transplant science can be confusing for an UG and PG......so please read this....it will also help in your physiology consolidation......Integration of subjects make
1)pre/ paraclinical fun for the 123 prof years
2) clinical clarity is assured for 4th prof years and beyond
Hypertensive Crises
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A 25 year female patient presents with progressive dysphagia to solids and liquids. So barium swallow was done. What are the investigations needed to come to a diagnosis?
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a) Endoscopy + Esophageal manometry
b) Endoscopy + 24 hr pH monitoring
c) Endoscopy biopsy
d) Endoscopy+ CT chest
EXPLANATION
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The given clinical scenario and the image confirms Achalasia cardia.
The barium swallow image given shows Bird Beak/Rat tail/Pencil tip appearance.
IOC for Achalasia is Manometry.
Other supportive investigations are Barium swallow and Endoscopy.
24 hr pH monitoring is IOC for GERD
Ans: (A) Endoscopy + Esophageal manometry
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A pure forensic question integrated into clinical sceanrio
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Meckle"s diverticulum 2 MCQs only
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Instruments of Orthopedics Series
Part-2 "OSTEOTOME"
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Dear Team,
After the success of www.CLINO.in , online consultation platform.
AIM4PG & CLINO Team is into physical clinics which will be slowly converting into hospitals soon.
Our first physical clinic is open in Odisha.
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A 17-year-old student is brought to the emergency room, displaying vomiting, fever, and diarrhea. The patient reports that for a period of 24 hours prior to admission, he suffered from abdominal pain first centered around the navel and then moving inferiorly to the right. As the patient talks, you realize that he is gesturing toward McBurney's point. You tentatively diagnose acute appendicitis and request emergency surgery. Accurate visual identification of the appendix during surgery can be verified by using which of the following landmarks
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A) Haustra
B) Bifurcation of the Abdominal Aorta
C) Epiploic Appendages
D) Taeniae Coli
EXPLANATION
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Ans. D. Taeniae coli
• The position of the appendix varies depending on the patient. The taeniae coli are three longitudinal bands of smooth muscle running the length of the colon.
• Since the appendix is part of the colon, the taeniae coli can be accurately followed to this structure.
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