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      Image Gallery Previous Questions

You will find out previous Image Gallery questions and it correct answers here.
>>> Vinayak Deshmukh. Assoc. Prof. of pediatrics. J.N.M.C.Sawangi Meghe. Wardha.442001. A full term normal male child delivered by LSCS had dysmorphic triangular face, frontal prominence, brachycephaly and widely open anterior fontanelle with low set ear, high arched palate, umbilical hernia, hypotonia, micrognathnia, blue tinge of sclera, failure to thrive, distal arthrogryposis and lack of subcutaneous fat with no catch up in growth. His birth weight was 2.8 kg and by 3 months of age he was weighing 3.5 kg. Investigations such as chromosomal studies, x ray skull and chest were normal. Abdominal ultrasound showed small cysts on kidneys along with umbilical hernia. MRI brain showed Brachycephaly, prominent 3rd and both lateral ventricles, hypoplastic corpus callosum. What is the diagnosis? Last Updated: August 2008

Answer :- Vinayak Deshmukh. Assoc. Prof. of pediatrics. J.N.M.C.Sawangi Meghe. Wardha.442001 Silver Russell Syndrome Last Updated -August 2008
Correct Answers     19%

Last Shown: 14 Aug 2008
>>> A.R.Chaudhari, Pediatrician, Nandurbar, Maharasthra SPOT DIAGNOSIS

Answer :- A.R.Chaudhari, Pediatrician, Nandurbar, Maharasthra- Prune Belly Syndrome. Also called Triad Syndrome and Eagle Barrette Syndrome with deficient abdominal muscles, undescended testes and urinary tract anomalies, because of severe urethral obstruction in fetal life. The incidence is approximately 1 in 40 to 50 thousand births. Amongst affected 95 percent are males. Many affected infants are stillborn. In the perinatal period, oligohydramnios and pulmonary hyoplasia are frequent complications. The urinary tract anomaly includes vesico-ureteric reflux, large bladder, dilated ureters and upper tracts, Hypoplastic prostate with dilated prostatic urethra. Rarely urethral stenosis or atresia is seen. Many times the kidneys show various degrees of dysplasias. The undescended testes are usually intra-abdominal. Often mal-rotation of the bowel is associated anomaly. Cardiac anomaly is seen in 10 percent of these infants. More than 50 percent of cases have musculo-skeletal system abnormalities. Treatment of frequent occurring urinary tract infection {UTI} and its complications need prompt attention. The intra-abdominal undescended testes need to be pulled down surgically at appropriate timing. Abdominal wall repair is to be done. Last Updated- 1st August 2008
Correct Answers     66%

Last Shown: 14 Aug 2008
>>> This child presented with hepatosplenomegaly and pallor requiring blood transfusion. He has right LMN facial palsy with right lateral rectus palsy. What is the diagnosis?

Answer :- Osteopetrosis. Osteopetrosis is a clinical syndrome characterized by the failure of osteoclasts to resorb bone. As a consequence, bone modeling and remodeling are impaired. The defect in bone turnover characteristically results in skeletal fragility despite increased bone mass, and it may also cause hematopoietic insufficiency leading to extramedullay hematopoiesis and anemia, nerve entrapment syndromes leading to cranial nerve palsies and growth impairment.
Correct Answers     16%

Last Shown: 28 Jun 2008
>>> Spot diagnosis

Answer :- Microcephaly. It is a disorder in which the circumference of the head is significantly smaller than average for the person's age and sex. Microcephaly may be congenital or it may develop in the first few years of life. Microcephaly is either caused by exposure to harmful substances (drugs, chemicals, infections) during the fetal development, or it may be associated with genetic problems or syndromes that may have a tendency to run in families.
Correct Answers     52%

Last Shown: 21 Apr 2008
>>> Spot diagnosis

Answer :- Monoarticular arthritis. Causes of monoarticular arthropathy are Septic Arthritis, trauma (Meniscus Injury, Ligament tears), Reactive Arthritis, Charcot's Joint, Gout, Lyme Disease, Juvenile Rheumatoid Arthritis, Osteomyelitis, Hemarthrosis and Neoplasms.
Correct Answers     6%

Last Shown: 23 May 2008
>>> This child presented with second episode of hemiparesis. What is the diagnosis?

Answer :- Moya Moya disease. Moyamoya disease is a progressive occlusive disease of the cerebral vasculature with particular involvement of the circle of Willis and the arteries that feed it. Moyamoya (ie, Japanese for "puff of smoke") characterizes the appearance on angiography of abnormal vascular collateral networks that develop adjacent to the stenotic vessels. Etiology seems to be multifactorial. Surgical treatment in the form of superficial temporal artery–middle cerebral artery (STA-MCA) anastomosis, encephaloduroarteriosynangiosis (EDAS), encephaloduroarteriomyosynangiosis (EDAMS), pial synangiosis, and omental transplantation have been tried.
Correct Answers     57%

Last Shown: 14 Jun 2008
>>> A 4 month old child presents with cough since day 15 of life and failure to thrive with hepatomegaly. HIV is negative. There is no hypoxia or fever. What is the diagnosis?

Answer :- Tuberculosis. This child has reticulonodular shadows. Thus one must consider a diagnosis of Sarcoidosis, PCP, LIP and tuberculosis in this child. Since HIV is negative and the child does not have hypoxia, LIP and PCP seems unlikely. Sarcoid would present with multisystem involvement. In this child, sputum for AFB was positive and he responded to Anti TB treatment.
Correct Answers     15%

Last Shown: 14 Jul 2008
>>> Spot diagnosis

Answer :- Lissencephaly. The word lissencephaly is derived from the Greek "lissos" meaning smooth and "encephalos" meaning brain. The human brain normally has a convoluted surface. In Lissencephaly these convolutions are completely or partially absent from the brain, or areas of it, have a smooth appearance. Lissencephaly may occur due to genetic syndromes. Congenital infections or vascular insults in the pregnancy. All children with Lissencephaly suffer from mental retardation and may have seizures.
Correct Answers     16%

Last Shown: 09 Apr 2008
>>> Spot diagnosis

Answer :- Crouzon’s syndrome. Crouzon's syndrome is a rare craniofacial dystosis characterized by Craniosynostosis most often of the coronal and lambdoid, and occasionally sagittal sutures; underdeveloped midface with receded cheekbones or exophthalmos & Ocular Proptosis. Children with Crouzon's Syndrome generally have normal intelligence. Multiple staged surgery is the general treatment plan for these patients to release the synostotic sutures of the skull with midfacial advancement and jaw surgery.
Correct Answers     43%

Last Shown: 06 Feb 2008
>>> A 4 year old child presented with short stature. What is the bone age of the child?

Answer :- Bone age is 2 years. At birth, only the metaphyses of the long bones are present. As a child grows the epiphyses become calcified and appear on the x-rays, as do the carpal and tarsal bones of the hands and feet
Correct Answers     40%

Last Shown: 26 Feb 2008
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