Laparoscopic Cholecystectomy

Spot diagnosis 79

What is your clinical diagnosis?

X ray 43

What is your radiological diagnosis?

X ray 42

This 72 year old lady presented with a three month history of colicky lower abdominal pain and rectal bleeding. Rectal and sigmoidoscopic examination were unremarkable. A barium enema was requested. This image is from a barium enema .

What is your clinical diagnosis?

X ray 41

What is your radiological finding & diagnosis?

USMLE 22

A 4 year old previously healthy girl presents to the E.R. with a 24-hour history of rectal bleeding & dizziness. She has no other GIT symptoms.

On examination she appears pale. Her heart rate is 140 beats/min, she has a 20 mmHg postural drop in systolic blood pressure. her abdomen is not distended and not tender, and fresh blood and clots are in the rectal vault on rectal examination.

What is your clinical diagnosis?

a)  juvenile rectal polyp.

b) Anal fissure.

c) Bleeding Meckel's diverticulum.

d) Hemorrhoids.

e) Intussusception.

What is the appropriate diagnostic study for her condition?

a) Colonoscopy.

b) Laparoscopy.

c) Technetium scan.

d) UGI contrast study with small bowel follow through.

e) Barium enema.

Spot diagnosis 74

What is your medical diagnosis?

USMLE 19

A 32 year old woman is visiting you in your primary care office as a new patient.Overall, she is healthy.On taking a a family history , you learn that her mother was diagnosed with colorectal cancer at the age of 52.

When should this patient start being screened for colorectal cancer?

a) There is no proven benefit for colorectal cancer screening.

b) at age of 40

c) at age of 30

d) at age of 60

e) at age of 50

USMLE 16

A 47-year old man with diabetes and hypertension travels with his family to Mexico. The next morning after eating out at local restaurant and despite drinking bottled water, he develops severe crampy abdominal pain and watery, frequent diarrhea. 

Which of the following is the best approach for his care?

a) Penicillin x5 days.

b) Tetracycline x3 days.

c) Ciprofloxacin x3 days.

d) Metronidazole x10 days.

e) Observation of symptoms.

Spot Diagnosis 62

What is your medical diagnosis?

Gallbladder Surgery for Gallstones

X ray 33

What is your radiological diagnosis?

Medical Instrument 8

What do you know about this medical instrument?

Spot Diagnosis 58

What is your medical diagnosis?

Spot Diagnosis 57

What is your medical diagnosis?

X-ray 31

What is your radiological finding?

Medical Case 31

Male patient aged 25 years old, Farmer complaining from recurrent attacks of lower abdominal colic and dysentry of 5 years duration, clinical examination revealed pallor, wasting and edema of both lower limbs. On abdominal examination the liver was cirrhotic but of normal size,spleen moderately enlarged without ascites.

Laboratory investigations: 

hemoglobin level 9gm%

marked esinophilia

stool analysis : blood, mucus and undigested food.

After medical treatment the symptoms markedly & gradually improved, the general condition became better, edema lower limbs subsided and the patient became cured.

* What are the questions you want to ask the patient helping in the diagnosis?

* What is the possible diagnosis?

USMLE 14

A 35-year-old alcoholic male is admitted for nausea, vomiting, and abdominal pain that radiates to the back. The laboratory value that suggests a poor prognosis in this patient is

a. Elevated serum lipasae

b. Elevated serum amylase

c. Leukocytosis of 20,000/µm

d. Diastolic blood pressure greater than 90 mmHg

Spot diagnosis 43

What is your diagnosis?

MRI 4

A sixty three old male was referred for evaluation of jaundice.

What is your radiological finding???