Pictorial Round

Pictorial Round

University of Texas

Wagner

Calculate per minute

8100ml / 24 hrs = 337.5 ml/hr = 5.6 ml/min

1 ml = 10 drops ... 5.6 ml = 56 drops

drops per minute 55drops/minute

Khaled Alyaqout

R5 Kuwaiti board

Superivised by:

Dr. Hamad Alajmi

What is the pathophysiology of this condition

What complication of stoma is the patient likely to have ?

Indian 1st attack of pancreatitis

What language does he speak ?

"Malayalam"

Why ?

• Pancreatic calculi
• Tropical calcific Pancreatitis

Common in Kerela

where Malayalam is spoken

What are the abnormalities ?

Is there any relation to the hip finding

Multiple pancreatic calculi

Seen in Tropical calcific pancreatitis

Common in Kerela , India

Spoken language is Malayalam

Rads.

What should you do to this patient

"as a surgeon"

What is the likely diagnosis

Pyogenic granuloma

Do you think she is sexually

Active ?

Often arises in pregnancy or OCP

Calculations

Calculate the deficit and set an IVF drip to deliver fluid:

Weight : 70

moderate dehydration

no ongoing losses

drip factor is 10 ggt per ml

Volume

maintenance: (100x10kg) + (50 x 10 kg) + (20 x 50kg ) = 2.5 Liter

deficit : 8% x 70kg = 5.6 kg ---> deficit = 5.6 liter

total : 8.1 l

Time

24 hours

Drip factor:

10 drops per ml

• If this patient has abdominal pain where would it be ?
• Explain this phenomenon anatomically ?
• If the patient was a female what important question you must ask ?
• If the patient was a male where would you look for a similar sign ?

Rules

• Do you think he will have a cough impulse ?

• What do you think is below the skin ?

• Cough impulse unlikely in this case
• Distended engorged superficial veins
• Caput medusae comes from the latin "head of medusae "which was a greek methology of a female monster.

• What European country is this condition linked to ?

• What is this lesion ?

• What is this procedure called ?

• Keloid scar
• Intralesional steroid injection
• Triamcinolone acetonide (Kenalog)
• Scars: includes acne scars, burns, chickenpox scars, ear piercing, scratches, surgical cuts or vaccination sites.

• What is the most important historical data that aid in the diagnosis ?

Content

• What is being injected ?

• Spot diagnosis

• Basal cell carcinoma
• pearly lesion , rolled edges , central depression or ulceration talangectasia
• Nodular BCC if left untreated will look as if it was eaten by a rodents heance "rodent ulcer"

• Name three pathogenomic features ?

• Which animal class is linked to such class of lesions

• Rules
• Clinical pictorial round
• Clinical Exam
• Rads
• Classify
• Calculate

Rules

• Numbers distribution level up to senior regs.

• Using a random number generation members of audience will be selected to answer

• 5 minutes per answer

• If fails or declines to answer he can ask for help from a more senior staff he chooses

• ALL Discussions will be left till the end

What is this test called ?

Why don't we use a metal sharp ?

• 10g Monofilame--nt test

• fixed force of 10g when bowed into a C shape

Thank you