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MAY EDITION
PHOTOS
1.What are the findings? Diagnosis?
2. What is the diagnosis?
3. What is the diagnosis? What other findings may be seen in this condition?
4. Name three causes for this picture?
5. What is the diagnosis? Name three complications of this condition?
6. What is the diagnosis in this 6 year old? Name a diagnostic test.
7. This is the photograph of a 4 year old boy's lower back. What is the possible diagnosis?
8. What findings are seen? What is the diagnosis?
9. What are the findings in this picture? Diagnosis.
10. What is the diagnosis in this 2 year old boy?
1. Crescentic scar in the lower left parietal area with visible ventriculo-peritoneal shunt. Hydrocephalus.
2. Choanal atresia.
3. Prune belly syndrome (Eagle Barrett syndrome). Other findings include bilateral undescended testes, distended bladder, vesicoureteric reflux, hydronephrosis, renal dysplasia. All findings are secondary to an intrauterine obstruction to the urinary outlet which has resolved by the time of birth.
4. Streptococcal infection, Drugs like sulfonamides, TB, Inflammatory bowel disease etc. This is erythema nodosum.
5. Lt sided extradural haematoma. Acute complications include raised intracranial pressure, bleeding leading to shock, seizures and neurological deficits like cranial nerve palsies.
6. Prader Willi syndrome. Diagnosis is by means of FISH (flourescent in situ hybridisation) for a microdeletion in the paternal chromosome 15 q 11 to 13.
7. Spina bifida occulta. This is a sacral tuft of hair. However, this could be normal.
8. Haemorrhagic adrenal glands bilaterally. Waterhouse Fredreichson syndrome in disseminated sepsis.
9. Exaggerated lumbar lordosis and calf muscle hypertrophy. Duchenne muscular dystrophy.
10. Trisomy 21. These are Brushfield spots. The epicanthic fold can be seen with difficulty!
© Copyright Ram's MRCP Teaching 1999
