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Medical Cases

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jul 14, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis for this case ?

    Add your diagnosis as a comment below

    Medical Cases.jpg
     

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    Egyptian Doctor, Jul 14, 2012
    #1
    bb100 likes this.

  2. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Based on the Cullen's sign and the distended abdomen, I suspect internal hemorrhaging; in this case, maybe because of a ruptured ectopic pregnancy or trauma.
     

    J.P.C. Peper, Jul 14, 2012
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  3. bb100

    bb100 Bronze Member

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    This case may be Massive Ascites due to Cirrhosis.
     

    Last edited: Jul 14, 2012
    bb100, Jul 14, 2012
    #3
  4. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Caput medusae
     

    Gospodin Seki, Jul 14, 2012
    #4
  5. dottornino

    dottornino Well-Known Member

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    ascite in cirrotica
     

    dottornino, Jul 15, 2012
    #5
  6. Pavitra Viswanathan

    Pavitra Viswanathan Well-Known Member

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    may be ovarian malignancy like germinoma with ascites..??
     

    Pavitra Viswanathan, Jul 15, 2012
    #6
  7. beakardos

    beakardos Famous Member

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    the Cullen's sign is obvious, the distention is extreme though, so that points to ascites (vs. hemorrhaging), most likely due to cirrhosis.
     

    beakardos, Jul 16, 2012
    #7
  8. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Yes, the distention is extreme; it cannot be from a bleed alone (if she's still alive, that is). The Cullen's sign proves there has to be a bleed, but either she has two unrelated conditions (e.g. condition A (resulting in ascites) and B (causing hemorrhaging)) or I don't know a condtion that is likely to cause both.
     

    Last edited: Jul 16, 2012
    J.P.C. Peper, Jul 16, 2012
    #8
  9. beakardos

    beakardos Famous Member

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    agree, I vote for a combination of different conditions as well
     

    beakardos, Jul 16, 2012
    #9
  10. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Big Stomach Syndrome
     

    Egyptian Doctor, Jul 18, 2012
    #10

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