centered image

centered image

DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 31, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands

    What's your diagnosis?

    Also, the patient has no (palpable) pulse.

    I'll post the correct answer in a few days!

    DDx.jpg
     

    Add Reply
    J.P.C. Peper, Aug 31, 2012
    #1

  2. enrybony

    enrybony Well-Known Member

    Joined:
    May 5, 2012
    Messages:
    21
    Likes Received:
    0
    Trophy Points:
    240
    Practicing medicine in:
    Italy
    aortic aneurysm
     

    enrybony, Aug 31, 2012
    #2
  3. sundarto

    sundarto Bronze Member

    Joined:
    Jul 17, 2012
    Messages:
    272
    Likes Received:
    3
    Trophy Points:
    655
    Practicing medicine in:
    Indonesia
    aortic aneurysm for sure
     

    sundarto, Aug 31, 2012
    #3
  4. Gospodin Seki

    Gospodin Seki Moderator Staff Member

    Joined:
    Jan 3, 2012
    Messages:
    1,042
    Likes Received:
    303
    Trophy Points:
    3,050
    Gender:
    Male
    Occupation:
    Student of Belgrade Medical School
    Practicing medicine in:
    Serbia
    Aortic aneurysm
     

    Gospodin Seki, Aug 31, 2012
    #4
  5. bb100

    bb100 Bronze Member

    Joined:
    Jun 7, 2012
    Messages:
    450
    Likes Received:
    54
    Trophy Points:
    845
    fusiform aneurysm of the descending thoracic aorta
     

    bb100, Aug 31, 2012
    #5
  6. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

    Joined:
    Jul 28, 2012
    Messages:
    839
    Likes Received:
    38
    Trophy Points:
    1,245
    Gender:
    Male
    Practicing medicine in:
    Czech Republic
    Thoracal descendent aortic aneurysm.
     

    Emergency medicine Mike, Aug 31, 2012
    #6
  7. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands
    Correct answer:

    Takayasu's ateritis.

    Rare outside of Japan, this systemic vasculitis affects the aorta and its major branches, causing stenosis and thrombosis (lower arrows). Acute inflammation causes dilatation and aneurysms (upper arrows). Affected arteries in the eyes and brain are not uncommon. Due to stenosis in the main branches of the aorta, including the left common carotid artery, the brachiocephalic artery, and the left subclavian artery, Takayasu's arteritis can present with pulseless upper extremities, which is why it is also commonly referred to as the "pulseless disease."
     

    J.P.C. Peper, Sep 3, 2012
    #7

Share This Page

<