free-downloads CSEVideos North Africa Health Cairo,Egypt April 2019
for doctors how to make money online

DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jun 2, 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?

    I'll post the correct answer in a day or three!

    DDx.jpg
     

    Add Reply

  2. Pubudu_weerawardana

    Pubudu_weerawardana Famous Member

    Joined:
    Apr 5, 2011
    Messages:
    191
    Likes Received:
    5
    Trophy Points:
    405
    Practicing medicine in:
    Sri Lanka
    Cystic fibrosis
     

  3. Gospodin Seki

    Gospodin Seki Moderator Staff Member

    Joined:
    Jan 3, 2012
    Messages:
    1,044
    Likes Received:
    300
    Trophy Points:
    3,050
    Gender:
    Male
    Occupation:
    Student of Belgrade Medical School
    Practicing medicine in:
    Serbia
    yes,it's cystic fibrosis
     

  4. Dr-Reem Karam

    Dr-Reem Karam Well-Known Member

    Joined:
    Apr 6, 2012
    Messages:
    1
    Likes Received:
    0
    Trophy Points:
    205
    Practicing medicine in:
    Egypt
    bilateral bronchopnumonia
     

  5. ahmedserdr

    ahmedserdr Well-Known Member

    Joined:
    May 20, 2012
    Messages:
    12
    Likes Received:
    1
    Trophy Points:
    225
    Practicing medicine in:
    Turkey
    milier tbc
     

  6. pianzi

    pianzi Well-Known Member

    Joined:
    May 14, 2012
    Messages:
    22
    Likes Received:
    0
    Trophy Points:
    240
    Practicing medicine in:
    United States
    Cystic fibrosis
     

  7. Juwita Tando

    Juwita Tando Well-Known Member

    Joined:
    Jun 4, 2012
    Messages:
    1
    Likes Received:
    0
    Trophy Points:
    205
    Practicing medicine in:
    Indonesia
    Cystic fibrosis.. nodular densities of mucoid impaction and diffuse interstitial disease with bronchiectasis
     

  8. 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:

    That's right, it's cystic fibrosis.

    It's an autosomal recessive genetic condition caused by a mutation coding for the CFTR (chloride transporter) channel, which results in hardening of mucus throughout the body. The picture shows mucus impaction, bronchiectasises and possibly signs of cor pulmonale, all fitting the diagnosis.

    Other related consequences or signs include bad growth (caused by reduced absorption in the digestive tract, because of the affected mucus) and a salty skin.
     

  9. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,345
    Practicing medicine in:
    India
    Some Differentials ( based on what I have seen ), since Cystic Fibrosis is not common in my part of the world

    - Tuberculosis
    - atypical pattern of Pneumocystis jirovecii ( formerly called carinii ) pneumonia
    - Aspergillosis ( mucus impaction in this case, is called "finger in glove" pattern )
    - Acute on Chronic bronchitis or chronic bronchitis by itself
    - 2 cases of suspected bronchopneumonia that i investigated had underlying leukemia ( CLL and AML ) and had a very similar Xray picture


    So mucus impaction, nodular densities, bronchiectasis and cor-pulmonale are not 'tell-tale signs' of Cystic fibrosis ( even in places where the disease is common ), unless there is support lab evidence or other features of Cystic Fibrosis.
     

    Last edited: Jan 14, 2013

Share This Page

<