centered image

DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jul 27, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,345
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands

    What's your differential diagnosis, based on this CT-scan?

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

    DDx.jpg
     

    Add Reply
    J.P.C. Peper, Jul 27, 2012
    #1

  2. Sisca Dwi Agustina

    Sisca Dwi Agustina Famous Member

    Joined:
    Jul 24, 2012
    Messages:
    56
    Likes Received:
    1
    Trophy Points:
    295
    Occupation:
    medical student
    Practicing medicine in:
    Indonesia
    splenomegaly
     

    Sisca Dwi Agustina, Jul 27, 2012
    #2
  3. bb100

    bb100 Bronze Member

    Joined:
    Jun 7, 2012
    Messages:
    450
    Likes Received:
    54
    Trophy Points:
    845
    massive splenomegaly
     

    bb100, Jul 28, 2012
    #3
  4. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,345
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands
    Correct answer:

    Yes, this is massive splenomegaly (>5 fingers) and the differential diagnosis (according to the Oxford Handbook of Clinical Diagnosis) is:

    - CML (check for the Philadelphia chromosome)
    - Myelofibrosis
    - Malaria
    - Visceral leishmaniasis (kala-azar)

    The differential diagnosis for moderate splenomegaly (3-5 fingers) (according to the Oxford Handbook of Clinical Diagnosis) is:

    - Lymphoma (Hodgkin's or non-Hodgkin's)
    - Chronic leukaemia
    - Cirrosis, with or without portal HT

    The differential diagnosis for slight splenomegaly (3> fingers) (according to the Oxford Handbook of Clinical Diagnosis) is:

    - Glandular fever
    - Brucella
    - Hepatitis A, B, C or D
    - Bacterial endocarditis
    - Amyloidosis
    - Hemolytic anaemia
     

    Last edited: Jul 30, 2012
    J.P.C. Peper, Jul 30, 2012
    #4

Share This Page

<