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Differential diagnosis the cause of this condition

Discussion in 'Spot Diagnosis' started by 21762, Mar 21, 2012.

  1. 21762

    21762 Well-Known Member

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    2012-03-21 16.04.53.jpg
     

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  2. Dr mohsin

    Dr mohsin Well-Known Member

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    i think its x ray of back bone which shows some prob with lumber region vert. but also there are some intra luminal gases.can be a case of trauma or back bone prob
     


  3. dupuytren

    dupuytren Bronze Member

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    I don't know the clinical history of the patient, so I can't say if his problem is really an abdominal distension due to intra-luminal gas (and this is the clearest sign in this x ray). However in my opinion the sacroiliac joints are not normal: sclerosis, diastasis and erosion. can I guess sacroiliitis? in this case the differential diagnosis should be: ankylosing spondilitis vs. sacroiliitis in reactive arthritis (es. Reiter syndrome) vs. sacroiliitis in IBD-associated arthritis vs. sacroiliitis in psoriatic arthritis.
     


  4. maruis

    maruis Moderator

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    megacolon
     


  5. Rouzbeh Didehvar

    Rouzbeh Didehvar Well-Known Member

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    Although there is no clinical history of the patient but i think it may be bowel obstruction.
     


  6. patel

    patel Famous Member

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    bowel obstruction
     


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