free-downloads CSEVideos




Most Possible Diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Nov 11, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Joined:
    Mar 21, 2011
    Messages:
    9,617
    Likes Received:
    3,292
    Trophy Points:
    16,075
    Gender:
    Male
    Practicing medicine in:
    Egypt

    What is the most possible diagnosis ?

    Most Possible Diagnosis.jpg
     

    Add Reply

  2. Chriss

    Chriss Well-Known Member

    Joined:
    Oct 27, 2012
    Messages:
    72
    Likes Received:
    11
    Trophy Points:
    145
    Practicing medicine in:
    Mexico
    Hirschsprung disease
     

  3. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,545
    Practicing medicine in:
    India
    I second the diagnosis by Chriss !

    Absence of gas shadow in lower pelvis region i.e, empty rectum! or distal cut-off sign ! The abrupt cut - off and a proximal dilated descending and transverse colon are further proof to the diagnosis.

    So my diagnosis is -Hirschsprung disease aka congenital megacolon !

    More usually one would see some air - fluid levels proximal to the obstruction ( not evident in this case ). So in another case u may just see a lot of distended bowel ( with air - fluid levels ) which could well overlap and obscure the area of the recto-sigmoid and the cut-off may be not that clear, like in the example below

    [​IMG]

    In such cases, the absence of gas in the lower abdomen ( and of course the Hx ) holds the clue !

    (-:
     

    Last edited: Nov 11, 2012
  4. dupuytren

    dupuytren Bronze Member

    Joined:
    Jan 21, 2012
    Messages:
    650
    Likes Received:
    50
    Trophy Points:
    1,345
    Occupation:
    Medical student at Vita-Salute San Raffaele Univer
    Practicing medicine in:
    Italy
    congenital megacolon
     

  5. beakardos

    beakardos Famous Member

    Joined:
    Jun 27, 2012
    Messages:
    85
    Likes Received:
    0
    Trophy Points:
    290
    Practicing medicine in:
    Romania
    congenital megacolon
     

  6. Gospodin Seki

    Gospodin Seki Moderator Staff Member

    Joined:
    Jan 3, 2012
    Messages:
    1,042
    Likes Received:
    300
    Trophy Points:
    3,050
    Gender:
    Male
    Occupation:
    Student of Belgrade Medical School
    Practicing medicine in:
    Serbia
    Hirschsprung disease(HD)
     

  7. dr.angela

    dr.angela Bronze Member

    Joined:
    Jan 13, 2012
    Messages:
    361
    Likes Received:
    24
    Trophy Points:
    695
    Occupation:
    Doctor
    Practicing medicine in:
    Macedonia
    Morbus Hirschsprung
     

  8. 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
  9. Rocket Queen

    Rocket Queen Super Moderator

    Joined:
    Mar 29, 2011
    Messages:
    1,098
    Likes Received:
    52
    Trophy Points:
    4,345
    Practicing medicine in:
    Serbia
    Congenital megacolon
     

Share This Page

<
Infographic maker for medical doctors