centered image

Spot Diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Feb 13, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Joined:
    Mar 21, 2011
    Messages:
    10,137
    Likes Received:
    3,337
    Trophy Points:
    16,075
    Gender:
    Male
    Practicing medicine in:
    Egypt

    Spot the medical diagnosis

    Spot Diagnosis.jpg
     

    Add Reply
    Egyptian Doctor, Feb 13, 2013
    #1

  2. 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
    ascites
     

    dupuytren, Feb 13, 2013
    #2
  3. Kave

    Kave Well-Known Member

    Joined:
    Oct 20, 2011
    Messages:
    20
    Likes Received:
    2
    Trophy Points:
    245
    Practicing medicine in:
    Turkey
    cirrhosis
     

    Kave, Feb 13, 2013
    #3
  4. Karel from Olomouc

    Karel from Olomouc Famous Member

    Joined:
    Jan 12, 2013
    Messages:
    16
    Likes Received:
    5
    Trophy Points:
    250
    Occupation:
    Medical Student
    Practicing medicine in:
    Taiwan
    I would say it's portal hypertension. 1. Caput medusae. 2. ascites.
     

    Karel from Olomouc, Feb 13, 2013
    #4
  5. khine

    khine Well-Known Member

    Joined:
    Feb 13, 2013
    Messages:
    13
    Likes Received:
    3
    Trophy Points:
    235
    Occupation:
    General Practitioner
    Practicing medicine in:
    Myanmar
    huge splenomegaly
     

    khine, Feb 13, 2013
    #5
  6. JayJay

    JayJay Well-Known Member

    Joined:
    Dec 3, 2011
    Messages:
    33
    Likes Received:
    2
    Trophy Points:
    245
    Practicing medicine in:
    Czech Republic
    portal hypertension, caput medusae, ascites
     

    JayJay, Feb 13, 2013
    #6
  7. ezzshaban49

    ezzshaban49 Young Member

    Joined:
    Feb 13, 2013
    Messages:
    1
    Likes Received:
    0
    Trophy Points:
    5
    Practicing medicine in:
    England
    Portal hypertension
     

    ezzshaban49, Feb 13, 2013
    #7
  8. Rocket Queen

    Rocket Queen Super Moderator

    Joined:
    Mar 29, 2011
    Messages:
    1,098
    Likes Received:
    54
    Trophy Points:
    4,345
    Practicing medicine in:
    Serbia
    Caput medusae, ascites
     

    Rocket Queen, Feb 13, 2013
    #8
  9. 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
    Caput medusae -> ascites
     

    Gospodin Seki, Feb 13, 2013
    #9
  10. peterdoctor

    peterdoctor Well-Known Member

    Joined:
    Sep 9, 2012
    Messages:
    5
    Likes Received:
    0
    Trophy Points:
    220
    Gender:
    Male
    Practicing medicine in:
    Guyana
    hepatopaty for possible cirrhosis and portal hypertension, ascitis and visceromegaly
     

    peterdoctor, Feb 13, 2013
    #10
  11. Kave

    Kave Well-Known Member

    Joined:
    Oct 20, 2011
    Messages:
    20
    Likes Received:
    2
    Trophy Points:
    245
    Practicing medicine in:
    Turkey
    This is not caput medusa. This is collateral circulation. Caput medusa is varicose periumbilical veins. This veins are going from lower abdomen to upper abdomen
     

    Kave, Feb 13, 2013
    #11
    Karel from Olomouc likes this.
  12. 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
    Ascites. Patognomic sign caput medusae. In cause of portal hypertension.
     

    Emergency medicine Mike, Feb 14, 2013
    #12
  13. madhubhashini

    madhubhashini Famous Member

    Joined:
    May 1, 2012
    Messages:
    187
    Likes Received:
    0
    Trophy Points:
    390
    Practicing medicine in:
    Sri Lanka
    caput medusa ,ascitis
     

    madhubhashini, Feb 14, 2013
    #13
  14. Kave

    Kave Well-Known Member

    Joined:
    Oct 20, 2011
    Messages:
    20
    Likes Received:
    2
    Trophy Points:
    245
    Practicing medicine in:
    Turkey
    end-stage-liver-1.jpg
    caput medusa
     

    Kave, Feb 14, 2013
    #14
  15. Karel from Olomouc

    Karel from Olomouc Famous Member

    Joined:
    Jan 12, 2013
    Messages:
    16
    Likes Received:
    5
    Trophy Points:
    250
    Occupation:
    Medical Student
    Practicing medicine in:
    Taiwan
    Thank you Kave, you are right, I didn't notice the position of the patient's umbilicus. Thanks again :)
     

    Karel from Olomouc, Feb 14, 2013
    #15
  16. Kave

    Kave Well-Known Member

    Joined:
    Oct 20, 2011
    Messages:
    20
    Likes Received:
    2
    Trophy Points:
    245
    Practicing medicine in:
    Turkey
    Sorry my fault. It is caput medusa.
     

    Kave, Feb 14, 2013
    #16
  17. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,545
    Practicing medicine in:
    India
    In a relatively skiny person, we can see the tortuosity of the veins extending all the way to the umblicus ( like in the image u posted ) and in an obese patient the fat distribution becomes more pronounced as we get closer to the umblicus and hence the tortuosity appears to fade. Additionally the more larger or distended the abdomen is - the more parallel (than radiating) the veins seem to each other as we move away from the umblicus thereby giving the impression of collateral circulation.
     

    neo_star, Feb 15, 2013
    #17
    khine, Kave and Karel from Olomouc like this.
  18. Karel from Olomouc

    Karel from Olomouc Famous Member

    Joined:
    Jan 12, 2013
    Messages:
    16
    Likes Received:
    5
    Trophy Points:
    250
    Occupation:
    Medical Student
    Practicing medicine in:
    Taiwan
    Thanks so much, friend Neo_Star. I have never heard such an accurate explanation, just wow, excellent!! :)
     

    Karel from Olomouc, Feb 15, 2013
    #18
    neo_star likes this.

Share This Page

<