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Spot Diagnosis

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

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Spot the medical diagnosis

    Spot Diagnosis.jpg
     

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    Egyptian Doctor, Feb 13, 2013
    #1

  2. dupuytren

    dupuytren Bronze Member

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    ascites
     

    dupuytren, Feb 13, 2013
    #2
  3. Kave

    Kave Well-Known Member

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    cirrhosis
     

    Kave, Feb 13, 2013
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  4. Karel from Olomouc

    Karel from Olomouc Active member

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    I would say it's portal hypertension. 1. Caput medusae. 2. ascites.
     

    Karel from Olomouc, Feb 13, 2013
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  5. khine

    khine New Member

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    huge splenomegaly
     

    khine, Feb 13, 2013
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  6. JayJay

    JayJay Well-Known Member

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    portal hypertension, caput medusae, ascites
     

    JayJay, Feb 13, 2013
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  7. ezzshaban49

    ezzshaban49 Young Member

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    Portal hypertension
     

    ezzshaban49, Feb 13, 2013
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  8. Rocket Queen

    Rocket Queen Super Moderator

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    Caput medusae, ascites
     

    Rocket Queen, Feb 13, 2013
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  9. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Caput medusae -> ascites
     

    Gospodin Seki, Feb 13, 2013
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  10. peterdoctor

    peterdoctor Well-Known Member

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    hepatopaty for possible cirrhosis and portal hypertension, ascitis and visceromegaly
     

    peterdoctor, Feb 13, 2013
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  11. Kave

    Kave Well-Known Member

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    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
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  12. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Ascites. Patognomic sign caput medusae. In cause of portal hypertension.
     

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

    madhubhashini Famous Member

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    caput medusa ,ascitis
     

    madhubhashini, Feb 14, 2013
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  14. Kave

    Kave Well-Known Member

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    end-stage-liver-1.jpg
    caput medusa
     

    Kave, Feb 14, 2013
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  15. Karel from Olomouc

    Karel from Olomouc Active member

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    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
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  16. Kave

    Kave Well-Known Member

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    Sorry my fault. It is caput medusa.
     

    Kave, Feb 14, 2013
    #16
  17. neo_star

    neo_star Moderator

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    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
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  18. Karel from Olomouc

    Karel from Olomouc Active member

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    Thanks so much, friend Neo_Star. I have never heard such an accurate explanation, just wow, excellent!! :)
     

    Karel from Olomouc, Feb 15, 2013
    #18
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