FINAL MBBS PART - II GM UNIVERSITY PRACTICALS SPOTTERS

1)Describe the lesions with possible differentials?

Purpuric rash over legs , feet , palms & arm
?Henoch schonlein purpura



2) Identify the spotter & most common etiology of this condition?

Barrel shaped chest
COPD
Etiology : smoking



3) Identify the spotter?

Deviation of mouth to right side with prominent nasolabial fold on right side
Left UMN facial palsy



4) Describe the chest xray findings?
Cardiomegaly
Obliteration of right CP angle : Right sided pleural effusion
Left sided pneumonia
Widened rib spaces : ?Emphysema



5) Identify the condition from which this patient is suffering & mention the physiology behind it?
Ascitis 
Increased hydrostatic pressure & decreased oncotic pressure

Umbilical hernia : A sign of chronic ascitis



6) Identify the condition from which this patient is suffering & mention some of the possible etiologies?
Pedal edema

Etiology: Heart failure
Cirrhosis of liver 
Renal failure
Hypoalbuminemia



7) Describe the lesions with possible differentials?
Purple striae over the abdomen
Cushing's syndrome



8) Describe the lesions with possible differentials?
Hypopigmented patches on erythematous base
?Leprosy



9) Describe the ECG findings?
ST elevation in lead 1 , avl , v1 - v5
ST depression (reciprocal changes) in lead 2 , 3 , avf

CAD: Extensive anterolateral MI

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