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A 25 year old male patient came to opd with 1 year h/o b/l cervical lymphadenopathy, 6 months h/o b/l inguinal lymphadenopathy not matted,discrete and firm in consistency with hepatomegaly and moderate splenomegaly , with low grade fever for the past 1 month , and breathlessness for 20 days with orthopnea and pnd , Ct chest showed multiple cystic lesions ,mediastinal and hilar lymphadenopathy and in 2d echo corpulmonale with severe PAH, we have done excision biopsy of the nodes.Any guess about diagnosis ?
Dr. Kamal Kumar3 Likes9 Answers - Login to View the image
A 15 year old female presented with complaints of Diarrhoea (on/off) since 2 months, Fever and Anorexia since 1.5 months....She had lost around 5 kg body weight in 2 months...Her reports are given...comment on her condition and treatment approach to this pt
Dr. Hardik Ahuja1 Like19 Answers - Login to View the image
40 male with cough purulent expectoration with dyspnea old ptb d/d
Dr. Purnachand S2 Likes20 Answers - Login to View the image
New Case 7 yr old Female child , well immunized, developed fever with cough 3 weeks ago which was controlled by supportive measures and got resolved by 4 days.Following that the child was active and asymptomatic for the next 4 days.Later on while child was sleeping the mother noted to have deviation of angle of mouth to left side and was consulted in the hospital and was admitted for 14 days.During the hospital days she developed weakness of the limbs, difficulty in walking with difficulty in swallowing.During the hospital stay no bowel or bladder symptoms, no alteration in sensorium, no seizures, no blurring of vision Child was given antibiotics ceftriaxone, discharge on 28th April and suggested to consult higher centre for furtger management. On exam fully concious, slurring of speech ,normal optic fundi and pupils. left LMN facial weakness .Gaze evoked nystagmus on horizontal gaze, bilateral cerebellar signs with gait ataxia Diagnosis
Dr. Manorama Rajan1 Like21 Answers - Login to View the image
60 y-old male admitted due to SOB, chest x-ray and CT scan posted. What is your suggestion?
Dr. Monali Chugh2 Likes18 Answers