Hereditary multiple exostosis
Hereditary disorder transmitted by autosomal dominant genes (EXT1-3) and characterized by multiple exostoses (multiple osteochondromas) near the ends of long bones. The genetic abnormality results in a defect in the osteoclastic activity at the metaphyseal ends of the bone during the remodeling process in childhood or early adolescence. The metaphyses develop benign, bony outgrowths often capped by cartilage. A small number undergo neoplastic transformation.
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Sanjay Gandhi Institute for Trauma and Orthopaedics
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Findings please.
Dr. Syam Sundar Patro0 Like6 Answers - Login to View the image
Placenta Percreta *Chief Complaints* 32 year old female Gravida 3 Para 2 at 30.5 weeks with previous 2 LSCS presented with grade 4 breathlessness . *History* Patient had severe polyhydramnios and breathlessness which had worsened over one day. *Vitals* Pulse 126/ min regular good volume. BP -116/80 mmHg. Respiratory rate 36 /min *Physical Examination* Per Abdomen uterus was over distended. Pfannenstiel scars noted . Liqour severely increased. FHS presented. *Investigations* Ultrasound done revealed severe polyhydramnios. *Diagnosis* 32 year old Gravida 3 Para 2 with previous 2 LSCS with severe polyhydramnios *Management* As patient was in respiratory distress patient was taken up for Caesarean section OT findings Placenta Percreta Caesarean hysterectomy done. Mother fine. Baby preterm in NICU doing well
Dr. Viraj R. Naik4 Likes6 Answers - Login to View the image
Barium meal x-ray. Diagnosis please.
Dr. Syam Sundar Patro1 Like5 Answers - Login to View the image
M.56yrs. Injury back. 15 days.
Dr. Syam Sundar Patro0 Like3 Answers - Login to View the image
M.22yrs. Had retention of urine 1 month back. Urethral catheter was put then and removed today. RGU,MCU
Dr. Syam Sundar Patro0 Like3 Answers