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ULTRASOUND QUIZ

DEPARTMENT OF RADIOLOGYGOVT.MEDICAL COLLEGE

AURANGABAD

DR G J KHADSE PROFF.AND HEAD

DR ANJALI KULKARNI - WASADIKAR

DR VARSHA ROTE – KAGINALKAR

DR VARSHA DESHMUKH

20 year female.

H/o 1 ½ months amenorrhoea.

C/o bleeding p/v-painless.

CLUE

♦Painless bleeding ♦Normal Uterus & endothelial thickness

DIAGNOSIS

♦CERVICAL ECTOPIC PREGNANCY

DIFFERENTIAL DIAGNOSIS

♦Incomplete abortion♦Cervical cyst

DISCUSSION

♦Distension and thinning of cervix♦Decidual reaction ♦Painless bleeding ♦Uterus : Normal with normal

endothelial thickness

HISTORY

♦30 year female ♦C/o pain in right iliac fossa♦Clinical diagnosis: Acute

Appendicitis

CLUE

♦Rapid enlargement ♦Acute presentation ♦No flow on doppler

DIAGNOSIS

♦TORSION OF RIGHT OVARY

DIFFERENTIAL DIAGNOSIS

♦Hemorrhagic ovarian cyst♦PCOD♦PID♦Autoimmune oophoritis

DISCUSSION

♦Acute presentation♦Peripheral small follicular cysts♦Solid appearance ♦Size more than 5 cm ♦Frequently seen on right side.

(3:2)

HISTORY

♦30 years female♦Menorrhagia

CLUE

♦SPOT DIAGNOSIS

DIAGNOSIS

♦ENDOMETRIAL HYPERPLASIA

DIFFERENTIAL DIAGNOSIS

♦Polyp ♦Vesicular mole♦Incomplete abortion♦Carcinoma of endometrium

COMMENTS

♦Normal endometrium measures between 4 to 14 mm.

HISTORY

♦35 years female ♦Lower abdominal pain ♦Menorrhagia

CLUE

DIAGNOSIS

♦BROAD LIGAMENT FIBROID

DIFFERENTIAL DIAGNOSIS

♦Solid ovarian mass♦Tubo-ovarian mass

DISCUSSION

♦Solid mass ♦Cystic degeneration♦E/o increased through transmission

HISTORY

♦25 years female with BOH

CLUE

♦Congenital anomaly

DIAGNOSIS

♦BICORNUATE UTERUS

DIFFERENTIAL DIAGNOSIS

♦Uterus didelphys-rare ♦Septate uterus

DISCUSSION

♦Deep fundal notch ♦Better seen in secretary phase♦Single cervix♦Separate myometrial covering for

each endometrial cavity

HISTORY

♦Young females of with 25 and 30 weeks gestation

♦Normal scan

EXCEPT

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CLUE

♦Isolated congenital anomaly

DIAGNOSIS

♦UNILATERAL FETAL PLEURAL EFFUSION

DIFFERENTIAL DIAGNOSIS

♦Pseudo-ascitis

DISCUSSION

♦Prognostic indicators

–Size - small is better

–Mediastinal shift - less is better

–Hydrops – none is best

HISTORY

♦30 years female ♦8 months amenorrhoea ♦Polyhydramnios

CLUE

♦Open neural tube defect

DIAGNOSIS

♦OCCIPITAL ENCEPHALOCELE

DIFFERENTIAL DIAGNOSIS

♦Cystic hygroma ♦Scalp oedema ♦Teratoma – nasal

DISCUSSION

♦Herniation of meninges or/& brain tissue through the defect in bony calvarium

♦Site: occipital region ♦Open neural tube defect

HISTORY

♦32 Years female ♦Married since 15 years ♦H/o IUD 12 years back ♦Infertility since then

CLUE

♦Chronic lower abdominal pain

DIAGNOSIS

♦BILATERAL HYDROSALPINX

DIFFERENTIAL DIAGNOSIS

♦Multiloculated ovarian cyst ♦Fluid filled bowel ♦Pelvic veins

DISCUSSION

♦Normal tube measurement 1-4 mm

♦Dilatation s/o chronic infection

HISTORY

♦21 years female ♦6 months amenorrhoea for routine

USG♦Polyhydramnios ♦Both parents are of normal stature

OBSERVATIONS

♦All limbs are short – length reduction less than 2.5 percentile

♦No corresponding interval growth♦Thoracic circumference less than 2.5

percentile

DIAGNOSIS

♦ MUSCULOSKELETAL DYSPLASIA –LETHAL

♦ THANATOPHORIC DWARFISM

DIFFERENTIAL DIAGNOSIS

♦Severe IUGR♦Homozygous achondroplasia ♦Achondrogenesis ♦Osteogenesis imperfecta

MESSAGE

♦Femur length is the single and most helpful parameter in identification of most of short limb lethal dysplasias

HISTORY

♦26 weeks gestation in a young female♦Oligo to anhydramnios

CLUE

♦Congenital anomaly only seen in male

DIAGNOSIS

♦BLADDER OUTLET OBSTRUCTION-POSTERIOR URETHRAL VALVES

DIFFERENTIAL DIAGNOSIS

♦Urethral atresia

DISUSSION

♦Associated renal dysplasia

HISTORY

♦26 years primigravida ♦Oligo to anhydramnios♦20 weeks of gestation

CLUE

♦E/O amniotic fluid in first trimester

♦Anhydramnios at present

DIAGNOSIS

♦B R A(BILATERAL RENAL ATRESIA)

DIFFERENTIAL DIAGNOSIS

♦Severe IUGR♦Bilateral renal dysplasia

COMMENTS

♦ Classical triad – Severe oligohydramnios – Persistent nonvisualization of urinary bladder – Renal nonvisualization

♦ Associations – Potters facies – Pulmonary hypoplasia – Limb deformities – Familial recurrence in 3 to 5%


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