Ultrasound quiz

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<ul><li><p> ULTRASOUND QUIZ</p><p>DEPARTMENT OF RADIOLOGYGOVT.MEDICAL COLLEGE AURANGABAD</p><p>DR G J KHADSE PROFF.AND HEAD</p><p>DR ANJALI KULKARNI - WASADIKAR DR VARSHA ROTE KAGINALKAR</p><p>DR VARSHA DESHMUKH</p></li><li><p>20 year female.</p><p>H/o 1 months amenorrhoea.</p><p>C/o bleeding p/v-painless.</p></li><li><p>CLUEPainless bleeding Normal Uterus &amp; endothelial thickness </p></li><li><p>DIAGNOSIS</p><p>CERVICAL ECTOPIC PREGNANCY</p></li><li><p>DIFFERENTIAL DIAGNOSISIncomplete abortionCervical cyst</p></li><li><p>DISCUSSIONDistension and thinning of cervixDecidual reaction Painless bleeding Uterus : Normal with normal endothelial thickness </p></li><li><p>HISTORY30 year female C/o pain in right iliac fossaClinical diagnosis: Acute Appendicitis</p></li><li><p>CLUERapid enlargement Acute presentation No flow on doppler </p></li><li><p>DIAGNOSIS TORSION OF RIGHT OVARY </p></li><li><p>DIFFERENTIAL DIAGNOSIS Hemorrhagic ovarian cystPCODPIDAutoimmune oophoritis </p></li><li><p>DISCUSSION Acute presentationPeripheral small follicular cystsSolid appearance Size more than 5 cm Frequently seen on right side. (3:2)</p></li><li><p>HISTORY30 years femaleMenorrhagia </p></li><li><p>CLUE SPOT DIAGNOSIS </p></li><li><p>DIAGNOSIS ENDOMETRIAL HYPERPLASIA </p></li><li><p>DIFFERENTIAL DIAGNOSISPolyp Vesicular moleIncomplete abortionCarcinoma of endometrium</p></li><li><p>COMMENTS Normal endometrium measures between 4 to 14 mm. </p></li><li><p>HISTORY 35 years female Lower abdominal pain Menorrhagia </p></li><li><p>CLUE </p></li><li><p>DIAGNOSIS BROAD LIGAMENT FIBROID</p></li><li><p>DIFFERENTIAL DIAGNOSISSolid ovarian massTubo-ovarian mass</p></li><li><p>DISCUSSIONSolid mass Cystic degenerationE/o increased through transmission </p></li><li><p>HISTORY 25 years female with BOH</p></li><li><p>CLUE Congenital anomaly</p></li><li><p>DIAGNOSIS BICORNUATE UTERUS</p></li><li><p>DIFFERENTIAL DIAGNOSISUterus didelphys-rare Septate uterus </p></li><li><p>DISCUSSIONDeep fundal notch Better seen in secretary phaseSingle cervixSeparate myometrial covering for each endometrial cavity </p></li><li><p>HISTORY Young females of with 25 and 30 weeks gestation Normal scan</p><p> EXCEPT </p></li><li><p> We thank u for active participation in the quiz.Hope u have enjoyed stay in Aurangbad</p></li><li><p>CLUEIsolated congenital anomaly </p></li><li><p>DIAGNOSIS UNILATERAL FETAL PLEURAL EFFUSION </p></li><li><p>DIFFERENTIAL DIAGNOSISPseudo-ascitis</p></li><li><p>DISCUSSION Prognostic indicators Size - small is better Mediastinal shift - less is better Hydrops none is best </p></li><li><p>HISTORY 30 years female 8 months amenorrhoea Polyhydramnios </p></li><li><p>CLUE Open neural tube defect </p></li><li><p>DIAGNOSIS OCCIPITAL ENCEPHALOCELE</p></li><li><p>DIFFERENTIAL DIAGNOSISCystic hygroma Scalp oedema Teratoma nasal </p></li><li><p>DISCUSSION Herniation of meninges or/&amp; brain tissue through the defect in bony calvariumSite: occipital region Open neural tube defect </p></li><li><p>HISTORY 32 Years female Married since 15 years H/o IUD 12 years back Infertility since then </p></li><li><p>CLUE Chronic lower abdominal pain </p></li><li><p>DIAGNOSIS </p><p>BILATERAL HYDROSALPINX</p></li><li><p>DIFFERENTIAL DIAGNOSISMultiloculated ovarian cyst Fluid filled bowel Pelvic veins </p></li><li><p>DISCUSSION Normal tube measurement 1-4 mm Dilatation s/o chronic infection </p></li><li><p>HISTORY21 years female 6 months amenorrhoea for routine USGPolyhydramnios Both parents are of normal stature </p></li><li><p>OBSERVATIONS All limbs are short length reduction less than 2.5 percentile No corresponding interval growthThoracic circumference less than 2.5 percentile </p></li><li><p>DIAGNOSIS MUSCULOSKELETAL DYSPLASIA LETHAL THANATOPHORIC DWARFISM </p></li><li><p>DIFFERENTIAL DIAGNOSISSevere IUGRHomozygous achondroplasia Achondrogenesis Osteogenesis imperfecta </p></li><li><p>MESSAGEFemur length is the single and most helpful parameter in identification of most of short limb lethal dysplasias </p></li><li><p>HISTORY 26 weeks gestation in a young femaleOligo to anhydramnios</p></li><li><p>CLUECongenital anomaly only seen in male </p></li><li><p>DIAGNOSIS BLADDER OUTLET OBSTRUCTION-POSTERIOR URETHRAL VALVES </p></li><li><p>DIFFERENTIAL DIAGNOSISUrethral atresia </p></li><li><p>DISUSSION Associated renal dysplasia </p></li><li><p>HISTORY 26 years primigravida Oligo to anhydramnios20 weeks of gestation </p></li><li><p>CLUEE/O amniotic fluid in first trimester Anhydramnios at present </p></li><li><p>DIAGNOSIS B R A(BILATERAL RENAL ATRESIA)</p></li><li><p>DIFFERENTIAL DIAGNOSISSevere IUGRBilateral renal dysplasia </p></li><li><p>COMMENTS Classical triad Severe oligohydramnios Persistent nonvisualization of urinary bladder Renal nonvisualizationAssociations Potters facies Pulmonary hypoplasia Limb deformities Familial recurrence in 3 to 5%</p></li></ul>