Images Flashcards
These white rashes found in newborn on the sole of hands and feet. What is this?
Congenital syphilis (rare in UK now)
Newborn with hydropcephalus, intracranial calcification, acute fundal chorioretinitis as shown below. What is this?
Congenital toxoplasmosis
A 35-year-old female patient presents to you in the cardiology department with a sharp, stabbing chest pain behind the breastbone. The pain does not radiate to any other region of the body and on questioning she refutes feeling sweaty and has not experienced any nausea and vomiting. She explains the pain is worse at night when she is lying flat in bed and improves somewhat once she sits up. She discloses that she has been diagnosed with systemic lupus and is taking regular medication for this. On auscultation you note scratchy, rubbing sounds loudest during systole.
Pericarditis
- widespread saddle shaped ST elevation
- PR depression: most specific ECG marker
*note that SLE or any rhematic disease is a risk of getting pericarditis
what is this?
Inferolateral STEMI
ST elevation in leads II, III and aVF
Progressive development of Q waves in II, III and aVF
Reciprocal ST depression in aVL (± lead I)
What is it?
Mongolian Blue spot
A 4-year-old boy develops multiple tear-drop papules on his trunk and limbs. He is otherwise well.
Hx of streptococcal infection 3 wks ago.
Guttate psoriasis
-Most cases resolve spontaneoulsy within 2-3mths
A middle aged man develops a non-pruritic rash after starting allopurinol therapy for gout. The rash develop within 24 hours and started on the back of his hands.
Erythema multiforme
- target lesions that starts in the back of hands and feet then spread to torso
- upper limbs affected more commonly
A 30-year-old man presents with a two-week history of a productive cough. Whilst examining him you notice a large number of atypical naevi over his torso. On his back you count between 20-25 moles. He reports no change in any of his moles, no bleeding and no itch. One particular mole is noted due to the irregular border. It is 6 * 4 mm in size.
Superficial melanoma
- mostly affects arms, legs, back and chest
- more in young people
*Remember changes in size, shape and color
What is this?
Squamous cell carcinoma
-characterised: raised, keratotic (scaly, crusty), ill-defined nodule, may be ulcerated
What is it?
Basal Cell carcinoma
- nodular is most common
- characterised: skin-colored, surface telangiectasia, pearly rolled edge, ulcerated center
What is it?
Actinic keratosis
*premalignant lesion–> SCC
-characterised:
small, crusty or scaly, lesions
may be pink, red, brown or the same colour as the skin
typically on sun-exposed areas e.g. temples of head
multiple lesions may be present
What is it?
Bowen’s disease
*intradermal SCC
-characterised:
red, scaly patches
often occur on sun-exposed areas such as the lower limbs
-more common in older females
What is it?
Erythema nodosum
- seen in IBD (crohn’s, UC)
- characterised:
inflammation of subcutaneous fat
typically causes tender, erythematous, nodular lesions
usually occurs over shins, may also occur elsewhere (e.g. forearms, thighs)
usually resolves within 6 weeks
lesions heal without scarring
Patient comes in with persistent ulceration of the mouth, pain and sore throat.
O/E: neck lymphadenopathy and inside mouth (pic below)
Oropharyngeal cancer
What is it?
Systemic sclerosis
-Characterised: sclerodactyly, skin thickening, raynaud’s phenomenon, swelling of hands and feet
What is it?
Lentigo melanoma
what is it?
Acanthosis nigricans
what is it?
cause?
Red man syndrome
Vancomycin
What is it?
Subungal melanoma
Diagnosis?
Central Retinal Vein Occlusion
Diagnosis?
Central retinal artery occlusion
Diagnosis?
Papilloedema
Diagnosis?
Diabetes retinopathy
What is it?
Hypermetropia
Eye turn upwards
What is it?
Exotropia
Eye turns outward
What is it?
Anterior uveitis
What is it?
Diabetic non proliferative retinopathy
Diagnosis?
Signs?
Respiratory distress syndrome - ground glass
Diagnosis?
GI perforation
What is it?
Gottrons papules
Diagnosis?
Lupus pernio
CD4+ AIDS infections
:)
Identify bleed?
Vessel Affected?
MCA
Ischemic stroke
Identify bleed?
Vessels affected?
Subdural haematoma
Bridging veins
Identify type of bleed?
Vessel?
Extradural/Epidural haematoma
Middle meningeal artery
Identify the type of bleed?
Subarachnoid haemorrhage
Identify the type of bleed?
Intracerebral haemorrhage
Bilirubin graph for newborn
:)
Staging for colorectal cancer
Dukes criteria
