Picture of the day 18/01/2019


A 65 years old man presents with chronic backache. He has some symptoms of bladder outflow obstruction. He has no neurological signs in the lower limbs. DRE shows a moderately enlarged prostate with no suspicious features.

How would you proceed?



Scroll down for the answer.

























This shows the wall of a calcified aortic aneurysm.



Lateral Xray







Comments

  1. valliekageyMarch 5, 2022 at 1:06 AM

    How to win at slots, odds, and video poker
    Casino slots pay out 군포 출장샵 in real money, like 평택 출장샵 progressive jackpots, but 서산 출장안마 instead of just starting with cash, all 춘천 출장샵 of the games Casino Slot Machine Games — The casino 사천 출장마사지 machines

    ReplyDelete

Post a Comment

Popular posts from this blog

Management of Acute Kidney Injury

Image
Objectives 1. Clinical diagnosis of acute kidney injury. 2. Identifying the aetiology of acute kidney injury. 3. Learn the complications of acute kidney injury. 4. Management of complications of acute kidney injury. 5. Basics of renal replacement therapy in acute kidney injury. 1.  Clinical diagnosis of acute kidney injury. Usual manifestations of acute kidney injury is oliguria (Reduced urine output). With the progression of renal impairment, patients develop various complications such as acidosis/ uremia which give rise to other manifestations. There are various criterions to diagnose AKI, you don't have to memorise those. Increase in S.Cr by >0.3 mg/dl (>26.5 umol/l) within 48 hours; or Increase in S.Cr to >1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; or  Urine volume < 0.5 ml/kg/h for 6 hours. 2. Identifying the aetiology of acute kidney injury. You must be already knowing that acute kidney injur
Read more

2 min read - Cirrhosis

Image
A 55 years old male patient admitted to medical casualty with a febrile illness for 3 days with myalgia. Examination was unremarkable. He was previously well except for chronic bilateral knee joint osteoarthritis. He consumed liquor quarter to half a bottle on a daily basis. Investigations revealed. WBC - 5.6 Hb - 11.2 Plt - 135 AST - 45 ALT - 42 S.Cr - 54 He was managed as viral fever and became fever free the next day. However the platelet count was persistently low around 130. Further investigations arranged. Blood picture - Thrombocytopenia probably due to liver disease S. Bilirubin, ALP - Normal S. Albumin - 38, S globulin - 37 USS abdomen - Coarse echogenicity of liver. Mild portal hypertension. Mild splenomegaly. Compatible with chronic liver cell disease. This patient has Cirrhosis with portal hypertension. Now the obvious cause for his cirrhosis is alcohol, isn't it? NO! Just because of the history of significant alcohol consumption you ca
Read more