Category Archives: The Answer

The Answer of spot diagnosis 37

 

This x ray is a plane X ray of 20 year old women with stage horn  stone and other 7 stones in the middle and lower pole stone, Rt. pyelolithotomy has been done and the stone has been extracted, as shown above.

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The Answer of spot diagnosis 36

As we see, there is calcified bladder wall and as a result of that there is a bilateral ureteric dilation.

this is due to schistosomiasis of the bladder (Bilharzial infection)

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Answer of Spot Diagnosis 35

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  1. it is Rt. side hydrocele (negligted for several years).
  2. next step is Hydrocelectomy through inguinal incision because there was a suspicion of Inguinal hernia.

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Answer of Spot diagnosis 34

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it is Millin Forceps and it used  in open Prostatectomy

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Answer of Spot Dignosis 33

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  1. Urinary Bladder Diverticulum.
  2. An irregular  filling defect inside the diverticulum, which is most properly Transitional cell carcinoma.

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The Answer of Spot Diagnosis 32

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The Drugs are:

  1. Sulfamethoxazole – Trimethoprim.
  2. Tetracyclines.
  3. Acetaminophen (Paracetamol).
  4. Laxatives containing phenolphthalein.

 

Management:

After good history and examination.

  1. Stop the causative Drugs.
  2. Topical or oral corticosteroids.

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Answer of Spot diagnosis 31

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Open surgery exploration was performed which showed a solid renal tumour as well as an unconnected solid pararenal tumour. Partial nephrectomy was done and final histology of this tumour was a chromophobe renal cell carcinoma PT1bRo. Of the parenchymal tumour, frozen section biopsies were obtained intraoperatively which were reported as a neoplastic growth ; however this could not be differentiated further on frozen section. This parenchymal tumour was therefore, also resected and final histology reported it s a completely resected, partially regressive schwannoma; thus, a benign neoplasia. Postoperative recovery was uneventful.

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