SYNAPSES AND NEURONAL INTEGRATION DR. ZAHOOR ALI SHAIKH LECTURE –10 1.
By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.
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Transcript of By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.
![Page 1: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/1.jpg)
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Photographic Quiz In Medicine
By Dr. Zahoor
![Page 2: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/2.jpg)
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Question 1:1. What do you observe in this male
patient?2. Give one cause.
![Page 3: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/3.jpg)
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Answers 1
1.Gynaecomastia
2. Liver cirrhosis - Drugs – Spironolactone, Estrogen,
Cemitidine
![Page 4: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/4.jpg)
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Question 2:1. What is the diagnosis?2. What test you will do to confirm the diagnosis?
![Page 5: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/5.jpg)
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Answers 2
1.Thyriotoxicosis
2.T3, T4, TSH
![Page 6: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/6.jpg)
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Question 31. What is the diagnosis?
![Page 7: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/7.jpg)
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Answers 3
1.Hypothyroidism
![Page 8: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/8.jpg)
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Question 41. What is the diagnosis?
![Page 9: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/9.jpg)
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Answers 4
1.Angio oedema
![Page 10: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/10.jpg)
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Question 51. What do you observe in the picture?2. What is the cause?
![Page 11: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/11.jpg)
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Answers 5
1. Very tall female
2.Gigantism
![Page 12: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/12.jpg)
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Question 61. What do you observe in the picture?2. What is the diagnosis?
![Page 13: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/13.jpg)
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Answers 6
1.Webbed neck
2.Turner Syndrome – 45xo
![Page 14: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/14.jpg)
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Question 71. What is the diagnosis?
![Page 15: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/15.jpg)
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Answers 7
1.Marfan Syndrome
![Page 16: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/16.jpg)
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Question 81. Which cranial nerve palsy is shown?
Patient gives history of diplopia when she looks down.
![Page 17: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/17.jpg)
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Answers 8
1.Left Fourth cranial nerve palsy
![Page 18: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/18.jpg)
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Question 91. Which cranial nerve palsy is shown?
![Page 19: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/19.jpg)
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Answers 9
1. Right 12th cranial nerve palsy
![Page 20: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/20.jpg)
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Question 101. Which cranial nerve palsy is shown?
![Page 21: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/21.jpg)
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Answers 10
1.Right 7th cranial nerve palsy
![Page 22: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/22.jpg)
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Question 111. Which cranial nerve palsy is shown?
Patient is asked to look straight
![Page 23: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/23.jpg)
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Answers 11
1.Right 3rd never palsy
![Page 24: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/24.jpg)
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Question 121. Which cranial nerve palsy is shown?
Patient is asked to look straight
![Page 25: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/25.jpg)
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Answers 12
1.Left 6th nerve palsy
![Page 26: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/26.jpg)
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Question 131. What is the diagnosis?
![Page 27: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/27.jpg)
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Answers 13
1. Horner left eye (Ptosis, small pupil)
![Page 28: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/28.jpg)
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Question 141. What is the diagnosis?
Patient complains of diplopia when she is tired.
![Page 29: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/29.jpg)
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Answers 14
1.Myasthenia Gravis
![Page 30: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/30.jpg)
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Question 151. What is the diagnosis?
Patient expression looks like this all the time
![Page 31: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/31.jpg)
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Answers 15
1. Myopathy
![Page 32: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/32.jpg)
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Question 161. What do you observe?2. Give one cause.
![Page 33: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/33.jpg)
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Answers 16
1.Wasting of small muscles of hand
2. Syringomylia - Motor neuron disease
![Page 34: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/34.jpg)
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Question 171. This is EEG of a patient who had seizure.
What this EEG is showing?
![Page 35: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/35.jpg)
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Answers 17
1.Grandmal seizure (generalized)
![Page 36: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/36.jpg)
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Question 181. This is an EEG of a 10 year old boy. What it is
showing?
![Page 37: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/37.jpg)
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Answers 18
1.Petitmal Epilepsy (spike and wave pattern)
![Page 38: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/38.jpg)
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Question 19 1. This patient presented with severe headache
and right hemiplegia. What is seen in the CT?
![Page 39: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/39.jpg)
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Answers 19
1.Left side intracranial hemorrhage
![Page 40: By Dr. Zahoor 1. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2.](https://reader035.fdocuments.in/reader035/viewer/2022081603/56649f345503460f94c511f3/html5/thumbnails/40.jpg)
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Thank you