OSCE 4

KIANI.A M.D

Interprete the X-rayname the sign

48 yr F with dyspnea what is the treatment?

5 differential diagnosis

Chest pain what is your diagnosis?

Chest pain and dyspnea?

Pleural effusion in RA ?

Abdominal pain and obstipation

Name the sign

“String-of-pearls” sign depicted on CTSBO

A 25-year-old woman presented with lower abdominal pain and nausea.

Abdominal pain?

Obstipation

Pelvic pain in a young man

A 21-year-old man developed severe headache shortly after awakening. He collapsed soon

after his arrival at work

Headache

What is the problem?

WHICH?1Carcinoma 2sarcoma 3drug reaction 4stevens johnson

Fever and leukocytosis?

Hemorrhage?

Serum of patient with red urine?

Fever +RASH +head ache

40yrM with 6 mth dyspnea

45yr F with chronic dyspnea

Knee pain

Radiographic findings of advanced JIA

• .• (A) Multilevel cervical apophyseal joint ankylosis.• (B) Thoracic kyphosis with diffuse osteoporosis and slight

decreased height of the vertebral bodies, probably the result of chronic steroid use.

• (C) Widening of the trochlear notch (arrow) and joint space narrowing of the knee.

• (D) Epiphyseal deformity and overgrowth.• (E) Irregularity in contour and erosive changes in the carpal

bones (arrows). • (F) Brachydactyly with shortening of the fourth metatarsal

(arrow). • (G) Protrusio acetabuli

Diffuse sclerosis and irregularity of the sacroiliac joints with bilateral joint space widening (arrows) are characteristic features of sacroiliitis.

Corresponding CT scan of the sacroiliac joints confirms the radiographic findings seen in this patient with juvenile ankylosing spondylitis.

Right ankle radiograph of this 15-year-old boy

Right ankle radiograph of this 15-year-old boy shows loss of the posterior subtalar joint space consistent with partial fusion (short arrow).

A small lucency is noted at the supero-posterior aspect of the calcaneus at the insertion of the Achilles tendon, which represents a small erosion (long arrow).

A 17-year-old male presents with small plantar calcaneal spurring seen radiographically (short arrows) suggestive of enthesitis.

(F) Corresponding STIR MR image of the ankle shows a focal area of high signal intensity, probably representing bone edema, in the posterior aspect at the insertion of the Achilles tendon

Knee pain and fissured hand in 17 yr boy

11 yr f

4 mth old child