Osama's notes

DENNIE-MORGAN LINES - atopic dermatitis.

• No trauma or Fracture ، What else could it be? Periorbital Purpura. In systemic amyloidosis, the deposition of amyloid in blood vessel walls can make them fragile and prone to rupture, leading to purpura. When this occurs around the eyes, it can result in the characteristic "raccoon eyes" appearance.

Patient presented with severe hypotension and drowsy strate. What's your diagnosis !! → MRI shows restricted diffusion and high T2 signal in deep to the cortex = Internal / Deep Watershed Infarct

Dupuytren contracture. It is a condition that causes one or more fingers to bend toward the palm of the hand. •The affected fingers can't straighten completely. •Knots of tissue form under the skin. They eventually create a thick cord that can pull the fingers into a bent position. •The condition gradually gets worse with time. ||Symptoms: •Dupuytren contracture gets worse slowly, over years. •The condition begins with a firm lump in the palm of the hand. •This lump can be painful or painless. •• Over time, the lump can extend into a hard cord under the skin and up into the finger. •This cord tightens and pulls the finger toward the palm, sometimes severely.

Spot diagnosis !! → Dupuytren's contracture ✅ More details ↓↓↓↓

A rare complication of spinal surgery 💔😬

28-years old Female with sudden headache and deteriorating GCS. What's your diagnosis!! ↓↓↓ Cerebral Venous Sinus Thrombosis.

Spot diagnosis !!! → Ramsay Hunt Syndrome - Herpes Zoster Oticus

Patient presented with fever, headache, vomiting and seizures. • What's your diagnosis !!! ↓↓↓ → MRI scan showing a large brain abscess located in the left temporoparietal area.

What’s your Diagnosis ? The diagnosis is Pinguecula other notes ↓↓ • Pinguecula is a harmless yellowish raised growth on the white part of eye. •It's thought to be caused by exposure to sun, wind and dust. → Besides the bump, other common symptoms include eye redness, irritation and dry eye. •Medications can relieve discomfort if needed.

• Epileptic patient with skin changes. Spot diagnosis!!! → Neurofibromatosis Type 1 (NF1) - Lisch nodules.

What's your diagnosis !!! What !!!! Hemispherectomy ! Is a radical surgical procedure where the diseased half of the brain is removed . It treats mostly children and some adults who have seizures that don’t respond to medicine.

Spot diagnosis !! → Large right frontal meningioma

54 year old male patient presented with right sided weakness and aphasia. • The diagnosis → Left Hemispheric CVA / other notes ↓ 1⃣ Acute Ischemic Stroke on the left hemisphere near the area of the Left Middle Cerebral Artery (LMCA), resulting in right-sided weakness & aphasia. 2⃣ The first line of treatment would be systemic tissue Plasmin Activator (tPA) in the absence of intracranial hemorrhage (ICH).

• Not a neoplasm🙅! but a giant cavernous malformation ✅

✅ Physiologic calcifications that may be seen on CT of the brain: ↑↑↑ •Pineal gland (Fig. 26.2A) •Basal ganglia (see Fig. 26.2A) •Choroid plexus (see Fig. 26.2A) •Falx and tentorium (Fig. 26.2B)