© Department of Continuing Medical Education, Christian Medical College, Vellore
For more information please email: cme@cmcvellore.ac.in

STUDY 1: RADIODIAGNOSIS

Case of the month

Courtesy: Department of Radiodiagnosis, CMC, Vellore.

1. What are the imaging findings and from where is this lesion arising?

2. Now what is the diagnosis?

3. What are some of the other differential diagnoses for lesions arising from this structure?

4. What are some of the other sites from which these lesions can arise?

5. Which radiotracer is used for identifying these functioning tumours when other imaging modalities fail to demonstrate them ?

Acknowledgement: Submitted by Dr. Elsa Mary Thoma and Dr. Yvette Kirubha J, Department of Radiodiagnosis, CMC, Vellore.


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STUDY 2: NEUROLOGY

An elderly man with short neck

Courtesy: Department of Neurology, CMC, Vellore.

1. What is anormality seen here?

2. What is the simple test done for it?

3. What is the clinical assessment done for this?

4. Mention few CVJ anomalies.

Acknowledgement: Submitted by Dr. Joe Jacob, Department of Neurology, CMC, Vellore.

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STUDY 3: GYNAECOLOGY

Case of the month

Courtesy: Department of OG, CMC, Vellore.

HISTORY

• 34 year old P1L1
• C/o of increased bleeding during menstruation for 1 year
• M.C. regular 6 – 8/26-28 day
• Mild spasmodic dysmenorrhoea
• H/o prior treatment with Ponstan and OCP’S for 3 months with no significant relief
• No other relevant past medical history

PHYSICAL EXAMINATION

• BMI of 27
• General and systemic examination – WNL
• Pelvic examination revealed
• healthy cervix and vagina
• uterus bulky
• no adnexal masses

INVESTIGATIONS

• Hb% 10gm%
• Routine PAP – negative for malignancy
• USG – uterus 9 x 5 cm,
• intramural 1 x 1.5 cm fibroid in the posterior wall
• ET 10mm, endometrial echo not distorted
• Ovaries normal

1. How would you treat this patient?

Acknowledgement: Submitted by Dr. Lily Varghese, Department of OG, CMC, Vellore.

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