Page 1 of 9: pgi controversial question let us try to solve it.

aayush138 · Credits: 25241 My Scrapbook

it was govind's suggestion to discuss pgi questions also.so i am starting new thread.i am starting it here because AIIMS forum is very close to my heart and secondly my other thread is here.so it will be easy for members to contribute in both the thread.

so post your doubts,questions in pgi also.let us dicuss the things same as we did for AIIMS .

thanking you for support.

govindbajaj · Credits: 31581 My Scrapbook

pgi june 2004 q surgery

true statement for nipple discharge

mammography is diagnostic

itiis true or false

aa give true but pgi choudary give not true
ayush help

aayush138 · Credits: 25241 My Scrapbook

what i am thinking is for pgi i will not only try to find answers but also post important other points from that topic.so that it can help in our preparation for pgi,AIIMS and all india.

should i do it or it will become tedious.i need your sugestions.

drsom · Credits: 801 My Scrapbook

...aayush, definitely do post the other important points from those topics also, as u do in our AIIMS thread... that will surely help all of us...
with regards.

aayush138 · Credits: 25241 My Scrapbook

bailey 24th edition

Abnormal discharges from the nipple
Discharge can occur from one or more lactiferous ducts. Management depends on the presence of a lump (which should always be given priority in diagnosis and treatment) and of the presence of blood in the discharge or discharge from a single duct. Mammography is rarely useful except to exclude an underlying impalpable mass. Cytology may reveal malignant cells but a negative result does not exclude a carcinoma.
A clear, serous discharge may be ‘physiological’ in a parous woman or may be associated with a duct papilloma or mammary dysplasia.
A blood-stained discharge may be caused by duct ectasia or less commonly a duct papilloma or carcinoma. A duct papilloma is usually single and situated in one of the larger lactiferous ducts and is sometimes associated with a cystic swelling beneath the areola.
A black or green discharge is usually due to duct ectasia and its complications.

so mammoraphy is not at all diagnostic

govindbajaj · Credits: 31581 My Scrapbook

pgi june 2004 surgery q

true abt pseudomyxoma peritonei

radiotion therapy given

iti strue or false

pgi guide say true aa say not true

govindbajaj · Credits: 31581 My Scrapbook

pgi dec 2001 /june 2001

air under both diaphragm sides seen in

uterine rupture following ilegal abortion
is true or not

pgi guide say false aa says true

govindbajaj · Credits: 31581 My Scrapbook

pgi dec 200 / june 2002

bresat ca risk seen in

smoking

sclerosing adenosis

some book say smoking some say not

regarding sclerosing adenosis schwartz 8th editon p464 says no incresed risk
while pgi guide refer old edition robbins says it is risk of carcinoma

govindbajaj · Credits: 31581 My Scrapbook

pgi june 2001 sugery

pyogenic liver abcess

sytemic complaints fever and jaudice common

liver enzyme abnormalities r common and severe

pgi guide says bothr true aa says bothr false

aayush138 · Credits: 25241 My Scrapbook

pyogenic abcess.

refrecne maingot's

Diagnosis

The clinical presentation of pyogenic liver abscess is usually subacute and nonspecific, leading to delays in presentation, diagnosis, and treatment. In Seeto and Rocky's review9 of 142 patients with pyogenic liver abscesses, the classic triad of fever, jaundice, and right upper quadrant tenderness was present in less than 10% of patients overall.

Clinical Presentation

Most patients have fever (92%) and 50% have abdominal pain, but only half have pain in the right upper quadrant. Diarrhea occurs in less than 10% of patients. The liver may be tender (65%) and enlarged (48%), and the patient may appear jaundiced (54%). Other nonspecific complaints include malaise, anorexia, and nausea. If the diaphragm is involved, pleuritic chest pain, cough, or dyspnea may occur. If the abscess ruptures, peritonitis and sepsis may be presenting features
Laboratory Evaluation

Leukocytosis is present in 70–90%, an elevated alkaline phosphatase in 80%, and an elevated bilirubin and transaminases in 50–67% of patients. Anemia, hypoalbuminemia, and prolonged prothrombin time are seen in 60–75% of patients.4,6,8–10

poor prognostic factors

Age >70 years
WBC count >20.000/mm3

Diabetes mellitus
Increasing bilirubin
Associated malignancy
Increasing SGOT
Biliary etiology
Albumin <2 g/dL
Multiple abscesses
Aerobic abscess
Septicemia
Significant complication
Polymicrobial bacteremia

so this symptoms are individually very common.but their classic triad is seen in 10%

so if in options they mentions classic triad together then it is rare.but symptoms individualy are quite common.

sabiston also gives same thing.

regardin enzymes sabiston says

Transaminases are mildly elevated about 60% of the time

so tranaminases elevated quite comonly but they are mildly elevated.

so their abnormalities are common but not sever.

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