Vhl syndrome

Fch.14 yrs. Deformity left wrist since birth. Restricted movement & pain after activity Lt.wrist. 2years.

Several distinct degenerative processes affect the articulations of the vertebral column; each is associated with characteristic radiographic and pathologic abnormalities, and many are accompanied by significant clinical manifestations. Learn & update your basic radiological approach for “Spinal Degenerative Disease” its interpretation knowledge & patient care approach with this post.

History of blunt injury to left hand complaint of pain over distal wrist *Chief Complaints* Pain over distal aspect of the wrist and forearm *History* Blunt injury to wrist *Vitals* Stable *Physical Examination* Tender presence over distal 1/3 ulna Pronation and supination painful *Investigations* X-ray attached *Diagnosis* ? *Management* ?

How to manage this type of fracture in 7 year kid *Chief Complaints* 7 year female kid complaining of Difficulty in walking n weight bearing on left lower limb *History* 7 year kid Sustained injury following sudden collapse of bike over the left lower limb *Vitals* All stable left dorsalis pedias felt vital stable *Physical Examination* Left lower limb is shortened extremely externally rotated tense tender at mid thigh of left lower limb *Investigations* X-ray tagged *Diagnosis* ? *Management* ?

Pale Skin,swellingg *Chief Complaints* Swelling on face and ghabrahat,urine incontinence,urine pass out by Folly’s catheter *History* 55 yrs/F No h/o heavy bleeding,piles *Vitals* Normal *Physical Examination* Pale skin,swelling on face,unable to walk *Investigations* Hb% 2.2g/dl TLC 12600 Plts 4.56 18/5/24 LFT KFT WNL RBS 108 USG Shows:- Renal cyst Cystitis