True answer ( in my opinion)
✅Wilms Tumor

Explanation below 👇

طيب هاذي الاسئلة فيها فتي كثير فخليني اختصرها
Wilms tumor (Nephroblastoma) vs abdominal Neuroblastoma

Based on UTD:
Presentation
- BOTH can present with Hypertension
- Hematuria in wilms (because of it’s origin from the kidney…unlike neuro which is from adrenal medually which secretes catecholamines in urine)

Age: (Based on Radiopedia and Nelson)
- Neuro: below 2yo (Nelson: median age 17 months)
- Wilms: Above 2yo (Nelson: median age 31 months)

Regarding crossing the midline (Radiopedia)
- when he says in the question “ Going toward the midline” it DOES NOT mean it has crossed it!!! So don’t depend on this feature
- Neuroblastoma: it “May” cross the midline (so in the early stage it still yet to cross…and you can mistake it with Wilms)
- Wilms; does not cross

Associated syndrome (Nelson)
- neuro:
- opsoclonus myoclonus syndrome
- Proptosis (infiltration of eye muscle)
- Wilms: WAGR syndrome







So in this question why is it Wilms?
The age above 2 years is the main factor
Since HTN can occur in both tumors
Crossing of midline is yet to happen so you can’t say it is neuroblastoma




SMLE Radiance 🫡

True answer: ✅ Antecubital والله اعلم

Option B Face involvement in general is more common in infants (another clue that excluded option B is perioral dermatitis is usually blisters and crusty and NOT plaques)
)
According to age and type of the lesion (plaque)
it’s more common in flexural areas
So it’s either A OR C
المصادر كلهم كاتبين الخيارين بدون تحديد افضلية
محد محدد مين اكثر
بس
في امبوس مكتوب antecubital

Amboss: antecubital
UTD and Nelson: they mentioned first antecubital



SMLE radiance 🫡

Infant 4 month medically free came with subcostal retraction dyspnea fever cough sneezing ,they gave O2 and saturation still 80 peripheral pulses weak and pale + pt had diffuse bilateral crackles and bailateral decreased air enetry+ his Bp is 110/70. Cyanosis and sacral edema Not mentioned, what’s the management ??
A-Diuretic
B- IV fluid
C- intubation and mechanical ventilation

UTD

Mother ask about 2month baby had maney episodes of night crying 2time and take 1_2hour for how long it take
2month s
3months✅
4months
6months


Explained in the photo
Dx: Infantile Colic ✅

اللي يواجه مشاكل في السيرجري
والله ما انصح الا بالدليجان بكل امانة ماشاءالله تبارك الله
زملائي خلصو معاه خلاص والجميع انبسط بالنتيجة

التسجيلات كلها مرفوعة خلاص


الكورس يمديك تتابعه كفيديو ومرفوعة الفيديوهات لحد نهاية السنة

421- 1 year complain of massive hepatosplenomegly , brusies skin , swelling in latral aspect of neck what the most appropriate investigation?
A- Bone marrow aspiration ✅
B- lumber punc
C- EBV serology
D- Mri thorax

Dx: Hodgkin lymphoma (🔑keyword; unilateral Swelling in neck)

السبب
Metastasis to Bonemarrow caused Thrombocytopenia (which presented as bruising)



Resource: UTD

SMLE radiance 🫡

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