Physicians Academy
Established in December 2006 by the Kashmir Academy Of Private Physicians
Table Of Contents
Editorial :
 NGOs of Kashmir need paradigm shift in helping patients
Article 1 :
 Microcardia in a Marasmic child with Rubinstein-Taybi Syndrome
Article 2 :
 Attempted ‘Blue Whale Challenge’–A Case report
Picture of The Month :
 Picture of The Month-March 2018
Drug Update :
 SYMDEKO (tezacaftor/ivacaftor)
Abstracts from Other Journals :
 Abstracts from Other Journals-March 2018

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Mar 2018 ( Volume -12 Number -3)

Picture of The Month
Picture of The Month-March 2018
Murtaza Rashid, MBBS; MD
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MARCH 2018

Picture of The Month

Murtaza Rashid, MBBS; MD

The patient is a 78 year old lady who is a known case of Diabetes Mellitus, Hypertension, and old CABG done, and presented to our Emergency Department with abdominal pain of one month duration. She had multiple visits to various hospitals in the past few weeks without any relief. Abdominal examination revealed a faint pulsatile mass in the umbilical area. An urgent CT Scan was done which revealed the following (See Fig 1-3): What is the diagnosis?

 

 

 

Fig. 1,2 and 3 show CT Scan images of Abdomen.

Contributed by:

Dr. Murtaza Rashid M.D is working in the Department Of Emergency Medicine, Royal Commission Hospital, Jubail, 31961, Kingdom of Saudi Arabia. Email: rashidm@rchsp.med.sa

 

Answer to last month’s POTM February 2018

This is the dissected neck in a 50 years old female. It is a case of submandibular gland tumor. Note and mark the various structures. What anatomical variant can you identify?

The Correct Answer is:

Inverted U pattern of AJV and IJV with unusually well developed AJV. A rare anatomical variant where anterior jugular vein is extremely well developed and joining the facial vein after traversing in an arch shaped path crossing over the anterior surface of submandibular gland and then joining posterior to gland with facial and entering IJV. This is a dangerous variant. I have, by the way, not come across this anomalous variant in the literature.

Author Information: Dr. Aashob Qazi Ashraf, MD; MS; DNB (MCh); MNAMS; MESSO; FSSO(USA) is Senior Consultant, Surgical Oncology in Noora Hospital, Srinagar, Kashmir, India. Email: aashob@gmail.com

 

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