Dr AgZinOo PICTURE QUIZ

Dr Chaw Su Hlaing
Consultant Paediatrician, YCH
Picture quiz 1.
(a) what is the diagnosis?
(b) What is the etiology?
(c) What are the common clinical presentations?
Picture Quiz 1
Answer:
(a) meningococcemic rash (purplish rash with central necrosis)
(b) Neisseria meningitides
(c) meningitis, meningococcemia, shock
picture quiz 2.

(a) What is the finding?

(b) What is the diagnosis?
(c) What other differential diagnosis should be considered?
Picture Quiz 2

(a) well circumscribed contrast enhanced lesion at right parietal region with
surrounding oedema
(b) brain abscess
(c) neurocysticarcosis
Picture Quiz 3
Dr Ye Kyaw Thu
The parents of 5 years old boy concern the hand writing of their son and visit
pediatrician:
Questions
1.What abnormality do you notice?
2.What one important question do you want to ask parents?
3.What one important pathological condition do you want to consider in your D/Dx?

Picture Quiz 3

(a) reversing letters (mirror writing) which means child writes certain letters (or
numbers) backwards or upside down.
(b) Has trouble calling things by the right name? (Does the child struggle with
learning and naming numbers, colors, and the letters of the alphabet) or
Has the child difficulty saying the right words that sounds similar but have
different meanings?
(c)Dyslexia
(A common misconception is that Dyslexia is a problem of letter or word
reversals but reversals of letter or words and mirror writing occur normally in
early readers and writers. Children with dyslexia are not unusually prone to
reversals. Although they do occur, reversal of letters or words, or mirror writing,
is not included in definition of dyslexia.)