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MRCP Quiz
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MRCP Quiz
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  What is the diagnosis? What does the white arrow poit to ?
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MRCP Quiz

posted at 3/8/2012 2:11 AM BST on bmj.com
Posts: 270
First: 2/8/2010
Last: 21/5/2013
 


What is the diagnosis?
What does the white arrow poit to ?

Re: MRCP Quiz

posted at 3/8/2012 12:48 PM BST on bmj.com
Posts: 339
First: 17/12/2011
Last: 15/5/2013
I am GP, so not very bright [!] and not used to looking at MRI scans, I presume it is an MRI  scan, at the level of kidneys.  Probably too low in abdomen to be a  lump in the pancreas is it looks to be a solid swelling not very regular in outline. If it is at the level of the pancreas then is it a lump in the pancreas?? If below the level of the pancreas then  is it a lump in the bowels or is it ??? retro peritoneal ?
 So I defer to others. I will be interested to know.

Re: MRCP Quiz

posted at 5/8/2012 2:07 AM BST on bmj.com
Posts: 270
First: 2/8/2010
Last: 21/5/2013

 Good Attempt Docs ,
The image is a CT scan abdomen, which shows the kidneys; head, body and tail of the pancrease as well as the intestine
The swelling which you have seen in the head of the pancrease is actually  edema and inflammation of the pancreatic head  due to acute pancreatitis in a patient with SLE
.As long as you have spotted the lump in the pancreatic head, you are then more than half way, and we go to the differential diagnosis
We learn everyday

Re: MRCP Quiz

posted at 6/8/2012 3:38 PM BST on bmj.com
Posts: 339
First: 17/12/2011
Last: 15/5/2013
Thank you.

Re: MRCP Quiz

posted at 7/8/2012 4:22 AM BST on bmj.com
Posts: 2947
First: 10/3/2009
Last: 29/4/2013
In Response to Re: MRCP Quiz:
I am GP, so not very bright [!] and not used to looking at MRI scans, I presume it is an MRI  scan, at the level of kidneys.  Probably too low in abdomen to be a  lump in the pancreas is it looks to be a solid swelling not very regular in outline. If it is at the level of the pancreas then is it a lump in the pancreas?? If below the level of the pancreas then  is it a lump in the bowels or is it ??? retro peritoneal ?  So I defer to others. I will be interested to know.
Posted by Pat Lush


Dear Pat, I take exception to your opening line. I know you are being humble. Some of the brightest people in my year became GPs. One was a University Medalist. My father was the Dux of the Brisbane Grammar School and won First Class Honours in Classics and a prize for the Hickey Prize for metaphysics before he became a GP. I embalmed his memory in a book I wrote.

Because you are a GP means you are very bright.  Whether you end up a GP or a brain surgeon is not necessarily dependent on IQ but vocational calling. One exceptional student from my year is a GP and an internationally recognised expert on Medical Ethics.

Common sense and good clinical skills are not the exclusive domain of superspecialists.

Odysseus.

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