What do you think?

What is your diagnosis- urinary bladder quiz
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Radiology
What is your diagnosis- urinary bladder quiz
Chat about radiology with radiologists and those who want to get into the speciality
This case can confound beginners. But for the pros, it is easy. This is the urinary bladder as seen on Transrectal ultrasound. http://youtu.be/KjmcUPQGjXU http://youtu.be/qipq5fozN8w What do you make
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Forums » Open clinical » Radiology » What is your diagnosis- urinary bladder quiz

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Forums  »  Open clinical  »  Radiology  »  What is your diagnosis- urinary bladder quiz

What is your diagnosis- urinary bladder quiz

posted at 10/10/2011 2:37 PM BST on bmj.com
Posts: 130
First: 23/12/2010
Last: 22/2/2012
This case can confound beginners. But for the pros, it is easy.
This is the urinary bladder as seen on Transrectal ultrasound.
http://youtu.be/KjmcUPQGjXU

http://youtu.be/qipq5fozN8w
What do you make of it?
Joe.

Re: What is your diagnosis- urinary bladder quiz

posted at 14/10/2011 6:41 AM BST on bmj.com
Posts: 130
First: 23/12/2010
Last: 22/2/2012
Hint: this is one of the commoner pathologies of the urinary bladder.
Joe.

What is your diagnosis- urinary bladder quiz

posted at 18/10/2011 3:45 AM BST on bmj.com
Posts: 130
First: 23/12/2010
Last: 22/2/2012
2nd Hint: this patient had a history of bladder surgery some 5 years ago.
So what do you think this (the present diagnosis) could be?
Joe.

Re: What is your diagnosis- urinary bladder quiz

posted at 18/10/2011 8:19 AM BST on bmj.com
Posts: 130
First: 23/12/2010
Last: 22/2/2012
Posting the videos of the case on doc to doc:
Just trying the new video insert tool:





Here is an image from the same case:






Re: What is your diagnosis- urinary bladder quiz

posted at 19/10/2011 10:51 AM BST on bmj.com
Posts: 130
First: 23/12/2010
Last: 22/2/2012
Answer: bladder mass.. surgically proven.. carcinoma of urinary bladder.
See:  http://www.ultrasound-images.com/urinary-bladder.htm#Case-2:_Carcinoma_of_urinary_bladder
Initially this mass can mimic a prostate malignancy. But now this is clearly a mass arising from the bladder neck. See the TRSU videos and images....
Joe

Re: What is your diagnosis- urinary bladder quiz

posted at 19/10/2011 12:35 PM BST on bmj.com
Posts: 1905
First: 10/3/2009
Last: 20/2/2012
I am sure it is a young woman looking front on in wet T shirt which has a tear in it of the left side. 

Do you have any ink blots as my analyst says I am good at those? 

I never was good at ultrasound or ouija boards. Ink blots, yes. 

Re: What is your diagnosis- urinary bladder quiz

posted at 19/10/2011 12:57 PM BST on bmj.com
Posts: 1213
First: 7/3/2009
Last: 17/2/2012
The tumor looks really nasty. How long has the poor chap been out of surveillance?

Re: What is your diagnosis- urinary bladder quiz

posted at 19/10/2011 1:34 PM BST on bmj.com
Posts: 430
First: 12/7/2010
Last: 19/12/2011
The video insert tool really works nicely!

Re: What is your diagnosis- urinary bladder quiz

posted at 19/10/2011 5:56 PM BST on bmj.com
Posts: 130
First: 23/12/2010
Last: 22/2/2012
In Response to Re: What is your diagnosis- urinary bladder quiz:
The tumor looks really nasty. How long has the poor chap been out of surveillance?
Posted by yoram chaiter


This was a recurrence of the malignancy after surgical removal of a bladder cancer some 5 years ago....many of these folks are so scared of surgery and uro guys.. that they just pray all is well or try homeo treatment etc...before they come for so much as a scan or uro consultation....I can understand really....someone wrote ina medical textbook a long time ago..."I pray I dont die  due to bladder problems"....besides the expenses.. these poor patients are elderly and lonely....
We try to make things as easy as possible by kind words and some discounts on their bills..
Joe.

Re: What is your diagnosis- urinary bladder quiz

posted at 19/10/2011 5:58 PM BST on bmj.com
Posts: 130
First: 23/12/2010
Last: 22/2/2012
In Response to Re: What is your diagnosis- urinary bladder quiz:
The video insert tool really works nicely!
Posted by Deb_D

yes.. BMJ makes things much easier now...Thanks Deb....
Joe.
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