MIST –

ANATOMY VISUALS
T.S. OF CEREBRUM
SAGITTAL SECTION
COMMISSURE – Connects Same Lobes in diff. Cerebral Hemisphere
LIMBIC SYSTEM
(FORNIX)
VENTRAL ASPECT OF BRAINSTEM – CRANIAL NERVES
DORSAL ASPECT OF BRAINSTEM
 DORSAL ASPECT OF BRAINSTEM –
FLOOR OF IV th VENTRICLE

VI NUCLEUS

VIII NUCLEUS

XII NUCLEUS

X NUCLEUS
ARTERIAL SUPPLY OF BRAIN
 ANTERIOR CEREBRAL ARTERY is chief artery on MEDIAL SURFACE

MIDDLE CEREBRAL ARTERY is main artery on SUPEROLATERAL SURFACE

POSTERIOR CEREBRAL ARTERY is main artery on INFERIOR SURFACE.

PELVIS – SAGITAL SECTION
PELVIC DIAPHRAGM
UROGENITAL
DIAPHRAGM
PERINEAL BODY
DEEP & SUPERFICIAL PERINEAL POUCH
(FEMALE)
DEEP & SUPERFICIAL PERINEAL POUCH
(MALE)
ISCHIORECTAL FOSSA
ANAL CANAL
MIST-
PATHOLOGY VISUALS
 Diagnosis?

Simian crease

Clinodactyly
✓ Mongoloid slant
✓ Epicanthic folds
✓ Depressed nasal bridge
Sandle gap

DR. PRAVEEN KUMAR

 Diagnosis
?

Webbed neck Low Shield shaped

posterior hairline chest with widely spaced
nipples

Lymphedema of hands & feet

DR. PRAVEEN KUMAR
 Turner syndrome

XO, FEMALE SEX, infertile Q

Short stature & Webbed neck

No Intellectual disability

Bicuspid aortic valve(50%) Q Coarctation of Aorta (30%)

AS, MVP

Short 4th metacarpal

DR. PRAVEEN KUMAR

DR. PRAVEEN KUMAR
DR. PRAVEEN KUMAR
DR. PRAVEEN KUMAR
Hypertrophy
HYPERPLASIA
 Barrett’s
esophagus
ATROPHY
HYDROPIC CHANGES
COAGULATIVE NECROSIS
CASEOUS NECROSIS
FATTY NECROSIS
FIBRINOID NECROSIS
IDENTIFY THE ELECTROPHORESIS PATTERN
LIPOFUSCIN
ACUTE INFLAMMATION
KELOID & HYPERTROPHIC SCAR
RED AND WHITE INFARCT
LINES OF ZHAN
KERATIN PEARLS
ADENO CARCINOMA
NAME THE TECHNIQUE?
FISH
PAPILLARY CATHYROID
FOREBRAIN ANOMALY
NEGRI BODY
SCHAWANOMA
HYALINE & HYPERPLASTIC
ARTERIOSCLEROSIS
MIST-
FSM VISUALS
PUPPE'S RULE
DIASTATIC FRACTURE
RACOON SIGN
BEVELLING OF SKULL
CONTACT SHOT
HADERUP FORMULA
HEPBURN OSTEOMETRIC BOARD
NEW BORN SKULL
WHIPLASH INJURY
POND FRACTURE
SPIDER WEB FRACTURE
ADIPOCERE
CADEVERIC SPASM
ATYPICAL ATYPICAL TYPICAL
MUMMIFIED FETUS
THROTTLING
SLIDING ABRASION/GRASED ABRASION
SHOTGUN CARTRIDGE
CRUCIFIXION
JET KNIFE POSITION
DUM DUM BULLET
AVULSION (FLAIN)
AVULSION (DEEP)
LIVOR MORTIS
MARBLLING
MACERATION (DEAD BORN)
YELLOW OLEANDER
WHITE OLEANDER
CONGESTED EYES
RATTI (ABRUS PRECATORIUS)
DATURA
SEMICARPUS ANACARDIUM
(MARKING NUT)
POLYGRAPH
STRYCHNOS NUX-VOMICA.
PARTIAL HANGING
ALLEC JEFFERY
FORENSIC ENTOMOLOGY
TYPES OF INJURIES
FILIGREE BURN
RUSSEL VIEPR
DAVIDSON BODY
MUGGING
WASHER WOMAN HAND
GAROTTING
SMOTHERING
DEPRESSED FRACTURE
CROCODILE FLASH BURN
SUB-DURAL HEMORRHAGE
TARDIEU SPOTS
TACHE NOIR
CASTOR SEED
CARTRIDGE BULLET
LACERATION & PUNCTURE WOUND
COBRA
PHOSPHOROUS POISONING
ACTIVATED CHARCOAL
ARSENIC INDUCES HYPERKETAOSIS
OF PALM
CALABAR BEAN ORDEAL POISON
BANDED KRAIT
BLISTER BEETLE
CALOTROPIS
VIPER
MERCURY POSIONING MINAMATA DISEASE
NASOGASTRIC TUBE
OPIUM POPPY SEED
SEA SNAKE
PILOCARPUS JABORANDI
HEROIN
MEES LINE
DATURA STRAMONIUM
DATURA
CLAVICEPS PURPUREA
ERGOT POISONING
BLUE ROCKET (ACONITE)
MIST-
PSM VISUALS
• Where is the headquarter of this
agency located:
a. New York
b. Geneva
c. Rome
d. Washington DC
• Identify the logo:
a. World Bank
b. Global Fund for AIDS, TB &
Malaria
c. Sustainable Development
goals
d. Millennium Development
goals
• The logo shown below is being
used by which of the following
National Health Program /
Scheme in India:
a. National Health Mission
b. National water conservation
Movement
c. National Leprosy elimination
program
d. Rajiv Gandhi Scheme for
empowerment of Adolescent
girls
• RNTCP: 1992
• 1976
• Started in 2005
• 2005 2012
• Extended in 2012 and renamed
as NHM (2012 2017)
• The logo shown below is
being used by which of the
following National Health
Program / Scheme in India:
a. National Health Mission
b. National Rural Health
Mission
c. Mission Indradhanush
d. National Vector Borne
diseases Control Program
• Identify the disease with which
the following logo is associated:
a. Hepatitis
b. Breast Cancer
c. HIV / AIDS
d. None
• The symbol given alongside is
used for which of the following:
a. Toxic wastes
b. E-waste
c. Biomedical wastes
d. Non biodegradable wastes
• The symbol given alongside is
used for which of the following:
a. Toxic wastes
b. E-waste
c. Biomedical wastes
d. Non biodegradable wastes
• Which of the vaccines have this
symbol:
a. Measles
b. Hepatitis B
c. OPV
d. Both b and c
Vectors

• Which of the following disease is

transmitted by the following
vector?
a. Malaria
b. Dengue
c. KFD
d. Japanese encephalitis
• Which of the following disease is
transmitted by the following
vector?
a. Malaria
b. Dengue
c. KFD
d. Japanese encephalitis
• Which of the following
diseases is transmitted
by this vector:
a. Malaria
b. Filaria
c. Visceral Leismaniasis
d. Dengue
• Louse
• Dis Transmitted: PERT
• Pediculosis
• Epidemic typhus
• Relapsing fever
• Trench fever
• Soft tick:
• Q fever
• Relapsing fever
• KFD (not in India)
• Hard tick:
• Tick typhus: RMSF
• Viral encephalitis
• VF / VHF
• Tularemia
• Tick paralysis
• Human Babesiosis
• Trombiculid mite
• Dis Transmitted:
• Scrub typhus
• Rickettsial pox
• Rat Flea
• Dis Transmitted: BECH
• Bubonic plague
• Endemic typhus
• Chiggerosis
• Hymenolepsis diminuta
• Reduviid bug
• Dis transmitted:
• Chagas disease
Diagrams
• Histogram: frequency
distribution of quantitative
or continuous data
• Pie Chart: Percentage or
proportion
• Standard Normal Distribution
Curve ( Z distribution curve)
• Line Diagram: Time Trend
• Secular trend
• What does the following
diagram depict:
a. Line diagram
b. Scatter plot
c. Box & whisker plot
d. Stem & leaf plot
• Population Pyramid: for
Developing Country broad
base with a tapering top
• This spindle shaped population
pyramid is typical of:
a. Developing country
b. Developed country
c. Either developed or developing
counrty
d. None
• Multiload (375) Device
• Effective for >=5 yrs
• FR: 0.5 0.8 PHWY
• Female Condom (Femshield)
• Available in India
• Made of Polyurethane
• FR: 5 21 PHWY
• More expensive than male
condom
• Diaphragm / Dutch Cap
• Always prescribed with
spermicidal jelly
• Must remain in place for 6hrs
after intercourse
• FR : 6 12 PHWY
• LNG 20 (Mirena)
• Releases 20 mcg of
levonorgestral daily
• FR: 0.2 PHWY
• Effective for 10 yrs
• Only IUD currently being
provided through NFWP
• Effective for upto 10 yrs
• FR: 0.4 0.8 PHWY
• Has Cu sleeves on horizontal
limb
Study Designs
• Which of the following study
designs is denoted in the
diagram:
a. Case control study
b. Case series study
c. Concurrent cohort study
d. Historical cohort study
• Which of the following study
designs is denoted in the
diagram:
a. Case control study
b. Case series study
c. Concurrent cohort study
d. Historical cohort study
• RCT: Parallel
Equipments
• Which of the following
characteristics of air is measured
by the equipment shown below:
a. Air temperature only
b. Air temperature & humidity
c. Air temperature, humidity & air
movement
d. Air velocity only
• Anemometer
• Measures: Wind Velocity or High
wind velocity
• Globe thermometer: Radiant
Heat
• Sling Psychrometer
• Measures: Humidity
• Dry & Wet Bulb Thermometer
• Measures: Humidity
• Set of 2 Thermometers:
• 1 Bulb Visible
• 1 Bulb covered with wet muslin
cloth (not Visible)
 MALARIA

.
ORS PREPERATION
of
f
NORPLANT 6
i
MIST-
ENT VISUALS
MIST
OPHTHALMOLOGY
VISUALS
ACUTE HEMORRHAGIC CONJUNCTIVITIS

Apollo virus EV 70
Coxasackie virus 24
CIRCUM CORNEAL CONGESTION

Iridocyclitis / cyclitis .
VERNAL
KERATOCONJUNCTIVITIS
HORNER TRANTA SPOTS
Vernal
Keratoconjunctivitis
 Trachoma

HERBERT PITS
 Vernal
keratoconjunctivitis
(Allergic , seasonal,
children)

SHIELD ULCER
PTERYGIUM
PTERYGIUM OBSCURATION OF VISUAL AXIS
STOCKER S LINE
BACTERIAL KERATITIS

Mc in india - pneumococcus
FUNGAL KERATITIS

Causes- aspergillus ,
fusarium
DENDRITIC KERATITIS

Painless ulcer
Viral ulcer -
herpes
usually
AEANTHAMOEBA KERATITIS

Most painful
ulcer Pain out
of proportion
Contact lens wearers
2nd m.c.c
ARLT S TRIANGLE

Anterior uveitis.
ARLT S LINE

Trachoma
 IRIS MODULES
Busacca Koeppe
 Sarcoidosis
CANDLE WAX DROPPINGS
HEAD LIGHT IN FOG APPEARANCE

Vitreitis in ocular
Toxoplasmosis.
 Wilson disease
KF RING
KERATO CONUS
MUNSON SIGN
VORTEX KERATOPATHY

Amiodarone Or
Fabrys disease.
PLACIDO DISC
SPECULAR MICROSCOPY
SUNFLOWER CATARACT

Wilson
disease
 Traumatic cataract
ROSETTE
CATARACT
DIABETES MELLITUS
TYPE 1
MYOTONIC
DYSTROPHY
GALACTOSEMIA
SOMMERING RING CATARACT
SHIELD CATARACT
ELSCHNING S PEARL
CATARACT
MAC KAY TONOMETER
PERKIN TONOMETER
PASCAL TONOMETER
TONOPEN
PACHY METER
ROTH SPOTS

Infective
endocarditis
CHERRY RED SPOT

CRAO
CRVO
 Cotton Wool Spots

HTN R
NPDR
PDR
RETINITIS PIGMENT
EOG
ERG
CSR (OCT)
CME (OCT)
DRVSENS
MACULAR HOLE
AMSLER GRID MACULAR DISEASE
AMSLER GRID OPTIC NERVE
DISEASE
BULL S EYE RETINOPATHY
INTRA VITREAL INJECTION

3 to 4 mm from
limbus
RAPD
III NERVE PALSY
LR PALSY
SO PALSY
IO
OCCLUDER
MADBOX ROD
IRON NAIL
 Myopic + presbyopic

BIFOCALS
HIGH MYOPIA
D SHAPED PUPIL
BLOW OUT FRACTURE
LID INFECTIONS
SALT PEPPER RETINITIS
VOSSIOUS
RING
MIST-
MEDICINE VISUALS
Sinus Bradycardia
Tachycardia
Sick sinus syndrome with bradytachycardia. Note the bursts of
supraventricular tachycardia, probably multifocal in origin,
followed by long periods of sinus arrest and by sinus bradycardia.
II V1

P mitrale
II V1

P pulmonale
Long QT Interval
Short QT Interval
Short QT Interval
LVH
LVH
LVH
 Left Bundle branch block

V1 Right Bundle branch block

WPW Syndrome
Osborn wave
ECG in digoxin toxicity
ECG in digoxin toxicity
3rd Degree Heart Block
3rd Degree Heart Block
Second degree heart block - IIA block
Wenckebach phenomenon (Mobitz I).
The P-R interval gradually lengthens until the 4th P wave in the cycle
is not conducted to the ventricle (arrow). The ensuing P-R interval
is once again normal.
1st Degree Heart Block
Lindsay Nail (Nail and Half Nail)
Lindsay Nail (Nail and Half Nail)
Fibrosing Dermopathy (Nephrogenic systemic fibrosis)
Calciphylaxis
Calciphylaxis
Band Shaped Keratopathy
Broad Casts In Urine
Hemodialysis Machine
Hemodialysis Machine
Peritoneal Dialysis
Autosomal dominant polycystic kidney disease
Medullary Sponge Kidney
Medullary Cystic Disease
Electron micrograph of a biopsy specimen from a child with
Alport syndrome depicting thickening, thinning, splitting, and layering
of the glomerular basement membrane
Oxalate Renal
Stone
Dysmorphic
RBCs
White Cells
White Cells
Muddy brown casts
 Hyaline Casts

Granular Casts
XRAY OF LUNG CANCER
(Trousseau syndrome
Trousseau syndrome
Kaposi's sarcoma. Characteristic violaceous
plaques on the alar and tip of the nose in an
HIV-positive female patient.
Molluscum contagiousum
Asbestosis
A mini-peak flow meter.
Pneumocystis pneumonia: typical chest X-ray appearance.
Note the sparing at the apex and base of both lungs.
Chest X-ray showing a right basal pmeumonia in a previously fit 40-year-old man with fever,
breathlessness, central cyanosis and pleuritic pain. Chest signs included bronchial breathing
and a pleural rub in the right lower zone. The cyanosis was due to the shunting of deoxygenated
blood through the consolidated lung, the increased respiratory rate leading to a low PaCO2
because of increased clearance of carbon dioxide by the unaffected alveoli. Streptococcus
pneumoniae was grown on blood cultures.
Pneumocystis pneumonia: typical chest X-ray appearance.
Note the sparing at the apex and base of both lungs.
Gross emphysema. HRCT showing emphysema most evident in the
right lower lobe. (COPD)
COPD
A simple tension pneumothorax.
There is only slight collapse of the lung and minimal tracheal shift.
Chest X-ray showing a large left pleural effusion in a young man
with a 4-month history of malaise, fever, night sweats and weight loss.
The diagnosis of tuberculosis was confirmed on histology of a pleural
biopsy and culture of the pleural fluid.
Possible systemic involvement in sarcoidosis. (Sarcoidosis)
Asbestos-related benign pleural plaques.
Chest X-ray showing extensive calcified pleural plaques
('candle wax' appearance), particularly marked on the diaphragm
and lateral pleural surfaces
Yellow nail syndrome in bronchiectasis.
A CXR of a person with lung cancer which was causing
superior vena cava syndrome.
Superior vena cava syndrome in a person with bronchogenic carcinoma.
Note the swelling of his face first thing in the morning (left) and its resolution after
being upright all day (right).
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DE3
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32323
MIST-
OBG VISUALS
UTERINE FIBROIDS
PREGNANCY MASK
MONTGOMERY TUBERCLES
MONTGOMERY TUBERCLES
PELVIC INFLAMMATORY DISEASE
HYDROSALPINX
ECTOPIC PREGNANCY
VESICULAR MOLE
VESICULAR MOLE
UTERINE ARTERY
BIPARIETAL DIAMETER ( BPD )
DOYEN’S RETRACTOR
SIM’S SPECULUM
ANTERIOR VAGINAL WALL RETRACTOR
HEGAR DILATOR
KARMAN CANNULA
ARTERY FORCEP
KOCKER’S FORCEP
VENTOUSE CUP
FORCEP
FORCEP DELIVERY
VAGINAL DELIVERY
SUCTION MACHINE
SPINA BIFIDA
ENCEPHALOCOEL
ANENCEPHALY
ANENCEPHALY
FIRST TRIMESTER
FEMALE REPRODUCTIVE SYSTEM
COMPLETE BREECH
CORD PROLAPSE
PELVIC INFLAMMATORY DISEASE
HYDROPS FETALIS
HYDROPS FETALIS
SPINA BIFIDA
MENINGOCOEL , MENINGOMYELOCOEL
UTERINE PROLAPSE
OVARIAN CYSTIC MASS
POLYCYSTIC OVARIES
PLACENTA PRAEVIA
TRANSVERSE LIE
VENTOUSE CUP
HYDROCEPHALUS
FEMUR LENGTH
ABDOMINAL CIRCUMFERENCE
NON-PREGNANT UTERINE ARTERY
MIDDLE CEREBRAL ARTERY
ESOPHAGEAL ATRESIA
DUODENAL ATRESIA
FUNDAL HEIGHT ASSESSMENT
LINEA NIGRA
STRIAE GRAVIDARUM
CANDIDAL VAGINITIS
NORMAL VAGINA
BACTERIAL VAGINOSIS
BACTERIAL VAGINOSIS
USG NORMAL UTERUS
TVS USG NORMAL UTERUS
INCOMPLETE ABORTION
INCOMPLETE ABORTION
ECTOPIC PREGNANCY
GS , YS , EMBRYO
ENDOMETRIAL MASS ( CARCINOMA )
ENDOMETRIOTIC CYSTS ( CHOCOLATE )
ENDOMETRIOSIS
BREECH
INCOMPLETE ABORTION
ECTOPIC PREGNANCY
ECTOPIC PREGNANCY
FETAL ASCITES
FETAL HYDROPS
MIDDLE CEREBRAL ARTERY
SPINA BIFIDA
SPINA BIFIDA
ADENOMYOSIS
ADENOMYOSIS
NORMAL ANATOMY
UTERINE FIBROIDS
UTERINE FIBROID
SUBMUCOUS UTERINE FIBROID
UTERINE PROLAPSE
UTERINE PROLAPSE
CERVICAL MASS WITH FLUID IN
ENDOMETRIAL CAVITY
OVARIAN MASSES
OVARIAN CANCER
POLYCYSTIC OVARIES
PLACENTA PRAEVIA
UMBILICAL ARTERY
UMBILICAL ARTERY
OVARIAN BENIGN CYST
VACUUM & FORCEPS
PREECLAMPSIA FEET
UTERINE FIBROIDS
INTERNAL ROTATION
MIST-
ORTHOPEDICS VISUALS
 • Radiological Hallmarks
of Chronic OM :

- Sequestrum
- Involucrum
- Cloacae

MIST
• Brodie’s Abscess :
Subacute Osteomyelitis
• Pott’s Spine
• OSTEOID
OSTEOMA
• OSTEOSARCOMA
PERIOSTEAL REACTIONS
ENCHONDROMA
GIANT CELLTUMOUR
FIBROUS DYSPLASIA
SIMPLE BONE CYST
 ANEURYSMAL BONE
CYST

]
REMOVE

Ewing’s Sarcoma
MULTIPLE
MYELOMA
AVASCULAR
NECROSIS
STRESS FRACTURE
RICKETS
SCURVY
• POSTERIOR HIP
DISLOCATION
• LIGHT BULB SIGN
(POSTERIOR SHOULDER
DISLOCATION)
• MYOSITIS
OSSIFICANS
• SUPRACONDYLAR
FRACTURE
• ELEVATED ‘FAT
PAD’ SIGN
• MONTEGGIA
FRACTURE
DISLOCATION
• GALEAZZI FRACTURE
DISLOCATION
• COLLE’S
FRACTURE
• SUDECK’S
OSTEODYSTROPHY
• SACRO ILITIS ( AS)
• SWAN NECK
DEFORMITY
• BOUTONNIERE
DEFORMITY
EXTERNAL FIXATOR
ATYPICAL
FRACTURE
• OSTEOGENESIS
IMPERFECTA
OSTEOPETROSIS
• PAGET’S DISEASE
CTEV
DDH
CONGENITAL COXA VARA
SPONDYLOLISTHESIS
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DERMATOLOGY VISUALS
MELANOCYTE
Birbeck granules
Fordyces spots
OPEN COMEDONE
GRADE FOUR ACNE
Acne conglobata
Pemphigus
Bullous Pemphigoid
Linear IgA Disease
Dermatitis Herpetiformis
Pemphigoid Gestationalis
Naevus Of Ota
Vitiligo
Peutz - Jeghers syndrome
Black dot
Tenia pedis
Impetigo
Pityriasis versicolor
Erythrasma
Leonine facies
HERPES GENITALIS

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Anogenital Warts
Molluscum contagiosum

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HENDERSON-PATERSON BODIES
CONDYLOMA LATA
HUTCHINSON’S TEETH
PLAQUE PSORIASIS
SCALP PSORIASIS
PSORIATIC ARTHRITIS
ERYTHRODERMIC PSORIASIS
KOEBNER’S PHENOMENON
PTERYGIUM
Lacy pattern
HERALD PATCH
Q3.A four year old child presented with a painful eruption affecting the
flexures. Patient was hospitalised and on examination, there was
erythema with peeling and blistering of the skin around the lips, eyelid,
groin and natal cleft. A few small flaccid blisters were present at the
margins of affected areas. The skin of the trunk showed faint erythema.
Histological features were not conclusive. Immunofluorescence studies
were awaited. What protein family is most likely to be affected by this
disease?

B. Desmogleins
C. BPAg1
D. BPAg2
•
 Q5. Large unilateral
hypopigmented lesion on
right trunk and arm in young
female. Which of the
following best explain the
etiology for it?

A. Autoimmune hypothesis
B. Neurogenic hypothesis
C. Genetic factors
D. Self destruct theory of Lerner

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HALO NEVUS/SUTTON’S NEVUS
• Nevus Spilus
(Spekled lentigenous nevus)
Presents as a circumscribed , usually more darkly
pigmented “spot”.
BECKER’S NEVUS
MELASMA
 INCONTINENTIA PIGMENTI
➢ X-linked dominent.
➢ Developmental defects of eye, teeth, CNS with
cutaneous lesions.
➢ Four clinical stages
i. Inflammatory macules, papules, vesicles & pustules.
ii. Hyperkeratotic & verrucous lesions.
iii. Grey-brown pigmentation.
iv. Atrophic,hypopigmented & depimented.
MONGOLIAN SPOT
Q6. Patchy hair loss with velvety skin over scalp as shown in the
image. Diagnosis?
A. Alopecia areata
B. Trichotillomania
C. Hyperthyroidism
D. Pilli torti
 Trichotillomania
• A neurotic practice of plucking or breaking hair from the
scalp or eyelashes.
• Usually localized.
• Areas of alopecia characteristically contain hairs of
various lengths
• Seen mostly in girls under 10, may also be seen in boys
and adults.
• Confermation of diagnosis can be done by---
Shave 3 X 3 cm area and watch the hair regrow
normally. Hairs in this ‘skin window” will be too short for
plucking.
• May be a manifestation
of obsessive-
compulsive disorder

• May be assoc with

depression or anxiety

• TX – psychotherapy,
behavioral therapy or
medication like
fluoxetine
Q.7. Fifteen year old girl presented with history of hair loss since last
2weeks as shown in IMAGE1. Patient is otherwise well. On closer
examination of the site revelled multiple broken hair follicles as shown in
the IMAGE2. Diagnosis?
A. Trichotillomania showing characteristic hair of various lengths
B. Pseudopelade of Brocq showing footprints in the snow pattern
C.Alopecia areata showing exclaimation mark hair
D.Ludwig type of androgenic alopecia showing miniature hair
 ALOPECIA AREATA

• The presence of smooth,

normal-coloured single or
multiple patches.
• The presence of exclamation
point hairs (ie, hairs tapered
near proximal end) is
pathognomonic but is not
always found.
ALOPECIA AREATA
OPHIASIS/SISAIPHO
ALOPECIA TOTALIS
PSEUDOPELADE
Footprints in the snow
TRACTIONAL ALOPECIA
 Q11.Treatment of choice for the
condition shown in the image
is?
A.Ciprofloxacin
B.Ceftriaxone
C.Streptomycin
D.Erythromycin

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OPHTHALMIA
NEONATORUM
CINICAL FEATURE OF LICHEN PLANUS
HYPERTROPIC LICHEN PLANUS
ANNULAR LESION
LINEAR LICHEN PLANUS
• Lichen planopilaris. Hyperpigmented
follicular ‘plugged’ lesions in frontal scalp
hairline.
 Lichen planus on buccal mucosa Lichen planus of tongue showing
showing a lacework of white irregular fixed whiteplaques.
streaks.

Severe erosive lichen

planus of buccal mucosa.
Lichen planus of thumbnail showing Severe destructive lichen planus of toenai
thinning of nailplate and longitudinal
lines.
 Vulvovaginal–gingival syndrome.
Showing – vulvovaginal & gingival involvement in the same patient.
Severe lichen planus of fingernails showing involvement
of nail fold areas and early pterygium formation.
Lichen planus of palm showing hyperkeratosis and a yellow colour.
 SPECIAL VARIANTS
LICHEN PLANUS
PEMPHIGOIDES Actinic lichen planus
 COMPLICATION OF LICHEN PLANUS
cicatricial alopecia

Squamous carcinoma on lower lip

developing at site of lichen planus.

.
Q13. A destitute admitted to casualty
with redness and superficial scaling
on areas exposed to sunlight (face ,
neck , dorsum of hand). The changes
resemble sunburn and subside
leaving a dusky, brown-red
coloration. Patient also suffering from
symptoms like abdominal pain,
diarrhoea and slightly depression /
apathy. Diagnosis?
A. Photodermatitis.
B. Pellagra.
C. Dermatitis herpatiformis.
D. Atopic dermatitis.
 Q.15. Which of the following wavelengths correspond to UVA II spectrum?

A.200-290nm
B.290-320nm
C.320-340nm
D.340-400nm

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Q.17.Teenager while at school developed fever and malaise. With in a day or
two developed morbilliform erythema followed by development of papules
which very rapidly became tense, clear, unilocular vesicles, as shown in the IMAGE 1. Also developed inv
of mucosa as shown in IMAGE2.
Diagnosis?
A. Disseminated Herpes simplex infection
B. Chicken pox
C. Ecema Herpeticum
D. Infectious mononucleosis
 Eczema herpeticum
• Eczema herpeticum is
a disseminated viral infection
characterised by fever and
clusters of itchy blisters or
punched-out erosions. It is
most often seen as a
complication
of atopic dermatitis / eczema.
 Q.19. Patient presented with around 10-20 b/l but
asymmetrical erythematous infiltrated plaques as shown in
the IMAGE. Lesion are of varied size and bizarre shapes with
irregular borders and have geographic appearance. Diagnosis?
A. TT
B. BT
C. BB
D. LL
 INDETERMINATE LEPROSY

• One or more slightly hypopigmented or erythematous

macules, with poorly defined margins.
• Hair growth and nerve functions are usually unimpaired.
BORDERLINE TUBERCULOID LEPROSY (BT)

✓ Commonest.
✓ 3-10 well defined infiltrated plaques.
✓ The margins may be well defined & raised in a part of
lesion and flat.
✓ They have a tendency to break in borders and
development of satellite lesions.
✓ Pain and temp sensations are lost /markedly impaired.
✓ Nerves in the vicinity of lesions are frequently
enlarged.
 MIDBORDERLINE LEPROSY (BB)

✓ Characterized by 10-20 b/l but asymmetrical

erythematous infiltrated plaques with a punched out
or annular appearance.

✓ Lesion are of varied size and bizarre shapes with

irregular borders and may have geographic appearance.

✓ Larger hypoesthetic lesion & nerve may show

asymmetrical thickening.
BORDERLINE LEPROMATOUS LEPROSY (BL)

✓ Lesions tend to be more widespread than BB but not as

symmetrical as in LL.

✓ Lesions are macular, annular plaques or even nodules.

✓ They are shiny, copper colored and more infiltrated in

the centre than at the periphery.

✓ Nerve involvement is bilateral.

 LEPROMATOUS LEPROSY (LL)

✓ It is a multisystem disease that develops in individuals who are unable to

mount CMI against M. leprae.

✓ The first clinical manifestations comprise macules, diffuse papules,

infiltration or nodules, or all four.

✓ Macules are small, multiple, erythematous or faintly hypopigmented, with

vague edges and shiny surface.

✓ Papules and nodules usually have normal skin colour but sometimes are
erythematous with a bilaterally symmetrical distribution.

✓ A slow fibrosis of peripheral nerves results in nerve thickening and

bilateral ‘glove and stocking’ anesthesia.
HISTOID LEPROSY
RADIAL NERVE - WRIST DROP
LATERAL POPLITEAL NERVE – FOOT DROP
POSTERIOR TIBIAL NERVE – CLAW TOES
FACIAL NERVE –LAGOPHTHALMOS & FACIAL PALSY
Q20. A 67-year-old man presented during the summer with a 2-day history of a
painful itchy rash affecting his face and neck. For the preceding fortnight, he
had been helping to clear his neighbour’s garden. He had recently been
found to have mild hypertension, which was being treated with
bendroflumethiazide. He was otherwise well. On examination, he had a
confluent rash localised to his face and neck with associated periorbital
oedema (see image). The remainder of the examination was normal. A
presumptive diagnosis of allergic contact dermatitis was made and patch
testing was scheduled after the rash had settled. What is the most likely
candidate allergen?
A Colophony
B Fragrance
C Parabens
D Sesquiterpene lactone
mix
E Thiuram
MIST-
RADIOLOGY VISUALS
 Mammography

Fat Scattered Heterogeneous Dense

fibroglandular
 What is a Miliary
Pattern?
 Diffuse
 Well defined
 Randomly distributed
 Round or oval lesions
 1-5 mm diameter
Rajat Jain 2019
Rajat Jain 2019
 There is smooth, tapered
narrowing of the distal
esophagus, producing a beak-
like appearance at the
gastroesophageal junction.
This beak-like deformity
REMOVE occurs in the region of the
lower esophageal sphincter,
which relaxes intermittently,
allowing small spurts of
barium to enter the stomach.
These findings are
characteristic of primary
achalasia.
 Ca esophagus
ajat Jain 2019
Swirl sign
Rajat Jain 2019
hematoma
Rajat Jain 2019
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