November, 2011 | Master Of Medicine

Monthly Archives: November 2011

Types of schizophrenia and their prognosis

A schizophrenic patient at the Glore Psychiatr...

Image via Wikipedia

Simple schizophrenia

  1. Occurs in early life-2nd decade
  2. Onset insidious and course progressive
  3. Poor prognosis

Hebephronic schizophrenia

  1. Occurs early -2nd decade
  2. Onset insidious and course progressive
  3. WORST PROGNOSIS

Catatonic schizophrenia

  1. Occurs in late 2nd or 3rd decade
  2. Onset ACUTE and course EPISODIC
  3. Best prognosis

Paranoid schizophrenia

  1. Occurs in 3rd to 4th decade
  2. Onset insidious and course progressive
  3. Complete recovery does not occur usually

Frequently asked Xray views.

Supra orbital fissure – Caldwell view

Recurrent shoulder dislocation -Strikers view

Sella tursica -Lateral view

Scaphoid -Oblique view

Patella- skyline view

Pneumothorax -PA view in full expiration

Findings in congenital,primary, secondary and tertiary syphilis

Congenital syphilis

  1. First sign – Rhinitis/Snuffles
  2. Primary bullous lesions

Primary syphilis

Syphilis lesions on back

Image via Wikipedia

  1. Painless punched out non bleeding indurated ulcer
  2. Painless rubbery lymphadenopathy

Secondary syphilis

  1. Bilaterally symmetrical asymptomatic skin rash on palms and soles-MC finding
  2. Moth eaten alopecia
  3. Condyloma lata
  4. Arthritis and proteinuria

Tertiary syphilis

  1. Syphilitic Gumma
  2. Neuro syphilis – General paresis, tabes dorsalis

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