فيرون
21-05-2005, 07:27 PM
The File Attached contains all cases and Questions
Please all, Review and Reupload again because it contains many spelling errors
-----------------------
Sample;
Case.1<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
A female patient 33 years old presented to the hospital with a 6 months history of<o:p></o:p>
diarrhea associated with abdominal distension, colics and borborygmi. She also ;<o:p></o:p>
reported losing <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:metricconverter w:st="on" ProductID="9 Kg">9 Kg</st1:metricconverter> of her body weight during these 6 months. She alsosuffered from easy fatigue, lassitude lack of concentration, together with pallor. ;<o:p></o:p>
1.What is the problem of this patient that you should investigate ??<o:p></o:p>
2.What are the possible causes of anemia in this patient ??<o:p></o:p>
On examination:<o:p></o:p>
BP: 150/70.<o:p></o:p>
Pulse: 120/min.<o:p></o:p>
L.Ls: Oedema of both LLs.<o:p></o:p>
Skin: Echymotic patches.<o:p></o:p>
Cardiac: Accentuated-heart sounds, S3 gallop & soft systolic murmurs over the aortic & the pulmonary areas.<o:p></o:p>
<o:p> </o:p>
Neurological: Bilateral LL weakness with + ve Babinski, stock and glove hyposthesia & a stamping gait.<o:p></o:p>
<o:p> </o:p>
Abdominal: Hepatosplenomegaly.<o:p></o:p>
<o:p> </o:p>
What is your probable diagnosis ??<o:p></o:p>
Comment oh the physical findings.<o:p></o:p>
Describe the WBCs of this patient.<o:p></o:p>
How would you treat the skin echymotic patches ??<o:p></o:p>
How would you treat the neurological manifestations in this patient ??<o:p></o:p>
<o:p> </o:p>
- What is the importance of corticosteroids in Blood diseases ??<o:p></o:p>
<o:p> </o:p>
<o:p> </o:p>
Case.2<o:p></o:p>
A 10 years old boy presented to the hospital with easy fatigue, exertional dyspnea & cxertional palpitation, lack of concentration, dizziness & blurring of vision. He said that he had been suffering from these symptoms for more than 3 years & that he used to receive symptomatic treatment, but his symptoms alwavs recurred.<o:p></o:p>
1. What could possibly be the cause of the patient's complaints ??<o:p></o:p>
2. Mention one investigation to direct you ??<o:p></o:p>
<o:p> </o:p>
On examination: <o:p></o:p>
<o:p> </o:p>
- BP: 140/60. <o:p></o:p>
- Pulse: 130/min. <o:p></o:p>
- Temp.: 37 <o:p></o:p>
- RR: 22/min.<o:p></o:p>
- Pallor. <o:p></o:p>
- Tinge of jaundice.<o:p></o:p>
- LLs: multiple leg ulcers.<o:p></o:p>
- Cardiac: soft systolic murmur over the aortic area, accentuated S1 & S2.<o:p></o:p>
- Abdomen: Liver is felt 6 fingers below the costal margin in the MCL. Spleen is felt 11 fingers below the costal margin.<o:p></o:p>
- Urine: normal in color.<o:p></o:p>
- Stools: dark in color.<o:p></o:p>
- Chest: free,<o:p></o:p>
- Neurological: free.<o:p></o:p>
<o:p> </o:p>
What is your most probable diagnosis ??<o:p></o:p>
What caused the skin lesions ??<o:p></o:p>
What caused the dark stools ??<o:p></o:p>
Mention 2 other important causes of dark colored stools.<o:p></o:p>
What could possibly cause jaundice in this patient ??<o:p></o:p>
How would you confirm your diagnosis by 2 investigations ??<o:p></o:p>
How could you prevent such a disease ??<o:p></o:p>
How can imaging help you in your diagnosis ??<o:p></o:p>
What do you expect to find the MCV & the MCHC ??<o:p></o:p>
1 0.Enumerate other causes of this finding.<o:p></o:p>
How would you differentiate between these causes ??<o:p></o:p>
<o:p> </o:p>
During the patient's stay in hospital for management, his jaundiced deepened, he became more pale, he developed acute abdominal pain & generalized bone pains together with fever & rigors.<o:p></o:p>
On examination:<o:p></o:p>
- BP: 140/60.<o:p></o:p>
- Pulse: 130/min<o:p></o:p>
- Temp.: <st1:metricconverter w:st="on" ProductID="38.5 °C">38.5 °C</st1:metricconverter>.<o:p></o:p>
- RR: 27 / min.<o:p></o:p>
- Marked pallor.<o:p></o:p>
- Deep Jaundice.<o:p></o:p>
- Urine: dark in color.<o:p></o:p>
- Stools: dark in color.<o:p></o:p>
<o:p> </o:p>
<o:p> </o:p>
1. What is the new acute event ??<o:p></o:p>
2. Mention other acute events that can occur in this setting.<o:p></o:p>
3. What is the common precipitating factor for such an event ?? Why ??<o:p></o:p>
4. Mention other medical causes of acute abdomen.<o:p></o:p>
5. What caused the bone pains ??<o:p></o:p>
6. What caused the fever ??<o:p></o:p>
7. What are the causes of fever with rigors ??<o:p></o:p>
8. I low can you explain the dark urine in this patient ??<o:p></o:p>
9. Mention another emergency with dark urine.<o:p></o:p>
<o:p> </o:p>
The patient was well managed & stayed in hospital for 2 more weeks during |<o:p></o:p>
which he was controlled & discharged for follow up. He came back 2 years later :<o:p></o:p>
with polyuria & polyphagia.<o:p></o:p>
Investigations revealed:<o:p></o:p>
FBS:184mg/dL.<o:p></o:p>
<o:p> </o:p>
What is your possible diagnosis ??<o:p></o:p>
What investigation do you want to ask for ??<o:p></o:p>
Please all, Review and Reupload again because it contains many spelling errors
-----------------------
Sample;
Case.1<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
A female patient 33 years old presented to the hospital with a 6 months history of<o:p></o:p>
diarrhea associated with abdominal distension, colics and borborygmi. She also ;<o:p></o:p>
reported losing <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:metricconverter w:st="on" ProductID="9 Kg">9 Kg</st1:metricconverter> of her body weight during these 6 months. She alsosuffered from easy fatigue, lassitude lack of concentration, together with pallor. ;<o:p></o:p>
1.What is the problem of this patient that you should investigate ??<o:p></o:p>
2.What are the possible causes of anemia in this patient ??<o:p></o:p>
On examination:<o:p></o:p>
BP: 150/70.<o:p></o:p>
Pulse: 120/min.<o:p></o:p>
L.Ls: Oedema of both LLs.<o:p></o:p>
Skin: Echymotic patches.<o:p></o:p>
Cardiac: Accentuated-heart sounds, S3 gallop & soft systolic murmurs over the aortic & the pulmonary areas.<o:p></o:p>
<o:p> </o:p>
Neurological: Bilateral LL weakness with + ve Babinski, stock and glove hyposthesia & a stamping gait.<o:p></o:p>
<o:p> </o:p>
Abdominal: Hepatosplenomegaly.<o:p></o:p>
<o:p> </o:p>
What is your probable diagnosis ??<o:p></o:p>
Comment oh the physical findings.<o:p></o:p>
Describe the WBCs of this patient.<o:p></o:p>
How would you treat the skin echymotic patches ??<o:p></o:p>
How would you treat the neurological manifestations in this patient ??<o:p></o:p>
<o:p> </o:p>
- What is the importance of corticosteroids in Blood diseases ??<o:p></o:p>
<o:p> </o:p>
<o:p> </o:p>
Case.2<o:p></o:p>
A 10 years old boy presented to the hospital with easy fatigue, exertional dyspnea & cxertional palpitation, lack of concentration, dizziness & blurring of vision. He said that he had been suffering from these symptoms for more than 3 years & that he used to receive symptomatic treatment, but his symptoms alwavs recurred.<o:p></o:p>
1. What could possibly be the cause of the patient's complaints ??<o:p></o:p>
2. Mention one investigation to direct you ??<o:p></o:p>
<o:p> </o:p>
On examination: <o:p></o:p>
<o:p> </o:p>
- BP: 140/60. <o:p></o:p>
- Pulse: 130/min. <o:p></o:p>
- Temp.: 37 <o:p></o:p>
- RR: 22/min.<o:p></o:p>
- Pallor. <o:p></o:p>
- Tinge of jaundice.<o:p></o:p>
- LLs: multiple leg ulcers.<o:p></o:p>
- Cardiac: soft systolic murmur over the aortic area, accentuated S1 & S2.<o:p></o:p>
- Abdomen: Liver is felt 6 fingers below the costal margin in the MCL. Spleen is felt 11 fingers below the costal margin.<o:p></o:p>
- Urine: normal in color.<o:p></o:p>
- Stools: dark in color.<o:p></o:p>
- Chest: free,<o:p></o:p>
- Neurological: free.<o:p></o:p>
<o:p> </o:p>
What is your most probable diagnosis ??<o:p></o:p>
What caused the skin lesions ??<o:p></o:p>
What caused the dark stools ??<o:p></o:p>
Mention 2 other important causes of dark colored stools.<o:p></o:p>
What could possibly cause jaundice in this patient ??<o:p></o:p>
How would you confirm your diagnosis by 2 investigations ??<o:p></o:p>
How could you prevent such a disease ??<o:p></o:p>
How can imaging help you in your diagnosis ??<o:p></o:p>
What do you expect to find the MCV & the MCHC ??<o:p></o:p>
1 0.Enumerate other causes of this finding.<o:p></o:p>
How would you differentiate between these causes ??<o:p></o:p>
<o:p> </o:p>
During the patient's stay in hospital for management, his jaundiced deepened, he became more pale, he developed acute abdominal pain & generalized bone pains together with fever & rigors.<o:p></o:p>
On examination:<o:p></o:p>
- BP: 140/60.<o:p></o:p>
- Pulse: 130/min<o:p></o:p>
- Temp.: <st1:metricconverter w:st="on" ProductID="38.5 °C">38.5 °C</st1:metricconverter>.<o:p></o:p>
- RR: 27 / min.<o:p></o:p>
- Marked pallor.<o:p></o:p>
- Deep Jaundice.<o:p></o:p>
- Urine: dark in color.<o:p></o:p>
- Stools: dark in color.<o:p></o:p>
<o:p> </o:p>
<o:p> </o:p>
1. What is the new acute event ??<o:p></o:p>
2. Mention other acute events that can occur in this setting.<o:p></o:p>
3. What is the common precipitating factor for such an event ?? Why ??<o:p></o:p>
4. Mention other medical causes of acute abdomen.<o:p></o:p>
5. What caused the bone pains ??<o:p></o:p>
6. What caused the fever ??<o:p></o:p>
7. What are the causes of fever with rigors ??<o:p></o:p>
8. I low can you explain the dark urine in this patient ??<o:p></o:p>
9. Mention another emergency with dark urine.<o:p></o:p>
<o:p> </o:p>
The patient was well managed & stayed in hospital for 2 more weeks during |<o:p></o:p>
which he was controlled & discharged for follow up. He came back 2 years later :<o:p></o:p>
with polyuria & polyphagia.<o:p></o:p>
Investigations revealed:<o:p></o:p>
FBS:184mg/dL.<o:p></o:p>
<o:p> </o:p>
What is your possible diagnosis ??<o:p></o:p>
What investigation do you want to ask for ??<o:p></o:p>