A 7 years old boy presented to the out patient clinic …...palpitation, dyspnea, night sweats,...
Transcript of A 7 years old boy presented to the out patient clinic …...palpitation, dyspnea, night sweats,...
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A 7 years old boy presented to the out patient
clinic carried by his father due to fever with
polyarthritis.
On examination, the arthritis was
asymmetrical, migratory, affecting large
joints.
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Heart examination revealed distant
heart sounds. The parents gave
history of sore throat to the child 2
weeks ago.
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What is the diagnosis?
What is the cause of distant heart
sounds and how to treat the case with
this presentation?
Enumerate prophylactic measures of
this disease?
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A 3 years old boy presented to the
causality room by marked pallor,
lassitude, cold extremities, palpitation
and exertional dyspnoea.
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His mother gave history of a febrile
illness to the child 2 days before, for
which she gave him Novalgen
(metamizole sodium) and sulfa
containing medications. The mother
gave the history for similar condition
in her family.
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What is the diagnosis ?
What is the treatment and precautions?
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A 52 years old lady presented to her
dentist complaining from bleeding
gum, sometimes when brushing her
teeth and in occasions spontaneously.
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There was bilateral Lower Limb
oedema .There was hand tremors and
the patient was confused during her
visit. The dentist noticed yellowish
discoloration of her sclera.
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What is the possible diagnosis?
Enumerate the investigations should
you request for this patient?
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A 12 years old girl presented to the
casualty room by marked abdominal pain,
repeated vomiting, hyperventilation.
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On examination, the patient was
dehydrated with sunken eye balls and
confused. Her mother mentioned that
she has polyurea, and polydypsia.
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a- What the possible diagnosis?
b- What is the cause of abdominal pain
and hyperventilation?
c- How to treat the case?
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A 14 years old girl presented to her family doctor by remittent fever associated with palpitation, dyspnea, night sweats, malaise, pale toxic look.
On examination, there was tender splenomegaly, fingers and toes clubbing.
The patient gave history of taking long acting Penecillin on which she was non compliant.
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1) What is the possible diagnosis?
2) What is investigations you could request?
3) What is the curative treatment of the case?
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A 6 years old boy presented to the casuality room by silent chest, Cyanosis, tachycardia. His mother gave history of chronic wheezy chest, shortness of breath , cough; for these triad he is on medication one of which is inhaler.
1) What is the possible diagnosis?
2) What is the medication that the patient should be compliant on?
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Asthma vedio
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A 55 years old lady presented to her doctor by weight loss, palpitation, tremors, nervousness, diarrhoea.
On examination her doctor noticed neck swelling and staring look.
1) What is the possible diagnosis?
2) What is the proposed figures of her investigations?
3) What is the possible treatment?
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Thank you
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