CLINICAL CASES. CHARTS PART .2

CASE.NO.1

2 yrs. Old child presented with splenomegaly and mild yellowish discoloration of sclera since 5 days.

The following investigations were done.

URINE:

Bilirubin : PresentUrobilinogen : Present

STOOL:

Stercobilinogen : Present

LIVER FUNCTION TESTS 

Total bilirubin : 4 mg/dlDirect : 0.2 mg/dlIndirect : 3.8 mg/dlAST : 28 IU/LALT : 34 IU/LALKP : 90 IU/LTotal protein : 7.0 g/dlAlbumin : 4.5 g/dlA:G : 2:1

Answer the following questions: 1. What is the type of jaundice?2. What other investigations you would like to do in this case?

CASE.NO.2A 30 yr. Old male presented with a history of fever, malaise, anorexia and yellowish discoloration of sclera since 5 days. The following investigations were done.

URINE:  Bilirubin : Present Urobilinogen : Present Bile salts : Present STOOL:  Stercobilinogen : Present

LIVER FUNCTION TESTS

Total bilirubin : 8 mg/dlDirect : 6 mg/dl Indirect : 2 mg/dlAST : 800 IU/LALT : 900 IU/LALKP : 130 IU/LTotal protein : 7.0 g/dlAlbumin : 4.5 g/dlA:G : 2:1

Answer the following questions: 1. What is the type of jaundice?2. What other investigations you would like to do?

CASE.NO.3. A 60 yr. old male presented with a history of

fever, severe abdominal pain, and intense itching since 10 days.

The following investigations were done.  URINE:  Bilirubin : Present Urobilinogen : Absent Bile salts : Present  STOOL:

Stercobilinogen: Absent

LIVER FUNCTION TESTS  Total bilirubin : 20mg/dl Direct : 18 mg/dl Indirect: 2mg/dl AST: 40 IU/L ALT : 46 IU/L ALKP: 400 IU/L Total protein : 7.0 g/dl Albumin : 4.5 g/dl A:G : 2:1 

Answer the following questions: 1. What is the type of jaundice?2. What are the possible causes?

 

CASE.NO.4.A 20 yr. old male presented with a history of bleeding gums.

Investigations: HB : 8gm% Total leukocytes count : 92,000cells/ cumm Platelet count : 40,000/ cumm

Peripheral smear:

Answer the following question:

Identify abnormalities?What is your diagnosis?

CASE.NO.5A 3 yr. old child presented with generalized lymphadenopathy and bleeding symptoms.

Investigations: HB : 6 gm% Total leukocytes count : 1.2 lakhs/ cumm Platelet count : 40,000 cells/ cumm

Peripheral smear:

Answer the following questions:

Identify abnormalities?What is your diagnosis?

CASE.NO.6.

A 40 year female presents with anorexia, weakness & weight loss,

O/E-huge hepatosplenomegaly noticed

Investigations: HB : 9 gm% Total leukocytes count : 2,00,000 cells /cumm Platelet count : 2.2 lakhs / cumm

Peripheral smear:

Answer the following questions: Identify abnormalities? What is your diagnosis?Which chromosomal defect is identified?

What are the other investigations you would like to do?

CASE.NO.7. A female patient aged 60 yrs. presented

with generalized lymphadenopathy.

Investigations: HB : 9gm% Total leukocytes count : 80,000cells/

cumm Platelet count : 1.2 lakhs/ cumm

Peripheral smear:

Answer the following questions:

Identify abnormalities?What is your diagnosis?What are the causes of Lymphocytosis

CASE.NO.08. FILARIASIS

CASE.NO.09. BONE MARROW ASPIRATION MEGALOBLASTIC ANAEMIA.

CASE.NO.10.A 30 year old female patient presented

with a mobile lump in the right breast of 6 months duration. Fine needle aspiration from the breast lump was performed.

 Cytological smear:

Answer the following question:

Identify abnormalities?What is your diagnosis?

CASE.NO.11.

A 48 year old female presented with an ulcerated, large, immobile lump measuring 6x5 cm in the right upper lateral quadrant of the breast.

FNAC done from the lump. 

Answer the following questions:

Identify abnormalities?What is your diagnosis?

CASE.NO.12.A female aged 40 years presented with a

history of post-coital bleeding.

Pap smear

Answer the following questions:

Identify abnormalities? What is your diagnosis?What are the other uses of pap stain?

CASE.NO.13.A male aged 50 yrs. presented with

progressive anemia and pathological fracture of vertebra.

Investigations:HB : 8.2gm%Total leukocytes count : 10,000cells/

cummESR : 110 mm/ hr.

 

Answer the following questions:  Identify abnormalities?What is your diagnosis?What are the urinary and radiological

findings you would expect?How do you confirm the diagnosis?