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Internal cases
QUIZ: A 24-year-old woman with nausea and vomiting PDF Print E-mail
Author: eleonora
User Rating: / 4
PoorBest 
Thursday, 19 May 2011 17:50

Lori is a 24-year-old school teacher. She has been referred to your clinic with a 7-week history of persistent nausea and vomiting. She initially thought it might be acid related, so she cut out acidic fruits and drinks with no improvement. She has had a trial of Gaviscon and ranitidine twice daily for 3 weeks with no improvement. She is taking a regular antiemetic, cyclizine three tablets daily, to help to control some of her symptoms.

What questions should you ask her?

What is your differential diagnosis?

What investigations would you do?

 
QUIZ: Eligible for surgery? PDF Print E-mail
User Rating: / 2
PoorBest 
Wednesday, 18 May 2011 17:46

Case description: 27-years old female came to gastroenterologist's office because of a pain in right hypochondrium. She notifies, that since about 1,5 month she feels a middle-intensity pain in this localization, and she feels an unpleasant taste in her mouth. The patient came to well-equipped clinic, in which there is an USG. Physician, during that examination, found out cholecystoliths.

QUIZ questions:

Does patient qualify to a cholecystectomy?

About what additional symptoms should we ask?

Are there any other tests necessary?

 

 

 
QUIZ: Dysuria, abdominal pain and fever *solved* PDF Print E-mail
User Rating: / 7
PoorBest 
Wednesday, 06 January 2010 16:00

Case description: 52-years old man, with diabetes type II diagnosed 7 years ago complains about:

  • dysuria
  • abdominal pain, which can't be described
  • shivers, fever and malaise

Physical examination: Body temperature - 37,5 Celsius' degrees, slight tachycardia, orthostatic hypotonia. No pain on deep palpation of the abdomen. Lungs and heart regular upon auscultation.

QUIZ questions: What diagnosis would you make? Which laboratory tests would you order?

 
QUIZ: Dyspnoea *solved* PDF Print E-mail
Author: aSia
User Rating: / 3
PoorBest 
Sunday, 13 December 2009 13:45

Case description: 62-years old female enters the A&E. The reason of her visit is dyspnoea, which occurred this morning, when the patient went outdoor to open the poultry-house (this wasn't a big effort, but a patients everyday activity, which she used perform without any problems). The patient describes her complaint as shortness of breath, and clogged feeling. She has been feeling weak for a long time now, her legs hurt, but 2 weeks ago, the weakness slightly increased and the shortness of breath began to occur.
History: breast cancer, mastectomy 3 years ago. Patient is under constant care of an oncologist.

Abnormalities in physical examination:
Tachycardia (120/min)
crural varices

QUIZ questions:
What procedures do you order? What is the diagnosis and the treatment?


 
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