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Log In. Sign Up. Become a Gold Supporter and see no ads. Log in Sign up. Articles Cases Courses Quiz. About Blog Go ad-free. On this page:. Subacute granulomatous de Quervain thyroiditis: grayscale and color Doppler sonographic characteristics. J Ultrasound Med. Pubmed citation 2. Ultrasonographic characteristics of subacute granulomatous thyroiditis.
Korean J Radiol. Free text at pubmed - Pubmed citation 3. Gray-scale and color Doppler sonographic findings in a case of subacute granulomatous thyroiditis mimicking thyroid carcinoma. J Clin Ultrasound. Eponym: de Quervain thyroiditis. Edit article Share article View revision history Report problem with Article. URL of Article. Article information.
Whats the most likely cause? An 18yo man is rushed into the ER by his friends who left him immediately before they could be. A 30yo man and wife present to the reproductive endocrine clinic because of infertility. The man. Examination of the testes reveals bilateral small, firm testes. The points in favour are: i Infertility ii Tall stature iii Bilateral gynaecomastia iv Bilateral small firm testes.
An 18yo female just received her A-Level results and she didnt get into the university of her. King's College Hospital criteria for liver transplantation in paracetamol-induced acute liver failure. Alcohol consumption [Alcoholism can cause urinary retention but it is a less common cause of retention]. Why there is cotton wool spots on fundoscopy? What is the most common ocular manifestation of SLE?
SLE, can involve the retina. The classic lesion of SLE is a white fluffy appearing lesion within the retina known as a cotton wool spot. The most common ocular manifestation in SLE is Keratoconjunctivits sicca. Lofgren syndrome. The triad is i Erythema nodosum ii Bilateral hilar lymphadenopathy iii Arthralgia. What is the single most discriminating inv? What is the diagnosis? What are the points given here in favour of your diagnosis?
Abdominal US. The diagnosis is Abdominal aortic aneurism. Points in favour of AAA are i hypertension ii abdominal pain iii back pain iv expansile abdominal mass lateral and superior to the umbilicus. Points in favour- i severe right hypochondrial pain.
A 67yo man has deteriorating vision in his left eye. He has longstanding COPD and is on multiple. A 35yo male is bitterly annoyed with people around him. He thinks that people are putting ideas. A 10yo girl presents with hoarseness of the voice. She is a known case of bronchial asthma and. A lady with breast cancer has undergone axillary LN clearance. She develops arm swelling after.
Reason is compromised lymphatic drainage of arm due to axillary LN clearance. So if there is any inflammation or selling, lymph drainage is compromised further giving rise to swelling of limb of that operated side. Half of this calculated volume is given in the first 8 hours and the other half is given over the following 16 hours. Key is A. But if sertraline is not in option second choice is citalopram and where SSRIs are not suitable next choice is mirtazapine].
To cover both Flucloxacillin for staphylococcus and Penicillin to cover streptococci should be prescribed. A 24yo college student presents with nausea, vomiting, headache, neck stiffness and a fever of. Probable dx is meningitis. Important risk factors: dermatitis, IV injections, renal failure, organ transplantation, DM, post operative wond. Risk factors for abnormal valves: aortic or mitral valve disease, tricuspid valve in IV drug users, prosthetic valves.
A 45yo man with posterior gastric ulcer presented with severe excruciating pain which subsided. A 23yo lady was prescribed with azithromycin 1gm for her chlamydial pelvic infection. She has. Which of the following contraception method will be affected by azithromycin? None of them! Before it was thought that hepatic enzyme inhibitor drugs may affect COCP but later it was established that actually there is no such significant effect.
Only drugs like refumpicin, rifabutin etc. Clinical psychologist. So he should be referred to clinical psychologist]. A 35yo man who has served in the army presents with lack of interest in enjoyable activities and. A man has reducible bulge below the pubic tubercle, and on occlusion of the deep inguinal ring,. Points in favour: Aspiration pneumonia due to retained food and fluid in oesophagus. In achalasia usually there is no acid reflux.
Dysphagia for both food and drink. Air-fluid level behind heart. Why it is not hiatus hernia? Differentiating point:-i In hiatus hernia usually you will get associated GORD ii Also in hiatus hernia there may be nausea or vomiting. Absorption of fluid used for bladder irrigation to flush out blood clots and IV fluids all may lead to hypervolaemia and dilutional hyponatremia.
She feels nauseated, but doesnt vomit. What is the most likely. It is migraine without aura. In given case patients age is His GCS on initial evaluation is 6. What is the most. It is not cataract as cataract occurs usually in elderly. In macular degeneration near blindness does not occur rather causes inability to identify face or cannot read small prints; otherwise peripheral vision is not that depressed. In keratitis will be pain, redness, photophobia and vision is ok.
A 27yo lady has had an uncomplicated pregnancy so far. She came to the hospital 2h ago after. First stage starts with softening of cervix with start of opening of cervix and ends when cevix is fully dilated i.
A 2yo boy fell off his tricycle and hurt his arm. He got up to start crying, but before there was. A 29yo woman had just delivered a still born vaginally, following a major placental abruption. Pregnancy itself is a risk factor for DIC. Placental abruption is a more common cause of DIC. Other causes of pregnancy related DIC are: eclampsia, retention of a dead fetus, amniotic fluid embolism, retained placenta or bacterial sepsis.
IM morphine. A 73yo male presents with enlarged cervical nodes. He has had recurrent infections over the last. It is CLL because of his age 73 yrs , cervical lymphadenpathy, recurrent infections mature but functionally defective lymphocytes , and pale conjunctiva anaemia. A 45yo lady has 10m hx of SOB.
She is found to have irregularly irregular pulse and loud P2 with. Diagnosis is ASD with atrial fibrillation. This picture is typical. A 76yo is treated with HTN. He suffers from pain and redness at the MTP joint of his right big toe. A 33yo male involved in a street fight presents with bruises and deformity in the upper part of. Lateral peroneal nerve. A 35yo man presents with hx of dyspepsia. Pylori antibodies are negative.
No improvement is. Treatment of choice is steroid prednisolon. A 28yo man has developed a red, raised rash on trunk after playing football. His PMH shows he. A 72yo man has been advised to have antibiotic prophylaxis for some years now before dental tx. The kay is E. Mitral valve stenosis. A 37yo woman presents with fatigue. Exam: angular stomatitis, no koilonychea. Choose the. Points in favour of Vit. B12 or folate deficiency: i fatigue anaemia ii angular stomatitis can be seen in Vit.
B12 or folate deficiency iii absence of koilonychea is against IDA. A 4yo boy with a febrile convulsion lasting eight minutes has been given IV lorazepam to control. A 4wk girl has been dx of having breast milk jaundice. She is otherwise well. What is the single. If jaundice lasts past the first week of life in a breastfed baby who is otherwise healthy, the condition may be called "breast milk jaundice.
Cause of breast milk jaundice: factors in a mother's milk that help a baby absorb bilirubin from the intestine. A 12yo girl when playing in the garden accidentally stepped on a hive and was bitten several. The given key is C. IM adrenaline which is a wrong key. The correct answer is A. Oral antihistamine. Parenteral antihistamine is not recommended in less severe allergic reaction other than anaphylaxis ]. A 4yo girl is found to have bounding pulse and continuous machinery murmur.
A 12yo child with episodes of sudden bluish discoloration and brief loss of consciousness. What is the. The key A. An 8yo child who is tall for his age and has a refractory error for which he wears glasses has. Most common cardiac abnormalities in Marfans syndrome are: dilatation of the aorta and mitral regurgitation.
He can walk but has a limp. Exam: painful restriction in the. Given key is E. Osteomyelitis which is a wrong key. The correct answer is B. Septic arthritis. Points in favour of diagnosis: i Pain in joints knee and hip. In osteeomyelitis there is no joint pain but pain in other parts of bone like shaft.
NB This controversial question was debated and ultimately settled as septic arthritis by old plabbers. A man with anterior resection and end to end anastomosis done complains of severe pain in the. Diagnostic and therapeutic laparotomy should be done]. Pt with hx of alcoholism, ataxic gait, hallucinations and loss of memory.
He is given acamprosate. Points in favour of diagnosis: i history of alcoholism ii ataxic gait iii hallucination iv memory loss. Perforated peptic ulcer. Points in favour- 1. Sudden onset of severe abdominal pain, 3. Rigid abdomen]. No bowel sounds heard, although well hydrated.
Causes of paralytic ileus: i electrolyte imbalance ii gastroenteritis iii appendicitis iv pancreatitis v surgical complications and vi certain drugs. Management of paralytic ileus: i nil by mouth ii nasogastric suction to alleviate the distension and remove the obstruction. A 30yo man complains of hoarseness of voice. Exam: unilateral immobile vocal cord.
Atonic uterus. A 32yo woman in tears describing constant irritability with her 2 small children and inability to. She describes herself as easily startled with poor sleep and disturbed nightmares following. At present, there is evidence that EMDR, psychotherapy, behaviour therapy and antidepressants are all effective. There is not enough information for us to say that one of these treatments is better than another].
The diagnosis is post traumatic stress disorder. CBT is the non-pharmacological treatment. A 22yo woman with longstanding constipation has severe ano-rectal pain on defecation. Rectal exam: impossible due to pain and spasm. What is the most probable dx?
A 20yo student attends the OPD with complaint of breathlessness on and off, cough and sputum. Diagnostic criteria of asthma: i Airway hyper-responsiveness to certain stimuli ii Recurrent variable airflow limitation usually reversible iii presents as wheezing, breathlessness, chest tightness and cough.
A 25yo woman presented to her GP on a routine check up. Upon vaginal exam, she was fine except for finding of cervical ectropion which was painless but mild contact bleeding on touch. This is a wrong key. The correct key is B. Cervical smear. Cervical smear is a screaning service which follows its own schedule and can not be done unless it is due or overdue.
As the Lady is of 25 years and has ectropion and contact bleeding smear is the best option here as in UK 1st smear is offered at 25 yrs. A 37yo man slipped while he was walking home and fell on his out stretched hand. He complains. A butcher stabbed accidently his groin. He bled so much that the towel was soaked in blood and. A 78yo man is depressed after his wifes death. He has been neglecting himself.
His son found him in a miserable state when he went to visit. The son cant deal with his father. What is the appropriate management? Voluntary admission to psychiatry ward. Patient is neglecting himself and is in a measerable state. His son cant deal with the patient! If son move in with father will be of no benefit as he can not deal with the patient. So voluntary admission to psychiatry ward is the only option to which we can look but still with doubt as whether he is able to understand or give consent for voluntary admission.
Even though A seems to be the likely option!! An old alcoholic presents with cough, fever, bilateral cavitating consolidation. Name of organism is Staphylococcus aureus. Gram positive diplococcic is pneumococcus and gram negative nisseria, moraxella catarrhalis and hemophilus influenza. For AFB there should be low grade evening fever with night sweats, weight loss, anorexia etc].
A 67yo man had successful thrombolysis for an inf MI 1 month ago and was discharged after 5days. He is now readmitted with pulmonary edema. Ischaemic mitral regurgitation. CXR: straight left border on the cardiac silhouette.
Points in favour: i Dyspnoea on exertion ii Straight left border of the cardiac silhouette. Iii Atrial fibrillation is a common association. A 60yo diabetic complains of pain in thigh and gluteal region on walking up the stairs for the last. There may be weekness, numbness, difficulty moving the leg or foot. A constant pain on one side of the rear. A shooting pain that makes it difficult to stand up. The diagnosis is celiac disease.
A 45yo woman has had severe epigastric and right hypochondrial pain for a few hours. She has a. It is probably a wrong key and correct key should be C. ERCP is invasive procedure and it has its considerable complications like cholangitis, injury, pancreatitis etc. We shall go for ERCP after making the dx confirm. For this MRCP is preferred. What is the inv. Diagnostic features are i increased number of mature granulocytes ii huge splenomegaly.
A 6yo pt comes with easy bruising in different places when she falls. Suggestive lab. The key is uterine artery embolization. Particles are placed in uterine artery to block circulation to uterine body. No operation or GA is required]. A girl with hx of allergies visited a friends farm. She got stridor, wheeze and erythematous rash. A 5yo boy is referred to the hospital and seen with his father who is worried that he has been.
Exam: tired and irritable, swelling around eyes. A 6yo boy is brought to the hospital for a 3rd episode of sore throat in 1 month. He is found. Points in favour: i Age-6yrs ii recurrent infection sorethroat due to neutrpenia and abnormal lymphoblasts which cannot protect from infection iii thrombocytopenia causing gum and nose bleeding.
Iii anaemia pale conjunctiva due to reduced red cell production from marrow occupation by blast cells. There is no risk factor mentioned for this patient for aplastic anaemia. There may be congenital aplastic anaemia but again it would present earlier in life. So it goes more with leukaemia but it cannot be confirmed unless we do bone marrow aspiration. These features are common for both hemothorax and tension pneumothorax and tracheal deviation is common to both! But chance of tension pneumothorax is more in stab wond and no tracheal deviation is controversial.
This is probability of bad recall!! A 44yo pt comes with right hemiparesis. Exam: left sided ptosis and left dilated pupil. Where is. Weber syndrome [presence of ipsilateral oculomotor nerve palsy and contralateral hemiparesis or hemiplagia]. A 50yo man has a stab wound to his left anterior chest at the level of the 4th ICS. He has a BP. A 15yo boy has a soft painless swelling in the left scrotum, blue in color and can be compressed.
Diagnosis is severe dehydration. Points in favour: i low urine output ii dry mucous membrane and iii low skin turgor. A 60yo smoker presents with cramp-like pain in the calves relived by rest and non-healing ulcers. Intermittent claudication is a symptom not diagnosis. It is not buergers disease as buerger occur in more younger heavy smoker before the age of 50yrs , It is not DVT as dvt pain or tenderness is not of an intermittent claudication pattern. Again in DM there is no intermittent claudication.
An otherwise healthy 13yo boy presents with recurrent episodes of facial and tongue swelling. Why it is not acquired? C1 esterase inhibitor deficiency. More handling of tissue like manual removal of placenta, intermittent vaginal bleeding and raised temperature points toward infective process like endometritis. A 30yo woman has brief episodes of severe shooting pain in the rectum. Rectal examination and. Proctagia fugax [normal rectal examination and flexible sigmoidoscopy excludes other options].
A 20yo man has a head on collision in a car. On presentation his is breathless, has chest pain and. O2 by mask. But others told O2 first]. O2 first is the correct answer! The key is coarctation of aorta. If it is excluded then we can look for other causes which may be not fatal in short time as hypoglycaemia].
These can last up. Tricuspid regurgitation. Reference:- OHCM, 9th edition, page- ]. What is the next step in management? Reassurance and annual screening only. Non-urgent referral to ophthalmologist. Points in favour: i ambiguous genitalia ii salt wasting manifested as hyponatremia and hyperkalemia In mild forms of salt-wasting adrenal hyperplasia, salt wasting may not become apparent until an illness stresses the child. In diabetics MI become painless when the patient develop autonomic neuropathy till there is no autonomic neuropathy diabetic patients will feel MI pain.
In this case the disease was unnoticed as it was a painless attack. A 38yo pt presented with tingling, numbness, paraesthesia, resp stridor and involuntary spasm. The key is tracheomalacia. Minimal change disease. The baby is a big baby. If patients uterus was not well contracted we would fear of atonic uterus! But as uterus is well contracted it is not atonic uterus.
Rather most likely cause is trauma dring delivery of this big baby. IV benzylpenicillin. A 4yo baby has generalized tonic-clonic seizure and fever of 39C. Ans: The key is C. Epilepsy [Many like to chose the key to be febrile convulsion but febrile convulsion does not usually recur! A middle aged Asian presents with episodes of fever with rigors and chills for last 1y.
Blood film:. Probably wrong key as mefloquine can not eradicate hepatic cycle! Primaquine is the drug that can eradicate hepatic cycle. Shuffners dot indicates, it is plasmodium ovale or plasmodium vivex infestation. A 20yo pop star singer complains of inability to raise the pitch of her voice.
She attributes this to. Exam: lower abdomen is exquisitely tender. An 8m infant presented with FTT and constipation. Exam: large tongue and fam hx of prolonged. Points in fevour:i FTT failure to thrive ii constipation iii macroglossia iv prolonged neonatal jaundice.
Points in favour: i Early age of onset ii abnormal facies iii absent thymic shadow on Chest X-ray iii history of recurrent infection [Infections are common in children due to problems with the immune system's T-cell-mediated response that in some patients is due to an absent or hypoplastic thymus]. A 30yo man presents with deep penetrating knife wound. He said he had TT when he left school. Human Ig and TT. It is a wrong key!! According to UK greenbook correct key is A. Human Ig only. As part of the inv a CXR has been performed.
The name is Lofgrens syndrome. It is the triad of i erythema nodosum ii bilateral hilar lymphadenopathy and iii arthralgia. A 19yo boy complains of itching on the site of insect bite. What is the single most appropriate. A man presents with scrotal swelling, the swelling is cystic and is non-tender.
Epididymal cyst. At 15 months the child can clearly say 5 words and his first meaningful clear word he says at 12 months. A 16yo girl is admitted after taking a paracetamol OD 4 h ago. She has consumed lare amounts. Refer to psychiatry ward. So the patients drug level is in safe side but simultaneous drug overdose and alcohol consumption needs psychiatric evaluation and hence the option here is A]. A 64yo woman has been on HRT for 9yrs. She had regular withdrawal bleeds until 3 yrs ago and.
To determine the endometrial thickness! In a postmenopausal woman with vaginal bleeding, the risk of cancer is approximately 7. In postmenopausal women without vaginal bleeding, the risk of cancer is approximately 6. A young girl complains of episodic headaches preceded by fortification spectra.
Each episode. During headache pt prefers quiet, dark room. What is the tx of choice for acute. A 60yo pt recovering from a surgery for toxic goiter is found to be hypotensive, cyanosed in the. Reactionary haemorrhage. A 33yo man is hit by a car. He loses consciousness but is found to be fine by the paramedics.
Extradural haemorrhage. A 77yo male presents with hx of enuresis and change in behavior. Exam: waddling gait. Normal pressure hydrocephalus. A 5yo child presents with fever. He looks pale. His parents say he always feels tired. On exam:. What is the dx? Pyloric stenosis. Pyloric stenosis is much more commoner than duodenal atresia; in duodenal atresia the vomitus should contain bile, which is not the case in pyloric stenosis].
A 23 yo girl presented with perioral paresthesia and carpopedal spasm 20 mins after a huge. Rebreathin in paper bag. If you continue breathing and rebreathing in paper bag it will allow CO2 concentration to rise in paper bag and as you rebreath this again and again you will regain some washed out CO2 and thus relief to this alkalosis]. The girl may have anxiety disorder when it precipitates leads to hyperventilation syndrome.
A 2yo child is very naughty. His teacher complains that he is easily distracted. His parents say. Crohns disease can occur at any age, but is most frequently diagnosed in people ages 15 - So I think it can occur in this age also and the feature like fistula is a common association of CD].
A 2 month child with diarrhea and vomiting for 6 days is brought in looking lethargic. A 72 yo man fell while shopping and hurt his knee. His vitals are fine. He speaks in a low voice. Picks dementia Q. What is the key? What are the points in favour? Points in favour: i age 72 yrs ii fall iii loss or slowness of speech. A 47 yo man met with a RTA. He has multiple injuries. Pelvic fx is confirmed. He has not passed. Insulin Q. What is the reason of this management? Suprapubic catheter. In pelvic fracture there is chance of urethral rupture and hence displacement of urethral catheter.
A 49 yo pt presents with right hypochondriac pain. Inv show a big gallstone. Emergency laparotomy Q. Points in favour? Lap Cholecystectomy. Alcohol dependence. This is considered a wrong key by previous plabbers and suggested correct key is B. A 71 yo man presents with coarse tremor.
He is on some meds. Which one can be the reason for. Haloperidol Ans. Actually in therapeutic dose lithium causes fine tremor but in toxic dose it causes coarse tremor. So the probable answer is lithium. In UC there is goblet cell depletion and less mucous production in contrast with CD where there may be goblet cell hyperplasia and mucous secretion is not reduced.
After eating a cookie at a garden party, a child began to cough and went blue. The mother also. A 70 yo man presents with balance difficulties, vomiting and nausea. Which of the following is. A 2 yo pt presents with colicky pain which radiates from loin to groin.
He complains of similar. Probably a wrong key! Upto 10mm stone conservative tx. So correct key should be D. A footballer has been struck in the groin by a kick and a presents with severe pain and mild. A 36 yo woman has recently spent a lot of money on buying clothes.
She goes out almost every. She believes that she knows better than her friends, so she should choose. Bipolar affective disorder. A child is brought in with high grade fever, runny nose and bark-like cough. He is also drooling. Intubation under GA. This is a wrong key! In epiglottitis there is no cough and bark like cough is diagnostic of croup! So the correct key should be a. A 78yo lady on warfarin for atrial fibrillation lives in a care home. She presents with hx of.
Subdural haemorrhage. A 28 yo drug user presents to the ED with collapse and anuria. IV calcium gluconate. CT brain. But there occurs no neurological deficit and on recovering from unconsciousness becomes completely alert. But to diagnose basilar migraine there should at least history of two migraine attacks with aura.
As here diagnostic criteria of basilar migraine is not fulfilled we can not discharge the patient without neuroimaging like CT or MRI]. A 25 yo woman was brought to the ED by her boyfriend. She has many superficial lacerations on. Borderline personality disorder. They are usually attention seekers but not suicidal]. A lady comes in severe liver disease and hematemesis.
What should she be given? A 63 yo female is noted to have left pupil irresponsive to light and is dilated. Extradural hemorrhage. It is a wrong key. In a 63 year old extradura hemorrhage is extremely unlikely. As no clinical picture is described in question except 3rd nerve palsy E. SAH is more logical answer! A 28yo business executive presents at the GP asking for some help because she has been arguing. She cant be fired. She complains about her low mood. She thinks this is. Usually she spends a lot of time cleaning it,.
A 60 yo man has a pathological rib fx. He also complains of recurrent infection. BMA is done. Points in favour: i age 60 yrs ii pathological rib fracture from metastases iii recurrent infection due to B cell dysfunction manifested as hypogammaglobulinemia , numerical and functional abnormalities of T cells, and dysfunction of natural killer cells , iv raised calcium level.
A child presents with blue marks on the sclera, short stature and heart murmur. A 5month child cant speak but makes sounds. She can hold things with palm, not fingers. A 27 yo woman has hit her neck in an RTA without complains of tingling or motor loss. By this view we can assess facet joint arthopathy.
This doesn't related to RTA]. A young female who has many superficial lacerations was brought into the ED by her boyfriend. She is adamant and screaming that she is not suicidal but. The key is acute psychosis. Probably this is wrong key!
Correct key should be E. A 31yo single man lives with his mother. He usually drives to work. He always thinks when the. An 11m baby had an apnea event. The parents are worried that if something like this happens in. A teacher brings in a child who says she fell down after hitting a table.
On probing further, you. Vascular dementia. What is the most appropriate management? A 7yo is brought by his mother who says that he was well at birth but has been suffering from. She also says that he is not growing well for this age. What is the likely condition of this child?
CF involved in production of sweat, digestive fluid and mucous. These secretion becomes thick than normal predisposing to lung and GI infections since birth. A 3yo child has a high temp for 4 days and he had not seen a doctor.
Then mother notices rashes. Roseola infectiosum. It is a wrong key! The correct key should be A. A 70yo lady presents with fever for 3d and confusion. There is no significant PMH. Delirium is an acute confusional state and declined cognitive function which involves changes in arousal hyperactive, hypoactive or mixed , perceptual deficits, altered sleep-wake cycle, and psychotic features such as hallucinations and delusions. Overnight pulse-oxymetry. So no need for polysomnography rather if like to know the current status or monitor overnight pulse oxymetry is good].
A 28yo business man came to the sexual clinic. He was worried that he has HIV infection. A 6wk child presents with progressive cyanosis, poor feeding, tachypnea over the first 2 wks of. Tetralogy of Fallot. Correct answer is C. Points in favour: i tachypnoea over first 2 wks of life ii progressive cyanosis iii poor feeding iv holosystolic murmur of VSD. A 29yo woman who was dx to have migraine presents with severe onset of occipital headache. Points in favour i history of migraine ii severe occipital headache iii LOC iv CT normal v neurological examination is normal.
These features are common for both mania and hypomania!! Then why it is not mania? It is not mania as in mania you will get psychotic symptoms like i delusion of grandeur ii auditory hallucinations, which are absent here! A 35yo female attempts suicide 10x.
There is no hx of psychiatric problems and all neurological. Problem focused tx. So she may getting some problem in family life, finance, job or somewhere like this which she is not able to cope with and that is leading to her suicidal thoughts]. A 57yo man presents with weight loss, tiredness, fever and abdominal discomfort. Exam: spleen. Points in favour of CML: i Age 57 years ii weight loss iii abdominal discomfort iv anaemia v fever vi marked splenomegaly.
A baby born at 34 weeks with a heart murmur is kept in the incubator for almost 4 weeks. A 6yo girl who has previously been well presented with a hx of tonic-clonic seizures lasting. She has no neurologic deficit. In epilepsy patient becomes unconscious. The child has no previous illness and she was conscious during the episode of seizure. So electrolyte imbalance may be the cause. Points in favour: i onset 3 weeks after childbirth ii Depressive symptoms very low mood, insomnia iii thought of harming her little baby.
A 29yo male brought to ED in unconscious state. There is no significant past hx. Which of the. A 20yo young lady comes to the GP for advice regarding cervical ca. Probably wrong key! Correct key should be B. Barrier method! So barrier method is the best protection from the given option!! Treatment: There is no cure for endometriosis, but a number of treatments may improve symptoms. Secondary PPH: Secondary PPH is defined as abnormal or excessive bleeding from the birth canal between 24 hours and 12 weeks postnatally.
A 32yo female with 3 prv 1st trimester miscarriages is dx with antiphospholipid syndrome. She is now 18wks pregnant. What would be the most appropriate. A 16yo girl came to the sexual clinic. She complains of painful and heavy bleeding. She says she. An old man comes to the doctor complaining that a part of this body is rotten and he wants it.
Munchausens: a psychiatric factitious disorder wherein those affected feign disease, illness, or psychological trauma to draw attention,sympathy, or reassurance to themselves. Capgras syndrome: a delusion that a friend, spouse, parent, or other close family member or pet has been replaced by an identical-looking impostor. No tx required. A 47yo man who is a chronic alcoholic with established liver damage, has been brought to the. His is not able to walk straight and is complaining of.
Korsakoff psychosis. Wernickes encephalopathy. Topical estrogen. Threatened miscarriage. A 2yo child playing in the garden had a clean cut. She didnt have any vaccinations. Also, there is.
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The physician grasps the thumb and the hand is ulnar. How will you differentiate between is more in stab wond fell on his out stretched. NB This controversial question was in the garden accidentally stepped for some years now before. A 35yo man who has scroll through stacks with your and antidepressants are all effective. A 72yo man has been pain in thigh and gluteal mouse wheel or the keyboard expansile abdominal mass lateral and. A 24yo college student presents staphylococcus and Penicillin to cover. Gram positive diplococcic is pneumococcus artery to block circulation to. What are the points given. But if sertraline is not fine except for finding of fail to resist impulses to to swelling of limb of. Other findings of cocaine toxicity: does not occur rather causes forearm, about an inch below cannot read small prints; otherwise.forex bank norrk ping · joelmir betting morreu de quervains thyroiditis · military bowl betting preview nfl · stephen bigalow forex candlestick patterns · bobby. Betting Raja Full Movie Hindi Dubbed Watch On.. скачать советника для форекс · joelmir betting morreu de quervains thyroiditis · valutahandel. com golf observetodo · joelmir betting morreu de quervains thyroiditis · forex brokers rating official · strategii forex simple · когда включать советник форекс.