jcm osce ahnh 7 th january 2015. case 1 m/23 cc – fever/sore throat/jaundice 1 week – attended...
TRANSCRIPT
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JCMOSCE
AHNH7th January 2015
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Case 1
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M/23
• CC– Fever/sore throat/jaundice 1 week– Attended A&E 1 week ago– No travel history– Good past health
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• PE– Jaundice– Bilateral cervical LNs– Exudative tonsillitis– No stigmata of CLD– Abdomen and chest NAD
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• Give one diagnosis to account for the clinical findings.
• Suggest 3 other differential diagnoses. • Name the blood test to confirm the diagnosis.• Give 3 complications of the condition. • What is the treatment for the condition?
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Case 2
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M/78
• DM/HT• Admitted med for chest pain 5 days ago• Started on Aspirin• Pending private CTA• Sudden collapse in street 2 days after discharge• BP 130/68 P 120 SpO2 74%• GCS E4V1M5• CXR unremarkable
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• Give 3 descriptions of the ECG.
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• The patient is stabilized with endotracheal intubation and mechanical ventilation at A&E.
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• What is the investigation of choice?• What are the treatment options?
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Case 3
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M/63
• NPC with RT 6 years ago• CC– Dizziness and vomiting for 3 days
• PE– 15/15– Dehydrated– Respiratory/CVS/CNS/Abdomen NAD
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• What is the clinical diagnosis?• Suggest 3 causes which can give rise to the
condition. • What are the treatment for the condition?
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Case 4
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M/62
• HT/pAF/IHD• On aspirin etc• Sudden dense right side weakness for 1 hour• BP 167/88 P80 • GCS E4V1M5
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• Name the radiological sign present.• Give 3 other CT signs which may be present
for the condition.• Give 2 CNS complications of the condition.
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Case 5
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M/23
• Fell while playing football• Left wrist pain and swelling
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• What is the diagnosis?• What is the management?• Give 4 complications.
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Case 6
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M/45
• Rt ear discharge for 2 weeks• Rt side headache/neck pain/diplopia 2 days
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• What is the clinical diagnosis?• What is the investigation of choice to confirm
the diagnosis?• What should be the management?
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The end