clinical cases june2014 part 1
TRANSCRIPT
CLINICAL CASES PART-2
Period of abstinence : 3 days Amount : 3 ml Appearance: Grey white Liquefaction : 15 minutes
pH : 8.0
Sperm count : 10 millions/ml Motility : >60% of sperms are actively motile.
Morphology: >65% of sperms are of normal morphology.
Answer the following question: What is the diagnosis? Mention the indications for semen
analysis.
2. A 5 year old child was brought to the hospital with a history of fever on and off, with evening rise of temperature since 1 month. The CSF analysis showed the following features.
Physical examination: Volume : 2ml Colour/Appearance : Turbid Chemical examination: Protein : 60 mg/dl Glucose : 45 mg/dl Chloride : 70mEq/L
Microscopy: Total cell count : 1200 cells/ cumm Differential count : Lymphocytes: 90%,
Neutrophils: 10% Answer the following question: What is the diagnosis? Mention other investigations you would do?
3. A 3 year old child was brought to the hospital with a history of fever, vomiting, convulsions and altered sensorium of 2 days duration. The CSF analysis showed the following features.
Physical examination: Volume : 2ml Colour/Appearance : Turbid Chemical examination: Protein : 300 mg/dl Glucose : 10mg/dl Chloride : 118mEq/L
Microscopy: Total cell count : 1200 cells/ cumm Differential count : Neutrophils: 90%,
Lymphocytes: 10% Answer the following question: What is the diagnosis? Mention other investigations you would do?
4. A 8 yr old child was admitted with history of fever, swelling of the face, passing coco coloured urine since 2 days. Urine examination showed following features
Physical examination: Quantity : 900ml/day Colour : Smoky Appearance : Slightly turbid Specific gravity : 1.030 Chemical examination: Ph : 7.0 Albumin : + Blood : Present (+) Sugar : Absent Ketone bodies : Absent
Microscopy: Pus cells : 0-1/hpf Epithelial cells : 0-1/hpf RBCs : 10-20/hpf Casts and crystals : RBC casts 1-2/hpf Answer the following question: What is your diagnosis? Mention the gross and microscopic changes in
the kidneys in this case?
5. A female aged 40 years was admitted to the hospital with history of recurrent fever, loin pain since one week. Urine examination showed the following features
Physical examination: Quantity : 2000ml/day Colour : Yellow Appearance : Turbid Specific gravity : 1.030 Chemical examination: Ph : 6.8 Albumin : ++ Blood : Present (+) Sugar : Absent Ketone bodies : Absent
Microscopy: Pus cells : 30-40/hpf Epithelial cells : 4-6/hpf RBCs : 2-4/hpf Casts and crystals : Pus cell casts seen. Answer the following question: What is your diagnosis? What other investigations would you like to
do?
6. A 8 yr old child presented with history of generalized edema of 12 days duration.
Urine examination showed the following features.
Physical examination:Quantity : 1400ml/dayColour : YellowAppearance : TurbidSpecific gravity : 1.036 Chemical examination:Ph : 7.2Albumin : ++++Blood : AbsentSugar : AbsentKetone bodies : Absent
Microscopy: Pus cells : 0-1/hpf Epithelial cells : 0-1/hpf RBCs : Absent Casts and crystals : Absent Answer the following question: What is your diagnosis? Define the condition and enumerate the causes? Mention any other investigations you would like
to do? How is the specific gravity corrected for altered
protein levels?
7. Patient presented with anaemia. Reticulocytes, stain
Answer the following question: Identify abnormalities? What is your observation? List the conditions in which it is
increased?
8. A 45 year old male presented with weakness and giddiness of 1 month duration.
Investigations: HB : 6.8gm% Peripheral smear:
Answer the following question: Identify abnormalities? What is your diagnosis? Mention the causes for this blood
picture? List other investigations you would like
to do? What change would you expect in the
bone marrow?
9. A 3 year old child with splenomegaly and mild jaundice.
Investigations: HB : 8gm% Peripheral smear:
Answer the following question: Identify abnormalities? What is your diagnosis? List the investigations you would like to
do?
10. A 4 year old child presented with repeated respiratory tract infection, mild growth retardation, splenomegaly & significant pallor.
Investigations: HB : 6gm% Peripheral smear:
Answer the following question: Identify the abnormality? What is your diagnosis? List the investigations you would like to
do? Name the complications?
11. A 30 year old female presented with a history of generalized weakness and fatigue since 3 weeks.
Investigations: HB : 4gm% Peripheral smear:
Answer the following question: Identify abnormalities? What is your diagnosis? Mention the causes for this blood
picture? List other investigations you would like
to do? What change would you expect in the
bone marrow?
12.A 22 year old male presented with fever and chills.
Peripheral smear:
Answer the following question: Identify abnormalities? What is your diagnosis? Mention the other Haemoparastites.
THANK YOU……