Download - Clinical cases june2014 part 1
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CLINICAL CASES PART-2
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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.
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Answer the following question: What is the diagnosis? Mention the indications for semen
analysis.
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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.
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Physical examination: Volume : 2ml Colour/Appearance : Turbid Chemical examination: Protein : 60 mg/dl Glucose : 45 mg/dl Chloride : 70mEq/L
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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?
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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.
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Physical examination: Volume : 2ml Colour/Appearance : Turbid Chemical examination: Protein : 300 mg/dl Glucose : 10mg/dl Chloride : 118mEq/L
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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?
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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
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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
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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?
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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
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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
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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?
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6. A 8 yr old child presented with history of generalized edema of 12 days duration.
Urine examination showed the following features.
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Physical examination:Quantity : 1400ml/dayColour : YellowAppearance : TurbidSpecific gravity : 1.036 Chemical examination:Ph : 7.2Albumin : ++++Blood : AbsentSugar : AbsentKetone bodies : Absent
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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?
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7. Patient presented with anaemia. Reticulocytes, stain
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Answer the following question: Identify abnormalities? What is your observation? List the conditions in which it is
increased?
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8. A 45 year old male presented with weakness and giddiness of 1 month duration.
Investigations: HB : 6.8gm% Peripheral smear:
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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?
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9. A 3 year old child with splenomegaly and mild jaundice.
Investigations: HB : 8gm% Peripheral smear:
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Answer the following question: Identify abnormalities? What is your diagnosis? List the investigations you would like to
do?
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10. A 4 year old child presented with repeated respiratory tract infection, mild growth retardation, splenomegaly & significant pallor.
Investigations: HB : 6gm% Peripheral smear:
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Answer the following question: Identify the abnormality? What is your diagnosis? List the investigations you would like to
do? Name the complications?
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11. A 30 year old female presented with a history of generalized weakness and fatigue since 3 weeks.
Investigations: HB : 4gm% Peripheral smear:
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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?
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12.A 22 year old male presented with fever and chills.
Peripheral smear:
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Answer the following question: Identify abnormalities? What is your diagnosis? Mention the other Haemoparastites.
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THANK YOU……