Posted by mourad ibrahim habib on November 14, 2001 at 10:36:56:
Dear collaegues, I hope this recall of November 2001 exame will be of benefit to all of you, my best wishes to you and wish me good luck too for the result.
I dedicate this minor work to my chat friends in plabpartone chat group and I wish them all the greatest success.
To: *PRYA AND MURALI
*AIESHA ABDOLLAH
*LIKIN
*AKEN AND ANAT
*DEWE
*DUSTINTO
*AHMED NABIL
*SAMEH WELLIAM
I WISH YOU ALL GOOD LUCK BECOSE YOU WERE A GREAT HELP TO ME
”NOVEMBER 2001 “
THEMES:
*TTT OF ANEXIESTY
*BREAST LESIONES
*OPHTHALMOLOGIC MANAGMENT
*CAUSES OF PNEUONIA
*PRESCRIPTION AND RENAL FAILURE
*GYNAECOLOGICAL INVESTIGATIONES
*TRAUMA
*SYNCOPY
*CAUSES OF COMATOSED PATIENT
*RESPIRATORY DISEASES
*FRACTURES IN CHILDREN
*MARKERES AND IMMUNIZATIONS
*ANAETHESIA FOR LABOUR
*DEMENTIA TYPES
*CARE OF TERMINAL PATIENTES
*NON ACCIDENTAL INJURIES ACCIDENTES IN GERIATRIC PATIENT
*STATISTICAL TERMES
*TTT OF ASTHMA
*DIAGNOSIS OF SYNCOPY
******TTT OF ANEXIETY:
1- 40 MALE HISTORY OF ADDMITION AND INJECTION OF VARICEAL BLEEDING,FOUND AGITATED AND IN SEVERE
ANEXIETY AFTER THE ADDITION BY 5 DAYES
2- LAWYER HAS A FEAR OF AUDIENCE AND WANTES A DEFENITIVE TTT FOR HER MANIFISTSTIONES
3-female IN ANEXCIETY AND CAN'T SLEEP WELL
4-WOMEN IS HAVING HER DAUGHTER WEDDING AND HAS TO FLY
TO HER ,SHE FEARES FROM FLYING
5-MALE HAVING COMPLAINT OF SOME BODY TALKING TO HIM,FIXED HALLUCINATIONES
[CHLOROPROMAZINE,DIAZEPAM,FLUEXETINE,LOFEPERAMIME,COGNETIVEBEHAVIOURALTHERAPY,DESENSITIZATION,FENELZINE,HALLOPERIDOLE,FAMILY THERAPY]
*********THEME:DIABETIC COMPLICATIONES
6-40 DIABETIC AND REFERRED FROM OUT PATIENT CLININC BCOUSE OF HAVING DIAARRHOEA,HIS OSMOLAR GLUCOSE IS NORMAL
7-FEMALE 60 OLD CONTROLLED DIBETIC AND HAVING SUPINE HYPOTENSION
8-OLD DIABETIC EXPERIENCEDE CHANGES AND BLURRING OF VISION LAST WEEK AND NOW SUDDEN LOSS OF VISION
9-IDD YOUNG MALE AND HAS FATIGUE AFTER MATCH AND SWEATTING
[HHYPOGLYCEMIC COMA,DIABETIC KETOACIDOSIS,AUTONOMIC NEOROPATHY,SPINAL NEOROPATHY,CAO,CVO,RETINAL DETTACHMENT,RETINITIS PIGMINTOSA,]
*********THEME: PNEOMONIA ORGANISMIS
10-FEMALE 40 YEARES AND PET OWENER
11- 20 YEARES FEMALE TRAVELLED TO ASIA LAST WEEK,AND STAYED IN HOTEL
12-AIDES PATIENT,DRUG USER AND DEVELOPED FEVER CAUGH AND DYSPNEA
13-50 Y,DIABETIC AND HOMLESS,CO. OF PURULENT DISCHARGE AND FEVER.
14-MILD FEVER,NIGHT SWEATTING PURULENT DISCHARGE AND HEMOPTESIS ONCE IN 20 YEARES PATIENT.
15-AFTER SYMPTOMES OF INFLUENZA IN YOUNG MALE,BY 5 DAYES HE DEVELOPED FEVER,MALAISE EXCPECTORATIOES.
[TB,CHLAMYDIA PSITTACOSIS,STREPTOCOCCUS PNEOMONIA,STAFILOCOCCI,PNEOMOCYSTIS CARENII,LIGIONELLA SPIRALIS,HEMOLYTIC INFLUENZA]
************THEME:DIAGNOSIS OF SYNCOPY
16-70 Ys OLD FEMALE FELL IN THE MARKET AND BROKEN HER PELVIS .HER DAUGHRTTER SAYES THAT SHE HAD THE SAME FALLES BEFORE BLOOD GLUCOSE NORMAl IN ADDMITION
17-70 YEARES ,ON WORKING IN HIS FARM HE FELT AND BRAKE HIS FEMER
18-THIS FEMALE HAS SYNCOPIES EVERY EVENING ON WAITING FOR THE BUS,SHE IS 59 YEARES OLD
19-19 FEMALE HAS SYNCOPY,WITH PALLOR,FEMORAL PULSE DELAY AND HISTORY OF FAMILIAL DEATHES.
20-55 ALCOHOLIC AND SMOKER,AFTER SYNCOPY HE HAS NUMBNESS IN LEFT ARM
[DYSRRHYTHMIA ,TIA,AORTIC VALVE DISEASE,VASO VAGAL ATTAKES,SUPINE HYPOTENSION SYNDROME,CEREBRAL STROKE,AORTIC VALAVE DISEASE]
*************THEME:DEMENTIA
21-COMMONEST TYPE OF DEMENTIA IN UK
22-50 MALE HAS EARLY HALLUCINATIONES AND BEHAVIORAL CHANGES ,LATER IMPAIRED MEMORY,HALLUCINATONES ARE FIXED,AND PARKINSONIAN FAUCIES.
23-CARDIAC LONG STANDING PATIENT DEVELOPED CHANGE IN CONCIOUSNESS IN HOSPITAL WARD,WITH POOR MEMORY AND CAN'T RECALL WOURDES
24-DRUG USER PATIENT DEVELOPED APHASIA ,AGNOSIA CHANGING MEMORIZATIONES
25-70 YERES MALE CAN'T RECALL RECENT MEMORIES ,HE IS ANXIOUS ABOUT THIS PHENOMENA
[LOWY BODY DEMENTIA.,JAKOP'S DEMENTIA,ACUTE DEMENTIC SYBDROME OF AIDES,MULTIPLE INFARCETES,DELLERIUM,PSEUDO DEMENTIA,ALCOHOLIC DEMENTIA,ALZAIMER,DELERIUM]
************THEME: PRESCRIPTIONES WITH RENAL FAILURES
26-DIABETIC HAD HYPER TENSION RECEIVED TTT AND LATER ON DEVELOPED RENAL FAILURE
27-FAILURE PATIENT RECEIVED DRUG MADE HYPER KALEMIA
28-K FAILURE P RECIEVED DRUG WHICH MADE THIS FAILURE WITH OTOTOXICITY
29-CHILD WAS RECEIVING TTT FOR REPEATED OEDEMA IN FACE AND LOWER LIMB,HE RECEIVED A DRUG MADE EXTENCIVE HEMATURIA
30-RENAL FAILURE PATIENT WITH LOW CALCIUM LEVEL IN BLOOD
[INSULIN 20 U AND GLUCOSE 5%,GENTAMYCIN,SPIRONOLACTONE ,FRUSAMIDE,CYCLOFOSFAMIDE,CAPTOPRIL,BIPHOSPHONATE,VERAPAMIL]
***********THEME:TRAUMA FIRIST STEP in AE
31-20 FMALE CUT HER WRIST THE BLEEDING IS COMING PROFUSELY,THE NURSE HAS PUT A VENOUS LINE AND SALINE
32-MALE CHILD WITH TRAUMA TO THE CHEST, DEVIATED TRACHOEA AND DYSOPNEA.
33-30 MALE IN TRAFFIC ACCIDENT THE B/P IS 90/60,THE PULSE IS 110,ABDOMEN IS TENDER AND REGID
34-CTA IN WHICH THE OTHER PASSENGERES DIED THE SURVIVED CHILED DEVELOPED TENDER REGID ABDIOMEN WITH REBOUND TENDERNESS,B/P 110/60,P 120
35-12 CHILD IS HAVING A CUT WOUND IN HIS ANKLE FROM WHICH BLEEDING IS COMING PROFUSELY,A VENOUS LINE IS ESTABLISHED.BP IS 90/60,PULSE 100.
[LAPAROTOMY,BLOOD TRANSFUSION,SALINE INFUSION,DIRECT PRESSURS APPLICATION,CT HEAD,CHET BRAIN ,NEEDLE ASPIRATION CHEST ,PARACETAMOLE,MORPHIA]
***************THEME:TTT OF ASTHMA
36-CILD HAVING EXCERCISE ASTHMA HIS PARENTES WANT A PROPHYLAXIS
37-CHILD ASTHMA WHEN PLAYING WITH CATES
38-ON TWO DOSES OF INHALATION BETA AGONIST ,MORNING AND EVENING BUT HE HAS NIGHT ATHMATIC ATTAKES
39-SUDDEN SEVERE ASTHMA WHILE THIS CHILD WERE PLAYING WITH HIS TOYES
WHEESES HEARED ON THE NECK NOT ON THE CHEST
40-CHILD CAME TO AE AFTER EATING PEA NUT SEVERE ASTHMA AND OEDEMA
[FOREIGHN BODY REMOVAL,THEOPHYLLIN,EPINEPHRIN,CROMOLYN INHALATION,LONG ACTING BETA AGONIST,STEROIDES INHALATION,AVOIDANCE OF ALLERGENES]
**********THEME: DIAGNOSIS OF NEEDLE PRIK INJURIES
41-NURSE SUBJECTED T NEEDLE INJURY WHILE WORLING ON AIDES PATIEN,NOW CLINICALLY PROVED TO HAVE HIV DISEASE
42-NURSE NEDDLE PRIK WHILE WORKING WITH AIDES PATIENT,WHT TO DO TYO ASSURE HER ABOUT THE POSSIBILITY OF DEVELOPING THE DISEASE
43-DOCTOR IS HAVING HEPATITIS C,WHAT TO DO TO ASSURE THE PATIENT THAT HE IS NOT GOING TO CONTACT THE DISEASE
45-DOCTOR HAVING HEPATITIS B AND WANTES A TEST TO KNOW IF HE IS INFECTIVE
46-MALARIAL MANIFISTATIONES IN BUSINESS MAN HIS LAST TRIP TO ASIA WAS LAST WEEK
[HIV ANTIBODIES,ABC ANTIBODIES,HBC ANTIGEN,HBS,HBE,THIC FILMES,COMPLETE BLOOD PICTURECD4]
****************THEME:POST OPERATIVE MANAGMENT
47-AFTER CHOLYCYSTSECTOMY THE PATIENT HAS FEVER MALAISE DYSOPNEA ND CHEST PAINES
48-AFTER CHOLYCYSTECTOMY THE PATIENT HAS FEVER MALAISE AND RIGGORES
49-AFTER CHOLYCYSTECTOMY THE PATIENT HAS FEVER MALAISE AND THE WOUND IS GIVING SEROUS RED DISCHARGE
50-AFTER APPENDECTOMY AND RESECTION ANASTOMOSIS THE PATIENT PRODUCED FEVER CONFUSION,TENDER LOWER ABDOMEN WITH REGEDITY.
51-OBESE FEMALEAFTER CHOLECYSTECTOMY HAS PAIN IN CALFES AND OEDEMA.
[BLOOD CULTURE,CBC,SWAP CULTURE OF THE WOUND,VP SCAN,CHEST X RAY,DOPPLER SCANING]
************THEME :DIAGNOSIS OF ABDOMINAL PAIN
52-FREQUNCY WITH LOWER ABDOMINAL PAIN IN 17 FEMALE,TENDER AND REBOUND RIGHT ILIAC FOSSA
53-RIGHT LOIN PAIN AND THE PATIENT CAN'T STAND STILL,GROIN AND ILIAC FOSSA PAIN TOO
54-RIGHT ILIAC FOSSA SUDDEN PAIN IN 20 MENSTRUATNG FEMALE HAVING HYSTORY OF DYSMENORRHOEA
55-RIGHT UPPER QUADRANT PAIN IN OBEESE FEMALE AND RIGHT SHOULDER PAIN,INCREASES WITH FATTY MEALES
56-SUDDEN LOWER ABDOMINAL PAIN IN 20 FEMALE USING LOOP,WITH INCRESING PULSE,ABSENT MENSES 2 WEEKES
57-CHRONIC ALCOHOLIC50 YS MALE AND SUDDEN DEFFUSE ABDOMINAL PAIN RADIATING TO THE BACK,GENERALISED TENDERNESS,WITH VOMITINGAND, REGEDITY.
58-SUDDEN SEVERE ABDOMINAL RIGHT ILIAC FOSSA PAIN WITH REGEDIDTY AND TENDERNESS IN THE WHOLE ABDOMEN,IN 40 FEMALE RECEINVING NSAIDES.
[CHOLYCYTIC COLIC,APPENDICYTIS,URETERIC COLIC,TORSION OVARIAN CYST,RUPTURED ECTOPIC,MYOCARDIAL INFARCTION,PANCREATITIS,RUPTURED DU,PID,DIBETIC KETOACIDOSIS]
***********THEME;FRACTURES IN CHILDREN
59-CHILED SLIPPED WHILE CATCHING THE HAND OF HIS MOTHER ,NOW CAN'T USE FORE ARM AND CRYES WHEN TRY TO MOVE IT
60-CHILD FALLED FROM HIGHT , CAN'T FEEL THE RADIAL PULSE
61-CHILD 1 DAY ,PROLONGED HOME DELEVERY,THE CHILD CRIES WHEN YOU TRY TO RAISE HIM
62-CHILD COME TO AE WITH CAST ON HIS ARM AT THE ACCIDENT TIME THERE WERE NO X RAY ABNORMALITIES ,BUT NOW THERE IS
63-FALLEN FROM HIGHT HAS DEFORMITY AND SWELLING ON TIBIAL CHIN
64-2 YEARES CHILD FALLEN ON OUT STRECHED HAND .THERE IS TENDERNESS AND SWELLING NO DEFORMITY ,PAIN AND CAN'T MOVE HIS FORE ARM
[#SCAFOID,#HUMERUS SHAFT,SURGICAL NECK OF HUMERUS,PULLED ELBOW,GREEN STICK FRACTURE,#TIBIA,HEMATOMA CHIN TIBIA,SUPRACONCYLAR #,#CLAVICLE,# BOTH RADIUS AND ULNA]
**************THEME:OPTHALMOLOGIC INVESTIGATIONES
65-30 MALE RECURRENT BLURRING OF VISION,PAIN,REDDNESS,CUPPING OF THE DISC,
66-VISUAL PLAYES WORKER ,PAIN AND HEADACHE WITH BLURRING OF VISION.
67-SEVERE OCCIPITAL HEADACHE,ON 35 YEARES,WITH PAPIILLOEDEMA
68-BINOCULAR VISION WITH VOMITING IN 40 YEARES FEMALE
69-OLD HYPER TENSIVE WITH SUDDEN LOSS OF VISION IN ONE EYE AND SAME SIDE WEEKNESS
[INTRAOCCULAR PRESSURE,FIELD EXAMINATION,VISUAL ACUITY,CT HEAD,CAROTID ANGIOGRAPHY,BLOOD PH,BLOOD GLOCOSE,COLOUR BLINDENESS TESTING,]
*************THEME:DIAGNOSIS OF ARRHYTHMIAS
70-60 YEARES RECENT MI,DEVELOPED HYPOTENSION AND PULSE 150/M
71-70 MALE AFTER TOTAL HIP ,BP 110/60 PULSE 100 ,HB 8 MG
72-20 FIT MALE,PULSE IS 60 OCCASIONAL FEELS PALPITATIONES
73-ATHELET .MARATHONE RUNNER AND HAVING BP 120/60
AND P 55
74-RECENT INFARCTION DEVELOPED LOWER BASAL CREPITATIONES WITH PALPITATIONIONS AND PERIPHERAL OEADOEMA
[ A FIBIRILLATION,A FLUTTER,VENTRICULAR FIBRILLATIONS,VENTRICULAR ECTOPICES,SINUS TACHY CARDIA,SINUS BRADY CARDIA,PHYSIOLOGICAL,HF.]
***************THME :MANAGMENT OF TOXIC DRUGES
75-30 FEMALE HERONE ADDICT AND HER FRIEND TOO,SHE IS SAYING NEED TO STOP THE DRUG BUT NOT NOW
76-20 FEMALE SAYING THAT SOME ONE HAD PUT AMPHETAMINE IN HES DRINK IN A PARTY
77-PATIENT IN AE IN A COMA ,PO2 93%,HIS FLAT FRIEND IS FEELING NOT WELL TOO
78-HEROINE ADDICT IS ASAYING SHE WAS STEELING THE SHIRTES OF SPPPORTES TEEM TO HAVE MONY TO SPEND ON ADDICTION ,NOW SHE IS SAYING SHE WANTES TO STOP THE DRUG
79-60 FEMALE COMATOSED ,PH7.1,AN EMPTY BAGE WITH EMPTY DRUG CANNES BEGUANIDES AND TCA
[AMPHEBOTAMONE,NALOXONE,INFORM THE POLLICE,REFFERAL TO PSYCHIATRIST,DECREASE HARM PROGRAME,CO MONITORING IN BLOOD,ASSURANCE,GLOCOSE MONITORING,AACETYLE CECTAIENE]
***************THEME:DIARRHOEA AND VOMITING IN CHILDREN
80-2 MONTH,CO OF VOMITING SEEN PERISTALSIS AND USUALLY PROJECTILE AFTER MEALES AND HUNGERY AFTER THE VOMITING
81-DIARRHOEA NOTICED BY THE MOTHER IN HER 6 MTH BABY AND SUSAGE SHAPPED MASS IN RIGHT HYPOCHONDIAL &ILIAC AREA
82-VOMITING AFTER FEEDING MOTHER NOTICED DECREASE WHEN FEDDING IN CHILD SEAT
83-DIARRHOEA WITH VOMITING IN OE, 4 YEARES CHILD HIS BROTHER WAS HAVING THE SAME LAST WEEK
-
[GASTROENTERITIS,PPYLORIC STENOSIS,INTUSSUSSEPTION,
GASTRO-OESOPHAGEAL REFLUX,COELIAC DISEASE,MENINGITIS,MALLORY WISS SYNDROME,]
***********THEME:PREGNANCY ANAESTHESIA
84-NULLI,8CM OCCIPITOPOSTERIOR ASKES FOR PAIN RELIVE NOW
85-NULLI ASKING TO BE ABLE TO MOVE FROM BED DURING LABOUR AND NOT TO FEEL PAINES
86-9CM MULTI PARA,NO PREVIOUS DELIVERY COMPLICA-TIONES,HEAD ON PERENIUM.
87-RETAINED PLACENTAL PRODUCTS AFTER DELIVERY OF THE BABY BY 1 HOUR
87*-NULLI,6 CM AND RECEIVED PETHEDINE TWICE STILL IN PAIN AND DOESN'T WANT TO FEEL THE CONTRACTIONES
[SPINAL,GENERAL ANAETHESIA,NITROUS AND OXYGEN,PUDENDAL BLOOK,EPIDURAL ANAETHESIA,TRANSIENT REPEATED NERVE STIMULATION,PARACETAMOLE,INDOMETHACINE]
********************THEME:HERNIA TTT
88-20 FIT ADULT,LIVING IN FLAT,LEFT OBLIQUE ING HERNIA,,WITH LARGE DEFECT.
89-HERNIA IN 1 MTH CHILD,NOT MAKING ANY COMPLICATION OR SYMPTOMES TO THE BABY OR BY THE MOTHER
90-40 MALE,BANK MANAGER, FEELS TENDERNESS IN LONG STANDING HURNIA FOR SHORT TIMMES OTHER WISE NORMAL AND FIT.
91-60 MALE OF HISTORY OF MI,LEFT O I H AND IRREDUCIBLE
*************THEME:URINARY INCONTINENCE TTT
92-56 PARA 10,FEELES SOME THING PROTRUDING FROM VAGINA WITH URINARY DREPPLING
93-40 FEMALE,URINE GETES OUT WHEN SHE COUGHES ONLY
94-50 FEMALE WITH SENSORY CHANGES IN LOWER LIMBES,SOME TIMES SHE INABLE TO EMPTY HER BLADDER WITH DROOPING OF URIE EVERY WHILE
95-50 FEMALE WAS HAVING URINE DROPES ON SNEEZING,THE CONDITION INCREASING AND UREINE GETES OUT EVEN DURING WALKING OR MINOR ACTIVITY,DOESN'T RECEIVE TTT BEFORE.
96-55 NOT INCONTINENT BUT HAVING DYSUREA WITH DYSPARUNIA
[FIX PERMENANT URINARY CATHETER,RING PISSARY,COLPOSUSPENSION,LOCAL OESTROGEN OINTMENT,SELFE INTERMITTENT CATHETERIZATIONS,ELECTRIC NERVE STIMULATIONES,HYSTERECTOMY,]
**********THEME:BREAST INVESTIGATIONES
97-30 FEMALE BLEEDING PER NIPPLE MAMOGRRAPHY NORMAL,BUT BLEEDING STILL OCCURING
98-40 FEMALE NO SWELLING IS FELT BUT THERE ARE MANY CALCIFICATIONES SEEN IN DIFFERENT AREAS IN MAMOGRAPHY
99-40 FEMALE RETRACTED NIPPLE AND SCALY LESIONES IN SKIN OF THE AREOLA AND NIPPLE,NO MASS IS FELT AND NO AXILLARY LN
100-FREELY MOBILE LUMP IN UPPER OUTER QUADRENT IN 20 FEMALE BRAEST NOT FIXED AND NO AXILALRY LN.
101-MULTIPLE SMALL SWELLINGES IN BOTH BREASTES OF 20 Ys ,FEMALE PAINFUL IN MENSTRUATION AND SOME LARGER CYST IS FELT IN LOWER QUADRENT
101 *-40 HARD FIXD SWELLING NO LN AND FNBC AND MAMOGRAPHY NOT CONCLUSIVE
[MAMOGRAPHY,DUCTOGRAPHY,ULTRASONOGRAPHY OF THE BREAST,EXCESION BIOPSY,OPEN BIOSY,CORE BOPSY,STERIOTACTIC CORE NEEDLE BIOPSY,FNBC]
****************theme:HEAD TRAUMA
102-GCS 7,PO2 97% IN ROOM AIR,NOISY RESPIRATION,# IN FACIAL BONES
103-GCS 7,PO2 93% IN ROOM AIR AND IRREACTIVE PUPIL,HIS NEIGHBOUR IS UN WELL TOO
104-GCS 7,PO2 100%,UNILATERAL DILATED PUPIL,UNILATERAL HEMIPARESIS
105-GCS 7,WITH SEIZURE AND ENURESIS,
[ECG,CT BRAIN,EEG,CO MONITORING IN BL0OD,INTUBATION,CHEST DRAIN,CHEST XRAY]
*****************THEME:MODE OF TRANSMESSION OF DISEASES:
106-CAUSE OF RASHES WITH SCABIES
107-IMPTIGO LESIONES
108-COMMON WARTES
109-TOXOPLASMOSIS
110-MONILAIA INFECTION IN DIABETIC
[FECO ORAL,SKIN TO SKIN CONTACT,TOXINES OF FEMALE MITE,INHALATION ,TAENIA,ANIMAL TO HUMAN ROUTE,HUMAN PAPILLOMA VIRUS]
**************THEME:BASIS OF ACTION OF DRUGES
111-HAVING JOINT PAIN AND TAKING NSAID
112-FEMALE PUTTING EPIDURAL ANAETHESIA AND FEELS NUMBNESS IN HER L L AND NOT ASKING FOR MORE PAIN RELIEVE METHODES
123-OLD MALE HAVING BACK PAIN AND TAKING ELECTRICAL PULSES WAVES PHYSIOTHERAPY ON HIS BACK
114-AFTER CHOLECYSTECTOMY OP. AND TAKING DRUG THAT MADE THE PUPIIL NARROW
115-60 MALE OF CANCER WITH SECONDARY METASTASISWITH BACK PAIN, AND HE HAD AN OPERATION IN THE BACK TO REDUCE THAT PAIN
[VASODILATAION,ANTERIOR HORN CELL INHIBITION,MORPHINE RECEPTOR STIMULATION,COXEGENASE INHIBITION,PERIPHERAL NERVE STIMULATON,SURGICAL APPILATION,CHEMICAL APPILATION]
********THEME:DIAGNOSIS OF BACK PAIN
116-60 Y MALE CHRONIC RENAL FAILURE PATIENT AND HAVING GENERALISED BONE PAIN AND COLLAPSE IN L1 VERTEBRA IN X RAY
117-60 YEARES MALE WITH RAIESED ALKALIN PHOSPHTASE AND COLLAPSED VERTEBRAE
118-45 ALCOHOLIC AND HAS BACK PAIN AND ABDOMINAL PAIN ,ABDOMINAL CALCIFICATINES IN X RAY
[PAGET'S DISEASE,OSTEOMALACIA,CANCER PROSTATE,CANCER PANCREASE,OSTEOPOROSIS,CHRONIC PANCREATITIS.
*************THEME:NON ACCIDENTAL INJURIES
119-FEMALE CHILD HAS DARK AND WHITE PATCHES ON HER BUTTOKES HER DFATHER IS BLAK AND MOTHER IS WHIGHT,SHE IS BROUGHT BY HER GRAND MOTHER WORRIED ABOUT THAT
120-MALE CHILD HAS BLUISH CIRCULAR DISCOULURATION AT ANKLE AND ARROUN WAIST AT SITE OF TROUSERES BUILT
121- BRUISES IN FOREARM IN A GERIATRIC AND FACIAL BRUSIS ,THE ACCOMAPANIER SAYES HE FELL FROM BED
122-BLUISH DISCOULURATONES IN A CHILD WITH PURPLE NODULES ON TIBIAL CHIN,HISTORY OF EASY PROLONGED BLEEDING.
[NONACCIDENTAL INJURY,PHYSIOLOGICAL,ITP,HENOCH SCHONLINE DISEASE,ACCIDENTAL INJURY,]
**************THEME :
TYPES OF ANGINA
123-HAS CORONARY SPASM IN ANGIO
124-HAS PAIN ON TREDMELL TEST
125-HAS PAIN ON REST AND DURING TTT OF ANGINA
126-fatty has pain on lying down and pitter taste in the morning
[HF,PRIZMANTEL ANGINA,REFLUX OESOPHAGITITS,UNSTABLE ANGINA,CORONARY VASOSPASM,DISSECTING ANURYSM,PULMONARY EMBOLISM]
******************THEME:epistaxis
127-HAS NSAL POLYP SENN IN EXAMINATION
128-HAS OTHER BLEEDING DIATHESISES
129-has squint and mass in the face
130-has made cautarization several times,he has air sound and bleeding from the nose
[nasal polyposis,nasopharyngeal fibroma,cancer maxilla,itp.,perforation,nasal septal heamatoma]
***************THEME:thyroid investigaton
131-ON ANTI THYROXIN AFTER THYROIDECTOMY AND COMES FOR FOLLOW UP,EUO THYROID STATE
132-HAS HYPERTHYROID SYMPTOMES,T4 IS NORMAL
134-DILATED CHEST VESLLES AND HOARSE VOICE WITH ENGORGED NECK VESSLES,
135-MULTINODULAR GOITER WITH TOXIC MANIFISTATIONES
[TSH,T4 .T3,RADIO ACTIVE IODINE IUPTAKE,US,X RAY CHEST,THYROID SCAN,CBC,]
**************THEME:FLUID MANAGMENT
136-RTA,# PELVIS,BLOOD AT EXTERNAL U MEATUS AND BP 100/60,P 100
137-RTA ,CVP 3,U OUTPUT 20 CC IN TWO HOURES RECEIVED SALINE,
138-STAYED UNDER HEAVY BLOOK FOR ONE HOUR,CVP 7,BP 130/ 70 P 110,RED FEW DROPES IN URINARY CATHETER
139-CVP 9.BASLAL LUNG CREPITATIONES,ENGOURGED VEINES OF THE NECK,URINE OUT PUT 30 CC IN ONR HOUR
[MANITOL IV,FLUID CHALLANGE TEST,SALINE I V ,PAKED RBCES IV,FRUSAMIDE,FIX URINARY CATHETER,ABDOMINAL US,SUPR APUPIC CATHETER]