Long

cases
1. Down syndrome patient: asthma.

Ddx dengue, sleep apnea.

Have maculopapular rash.

2. Twin pregnancy- false labour

3. Nephrotic

4. Ugib 2' pud

5. Graves' disease

6. Fibroid

7. Choledocolithiasis

8. Metastasis breast cancer

9. AEBA 2* pneumonia..

10. Beta Thalassemia major with sickle cell aneamia

11. Down syndrome with hypothyroid

12. Indirect inguinal hernia - right up to the mid thigh. Really huge.

13. Hydrocephalus

14. Infective endocarditis

15. Goitre with hx of hyperthyroid and currently hyppthyroid.

16. Down syndrome with chd with undr weight, short stature. Pt had no cHief complaint, I just say
elective admission for exam. Hopi I ask how pt at home, school, screen complication related to DS.

Question full dx shuld be DS with global delay with under wt, short sature. Inx to confirm, routine inx for
DS. Mx.

17. Pprom with Gdm

18. Rectal Ca presented with abd pain and altered bowel habit. Dr ask APR/AR, chemo regime, Duke
staging etc.

19. quadriplegic cerebral palsy wit global developmental delay

20. Lymphoma with multiple LN swelling and hydrocele

21. Peptic ulcer disease

22. Euthyroid (24y/o malay lady with diffuse butterfly thyroid swelling, no hyper/hypothyroid
symptoms)
23. Bronchiectasis

24. Beta Thalassemia Major + Sickle Cell + Left Hemiparesis+ Epilepsy + Developmental Delay+ FTT +
congenital VSD TGA PDA(all operated now complicated by heart failure)

25. Catheter related blood stream infection with ESRF and underlying DM. Got anaemia, pulm oedema,
ascites. Leg amputation right side (below knee, using prosthetic) and left (5th toe amputation)

26. Acquired Hydrocephalus 2 Meningitis with Global developmental delay. Got VP shunt.

Short cases:

Today short case:

1. Surgery - thyroid examination with anatomy, lymph names, types of thyroid, differences btwn benign
n malignancy - prof unar n prof murali

2. Mdd with mse, present case with n mx with types of drugs- dr chin n dr haitham

3. Uterine fibroid - pe and pv exam finding, and mx pharmacological n surgical- dr sunder and dr than
nwe

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Short case

Pprom

Varicose vein

Hemorrhagic shock

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Medicine- upper motor neuron

Paeds- pansystolic murmur

Ent- csom

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Paeds- beta thalassemia major

Medicine- cerebellar dysfunction

Ophtal- corneal ulcer w rejected corneal graft. Examine cerebellar signs in this pt. causes, how to screen
for autoimmune, findings in mri and csf for multiple sclerosis, mc donald's criteria, eye signs

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Med - acromegaly

Ophtal - corneal ulcer (keratoplasty)

Em - primary survey

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OG- pprom. Dsruh clerk till CC, then obs exam. Complication.

Em- Pt come with UGIB. Approach. Start triaging. Dr give vital sign, then do ABC to pt, intervention, with
vital sign given, wat is the class of shock. How mx? How many fluid. Disposition,

Surgery. Thyroid exam , MNG. Just neck exam only. Prof ramzisham will interupt u till u remember
missing point, just see at dr adel, he will help u. Lol. Other PE to be done to exclude hyper or hypo. Inx
need to be done.

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Surgery- thyroid

Psychiatry- ocd/GAD/substance induced anxiety

OnG- molar pregnancy

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Ong- fibroid

Ortho- ulnar nerve injury

Paeds- thalassemia

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Em PUD

Surg Inguinal hernia

OnG multiple pregnancy

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1. Medicine - prosthetic click

2. Paeds - pulmonary stenosis

3. Ortho - ulnar nerve injury

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EM- pt had coffee brown vomiting. Manage. Triaging red. Assess airway, talk to the pt and inspect his
mouth to check patency. Breathing, RR (just say you wanna check, doc will tell you how much), respi
exam. Circulation, PR, BP, iv large bore. Class 3 hemorrhagic shock. Give 20ml/kg normal saline n blood
transfusion. Dx, Disposition.

Ortho- back pain radiate to right leg. Full spinal examination. Dx (include secondary to what eg disc
herniation). Ix, Mx.


Surgery - neck examination. Dx:single thyroid nodule. Involve only right lobe. Doc ask lahey's method,
where you check for carotid, ddx, ix, mx.

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Medicine : murmurs. Paeds : tof ophthal: corneal ulcer

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Obgyn: multiple gestation

EM: coffee ground vomit

Surgery: euthyroid

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Surgery-mng

O&g-molar pregnancy

Psy-mdd

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Ortho

Low back pain. Spine examination.

Surgery

Varicose veins. Expected to perform the tests.

EM

Primary survey hemorrhagic shock.

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Medicine - Multiple sclerosis. Please read in and out

Paeds - down sndrome. Features? Complications? How to monitor? How to manage? Relation of DS and
mom's age?

Ent - peritonsillar abscess. Throat examination, differentials, investigations, management.

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Ent - bells palsy, medicine- hemiparesis with facial palsy, peads, thalassemia splenectomy scar and spinal
bifida..

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Med : multiple sclerosis

Paeds : i dpt yg splenectomy scar + thalassemia+Down syndrome..dr.archamma askd to do abd pe n

askd bout the scar

Opthal : corneal opacity (due to PKP) & quest on corneal ulcer wid dr.chandra n dr.roha...

Xtra short case : preterm labor