231012 Rare manifestation of common disease, Appendiceal Abscess- Duc Anh Y3.pptx

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1. CASE PRESENTATION Duong Duc Anh, Resident doctor PGY3

2. 20XX Pitch Deck 2

3. CASE 1 32 -year-old female patient presented to the ED with sudden vision loss PMI: Back pain x 1 month  Bach Mai hospital visit for back pain 10 days ago, prescribed with NSAID Today, headache and sudden vison loss PMH: Left side Bell Palsy since she was a child 3 Generalized seizure x 1 min while transferring to MRI

4. Examination Vital signs BP: 175/100 mmHg, HR: 100 SPO2 98% room air, BR: 20 Neurologic exam NO FOCAL DEFICITS, Normal eye movement, light reflex + Examination of visual acuity and blindness No Flinch when startle 4

5. Localize the lesions

6. One Liner 20XX Pitch Deck 6

7. FINAL DIAGNOSIS: PRESS 20XX Pitch Deck 7

8. Congrat !!

9. RARE MANIFESTATION OF COMMON DISEASE

10. CASE 2 59-year-old female presented to the ED with chief complaint of abdominal pain PMI: -Adominal pain x 10 days. Initially, epigastric pain with characteristic of constant, non-radiating, no nausea  Private clinic, got Upper Endoscopy done with Diagnosis of PUD suspected cancer biopsy, ultrasound showed grade 1 hydronephrosis -Abdominal pain got worse, with changed characteristic of colicky pain of RLQ -Asociated symptoms: Subjective fever PMH: No significant findings 20XX Pitch Deck 10

11. EXAMINATION Vital signs Tem: 36,7 BP: 120/70 HR: 85 Breath: 20 SP02 97% room air Not in acute distress abdominal Soft, no guarding Pain when deep palpate at RLQ, a nd epigastric area Otherwise normal 20XX Pitch Deck 11

12. LABS 20XX Pitch Deck 12

13. FINAL DIAgnosis : Appendiceal Abscess obstructs the right upper ureter 20XX Pitch Deck 13