Various cases of spotters of examination

Various cases of spotters of examination

1. Case 1 History : A 25 year old male came with gradual onset of periumbilical pain migrating to the right lower quadrant, anorexia, nausea. Symptoms : Pain in lower abdomen, Fever Signs: Guarding in the right lower quadrant Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

2. Case 2 History :A 40 year old female came with complains of epigastric pain worsensing with sudden severe pain from 6 hrs ,associated with malena and haematemesis On examination: Guarding present Rebound tenderness present Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

3. History :A 60 year old male came with complains of gradual onset of a bulge in the groin, discomfort while lifting. Symptoms : Visible bulge that disappears when lying down, pain while coughing. Signs : Palpable bulge in the inguinal region. CASE 3 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

4. History : A 30 year old female came with complains of sudden onset of severe flank pain radiating to the groin, hematuria. Symptoms : Flank pain Hematuria. Signs : Flank tenderness. CASE 4 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

5. History :A 28 year old office clerk came with gradual, small painless lumps over neck which incresed slowly over 6 months. Swelling is associated with low-grade evening fever, weight loss, night sweats. Patient has a history of close contact with a family member with pulmonary tuberculosis. Neck Examination : Firm non-tender, mobile swelling in left supraclavicular region. Lymph Nodes : Enlarged, matted, non-fluctuant. Systemic Examination : Mild pallor, decreased breath sounds on left upper lung field. CASE 5 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

6. History :A 60 year old came with complains of injury over right foot which is non-responsive to home remedies. which is associated with constant pain of moderate intensity also associated with weight loss, occasional fever, malaise. Past History : Type 2 diabetes mellitus (poorly controlled) On local examination Leg Examination : 5 cm × 3 cm ulcer on right lower leg, irregular margins, granulation tissue, minimal serosanguinous discharge. Peripheral Vascular Examinatio n: Diminished pulses, cool extremities. Systemic Examination: Mild hepatomegaly. CASE 6 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

7. History :A patient of 45 years old Mrs. Padmini came with complains of episodic right upper quadrant pain after fatty meals.Pain increased gradually in frequency and intensity. Symptoms : Nausea, Vomiting. Signs : Positive Murphy's sign, right upper quadrant tenderness. CASE 7 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

8. History :A patient 30 tear old salma noticed a painless lump over her upper back. Swelling progressing slowly over the past few year. Symptoms : No associated pain or changes in the overlying skin. Family History : No known genetic disorders. Clinical Findings: Examination: Soft, mobile lump, non-tender. CASE 8 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

9. History : A 24 year old construction worker had sudden onset of severe chest pain after a fall from bike after which he had sudden onset of severe chest pain with associated breathlessness rapidly worsening over the last hour. Previous Medical History : No significant medical history. Clinical Findings: Respiratory Examination : Absent breath sounds on the right side Tracheal deviation. CASE 9 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

10. History :A patient of 55 year old came with complains of sudden onset of abdominal pain, distension which was associated with with multiple episode vomting Symptoms: Vomiting Constipation. Previous Abdominal Surgery: History of appendectomy. Abdominal Surgery History : Appendectomy. Clinical Findings: Abdominal Examination : Distended abdomen Hyperactive bowel sounds. CASE 10 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

11. History : A 60 year old patient came with complains of increased urinary frequency hesitancy and weakstream Patient told that he has to urinate multiple times during night but didnt had satisfaction of empty bladder. Symptoms worsened over the last year. Clinical Findings: Digital Rectal Examination : Enlarged Non-tender prostate. CASE 11 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

12. History :A 35 year old came with complains of recurrent episodes of lower abdominal pain associated with burning micturation dysuria, hematuria worsening over the past week. Previous Medical History : History of kidney stones. Clinical Findings: Abdominal Examination : Suprapubic tenderness. CASE 12 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

13. History : A 40 year old female came with complains of painless lump in the right breast while bathing which was slowly increasing in size over the last few months. It was not associated with pain or skin changes. Family History : No history of breast cancer. Clinical Findings: Breast Examination : Palpable Non-tender lump. CASE 13 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

14. History :A 65 year old male came with complains of sudden onset severe pain in the left lower limb which was progressing rapidly which developed pallor, coolness, and paresthesia. Symptoms : Absence pulses Cyanosis Past history : Known case of hypertension Personal history: History of smoking Clinical Findings: Peripheral Vascular Examination : Absent pulses ,Cool extremities. CASE 14 Write in one line each 1)Differential Diagnosis 2)Diagnostic Workup 3)Management

15. CASE 15 What is the name of this finding in which condition is this seen

16. CASE 16 What is the name of this condition How is ABPI calculated

17. Identify the Disease Write 3 complications of this disease CASE 17

18. Identity the investigation shown . it is used to diagnose which disease? CASE 18

19. Diagnosis of the image shown CASE 19

20. Differential Diagnosis CASE 20