Mandaly

BCC

2015 2nd Diet


1) BCC1 – 25 year old lady, C/O – Blurring of vision x 6 month, Dx – Bilateral OA (?MS)
2) BCC2 – 36 year old male with neck swelling x 9 months, palpitation & SOB x 1 wk, Dx –
Diffuse Toxic goiter

3) BCC1 – Puffy face & body ache & pain. Past history – HT, DM, Bleeding d/o x 15 yrs.
Methylpred 4mg od (+) O/E – Proximal myopathy (+). DDx – Drug induced Cushing’s $,
Cushing’s disease
4) BCC2 – Known Parkinson d/s presenting with frequent falls.


5) BCC1 – Chronic smoker presented with productive cough – worse at night. Concern – Ca?.
DDx – GERD, COPD, ?Ca
6) BCC2 – Joint pain. Dx – Systemic sclerosis


7) BCC1 – Chest pain – DDx – Angina, GERD, Musculoskeletal pain
8) BCC2 – Poor DM control, HTN, ?Goiter – Dx – Acromegaly + Hyperthyroidism


9) BCC1 – Recurrent fits
10) BCC2 – Right shoulder pain – haemarthrosis with haemophilia


11) BCC1 – Difficulty in walking, DM with proximal myopathy, Dx - ?Polymyositis
12) BCC2 – Palpitation, Dx – MS, AF


2015 3rd Diet

1) BCC1 – Recurrent fits
2) BCC2 – OSA

3) BCC1 – hand n foot pain for 3mth, malar rash, oral ulcer, hand stiff morning relief with
exercise n raynaud phenomena present

4) BCC2 – h/o chest injury 3mth ago. chest pain 2mth. worse on walking n after meal. relief
to certain extand after pain killer

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5) BCC1 – Foot drop
6) BCC2 – AS with fixed drug eruption


7) BCC1 – painful hands in PSS
8) BCC2 – Blindness OA


9) BCC1 – neck swelling, post-partum thyroiditis
10) BCC2 – blood disorder with facial swelling – Cushing in ITP


11) BCC1 –bilateral leg swelling due to amlodipine
12) BCC2 – double vision. pt is normal. Dx not sure (IIH)


2016 2nd Diet

1) BCC1 – infertiligy man 44 year , ED due to betablocker
2) BCC2 – uncontrolled hypertenisn , Headache , sudden visual loss - ? TIA?takayasu

3) BCC1 – fatigue - OSA
4) BCC2 – Double vision – basilar migraine

5) BCC1 – chest pain ? GERD
6) BCC2 – peripheral neuropathy,hand pain - leprosy


7) BCC1 – fever+high color urine in thalassaemia
8) BCC2 – cough unresponse to 2 weeks antibiotic - GERD


9) BCC1 – vitiligo
10) BCC2 – weakness upper limb fb left upper limb, scar on back , lower limb weakness also
present Dx ? Syringomyelia


11) BCC1 – multiple fall in known parki patient
12) BCC2 – Dm poor control – Drug induced Cushing


2016 3rd Diet

1) BCC1 – collapse in chronic alcoholic patient (H&M,beta-blocker,autonomic)
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 2) BCC2 –hemoptysis+chest pain ( long flight –PE)

3) BCC1 – proximal muscle weakness with Graves (MG)
4) BCC2 – chest pain in tall young man ( Marfan’s syndrome)

5) BCC1 – HA in acromegaly
6) BCC2 –Fatigue ( MG with underlying RA)


7) BCC1 – hand tremor ( valproate for epilepsy,alcohol drinking )
8) BCC2 –Chest pain +HT (GERD)


9) BCC1 – Acute joint pain ( beer drinking –Gout)
10) BCC2 –Reduced vision (OA)


11) BCC1 – right leg swelling (DVT)
12) BCC2 –BOV in DM+HT


2017 2nd Diet

1) BCC1 – Headache in NF
2) BCC2 –secondary amenorrhea - PCOS

3) BCC1 – Back pain – AS
4) BCC2 – fatigue and difficult walking – Cushing

5) BCC1 – fits in underlying heart disease – cerebral abscess in TOF
6) BCC2 – fatigue and muscle cramps – hypopit due to brain surgery


7) BCC1 – constipation, HT with thiazide use, family h/o CA colon
8) BCC2 –uncontrolled DM with HT , steroid use for skin infection


9) BCC1 – joint pain and fever x 1 month – SLE
10) BCC2 – Gout , HT,DM


11) BCC1 – chest pain - GERD
12) BCC2 – known PD, worsening

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2017 3rd Diet

1) BCC1 – Parkinsom, new abnormal movement due to levodopa
2) BCC2 – Optic atrophy

3) BCC1 – fatigue – OSA
4) BCC2 – Back pain, SLR (+)ve – PID,M’,cord compression

5) BCC1 – recurrent fits in brain surgery patient
6) BCC2 – PN(+skin rash)- leprosy


7) BCC1 – systemic sclerosis
8) BCC2 –left sided weakness + homonymus hemianopia


9) BCC1 – Transient LOV DM,HT
10) BCC2 – difficulty in walking – claudication pain



2018 1st Diet

1) BCC1 – systemic sclerosis
2) BCC2 – psoriatic arthropathy

3) BCC1 – Headache in NF
4) BCC2 –bloody diarrhoea

5) BCC1 – PN+foot drop in HBV
6) BCC2 – collapse due to H&M


7) BCC1 – Weakness of left arm , headache+ , TIA ,hemiplegic migraine
8) BCC2 –fever+joint pain - MCTD


9) BCC1 – fatigue in RA
10) BCC2 –intermittent tingling and numbness - TIA


11) BCC1 – BOV in DM
12) BCC2 –SOB- CCF ppt by chest infection

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2018 2nd Diet

1) BCC1 – dysphagia and proximal myopathy
2) BCC2 –SLE

3) BCC1 – CTS
4) BCC2 –Haemearthrosis

5) BCC1 – BOV - OA
6) BCC2 –Difficulty in walking – left common peroneal nerve palsy


7) BCC1 – parkinsom
8) BCC2 – hyperthyroid


9) BCC1 – Cushing in ITP
10) BCC2 – scar fits


11) BCC1 – Secondary amenorrhoea, HA, weight gain – PCOS
12) BCC2 – Back pain and neck pain – AS



2019 1st Diet

1) BCC1 – Chest pain in Old CABG,HT,DM – angina , GERD
2) BCC2 – difficulty in speech x 4 years -MG

3) BCC1 – Chest pain in marfan’s syndrome
4) BCC2 – Vision problem in DM,HT

5) BCC1 – Difficulty in walking x 3 months – bilateral foot drops with Peripheral
neuropathy,HBV
6) BCC2 – Chest pain in obese man - GERD


7) BCC1 – Breathlessness in RA
8) BCC2 – Bloody diarrhea-IBD,TB,GI M’


9) BCC1 – skin rash, joint and back pain – sero(-)ve
10) BCC2 –puffiness x 3 months- steroid taking in MG patient – Cushing

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11) BCC1 – Neck swelling + gritty eye – thyroid
12) BCC2 – Joint pain + skin rash – MCTD





Mandalay BCC

1) TIA
2) Headache in acromegaly, Uncontrolled DM, HT - acromegaly
3) Headache in NF
4) Parkinson – new abnormal movement, falls, uncontrolled symptoms
5) Bilateral Optic atrophy - MS
6) Double vision+HA- Basilar migraine
7) BOV in DM, HT
8) Dysphagia-MG
9) Difficulty in speech –MG
10) Recurrent fits – scar fits, fits in TOF
11) Fatigue, muscle weakness in brain surgery patient – hypopit


12) Grave
13) Cushing in ITP
14) Secondary Amenorrhea -PCOS
15) Proximal myopathy
16) Weakness in upper limb and lower limb with scar on back
17) Infertility – ED due to beta-blocker
18) Fatigue+weight gain - OSA
19) Uncontrolled DM – steroid use


20) Chest pain – GERD, (Marfan)
21) Cough - GERD
22) Hemoptysis - PE
23) Palpitation
24) SOB-CCF ppt by chest infection
25) Collapse due to H&M
26) Bilateral leg swelling – Drug induced
27) Right leg swelling – DVT
28) Difficult walking – Claudication pain
29) Fever in thalassemia

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 30) Constipation
31) Bloody diarrhea


32) Joint pain – SS(CREST), SLE
33) CTS
34) Gout
35) Breathlessness in RA
36) Vitiligo
37) Back pain – AS (SLR+ve- PID), psoriasis
38) Shoulder pain – haemarthrosis
39) Foot drop- HBV, PN
40) PN+skin rash – leprosy

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