4c 1839 year male presented with fever, nausea, headache, malaise on ‘examination there is yellowish discolouration of sclera Lab investigations Total serum biluburin - 3.7 mg ALT -358 U/L AST -323U/L ALP Stuf Prothrombin time~ 11.6 sec Serology Hbs Ag. - positive Anti Hs Ab ~ Negative Anti Hbc Ab - positive Anti HCV Ab - Negative Anti HCV IgM Ab ~ Negative ‘What Is your provisional diagnosis? ‘What isthe made of transmission? What is the clinical course of disease?4D 1A52 year male presented with chief complaint of malaise. There is no previous history of hospitalization. There is history of intravenous drug abuse. On examination vital signs are within normal limits, ‘There is mile hepatosplenomegaly Lab investigations Total serum bilirubin — 1 ALT 6a U/L AST -78 U/L ALP —2001U /L Prothrombin time - 8 sec amg Serology — Hbs Ag - Negative Anti Hs Ab - Negative gM Anti HCV Ab - Negative IgG anti HCV Ab - Positive HCV ANA. Detectable {) What Is our provisional diagnosis? ) What is the mode of transmission? ) What is the clinical course of disease? %] @ ST elevated MT B Myoglobin Seauat Retora fo Nv CPK-MB aubys ue Tu | Tree 2-uby tobrs mL U A lnhys wesley DH auh ‘okey vetd5A ‘AO year male present to emergency with tightness and squeezing pain in left side of chest which is radiating to the left arm, Serology ~ Cardiac troponin 1~ elevated ‘) What is your probable diagnosis? ') Enumerate the biochemical cardiac c] Discuss the differential diagnosis for Reute coranary syndrome, 5B ‘A 60 year male present to emergency with tightness and squeezing, pain in left side of chest which is radiating tothe left arm. Serology ~ Cardiac troponin (cTni) ~elevated it 8) What is your probable diagnosis? vee ') Enumerate the biochemical cardiac markers with their timeline. Discuss the differential diagnosis for Acute caronacy syndrome. Ree a-uby Ue ~Tubns | Treen vobrs lon auh PuwrentaWhats your probate diagnosis ') Enumerate the blocherissinnstine markers with their timeline ) Discuss the differential diagnosis for Acute coronary syndrome. 5c ‘A60 year male present to emergency with tightness and squeezing, pain in left side of chest which is radiating to left arm. ECG shows no ST segment elevation Serology ~ Cardiac troponin | cTal negative ‘) What is your probable diagnosis? 'b) Enumerate the blochemical cardiac markers with their timeline ) Discuss the differential diagnosis for Acute coronary syndrome Be] @ st elemted MI Myoglobin hi Valvolan disea CE NSTems 3) onstable Agta ) sag 6) Myagtebs ‘ECG shows no ST segment elevation Serology —Cardiac troponin I cTol- negative 8) What is your probable diagnosis? b) Enumerate the biochemical cardiac markers with their timeline. €) Discuss the differential diagnosis for Acute coronary syndrome. 6A ‘A7 year old male child brought to the hospital wit puffiness of face (On examination there is generalized edema Urine examination Protein - Positive 4+ Reducing substances - Negative Blood — Negative Ketone bodies - Negative 2. What is your provisional diagnosis? b. Enumerate causes for the same. . What isthe pathophysiology for development of generalized edema in this caes?‘a. What Is your provisional diagnosis? b. Enumerate causéSTOPWESIe. . What isthe pathophysiology for development of generalized edema inthis caes? 6B ‘An 8 year old child brought to the hospital with chief complaint of puffiness of face and smoky urine. Patient was recently treated for ‘throat infection. On examination pedal edema present. Pulse rate '80/min, respiratory rate 22/min, blood pressure 150/110 mm He Urine examination 24/33 Protein Positive 2+ Reducing substances. - Negative Blood - Positive Ketone bodies - Negative a. What is your provisional diagnosis? b. Enumerate causes for the same. €. Write about the histological changes of kidney inthisUrine examination Protein —Posttve 2 Reducing substances - Negative Blood - Positive Ketone bodies. - Negative 8, What is your provisional diagnosis? . Enumerate causes for the same. . Write about the histological changes of kidney inthis 6c ‘A.20 year male patient of known type 1 diabetes presented with sudden onset of anorexia, nausea, vomiting, deep and fast breathing tone examination there is fruity breath, Urine examination Protein ~ Positive 1+ Sugar - Positive 4+ Blood - Negative Ketone bodies - Positive 2. What is your provisional diagnosis? b, Describe the pathogenesis ofthe same. Enumerate complications of diabetes. typogye™ tarelfte guose — eden 1 Ae Arilje tale apes nan f thao v pe Y biabose Neprnet byealyto ‘ J rypocincle EIT yw weep belie tow pel6D ‘A.40 year female presents with chief complaint of fever with chil Also complaints of burning during micturition and increase in frequency of urination Urine examination Protein - Negative Sugar - Negative Blood - Positive Ketone bodies - Negative Microscopy - Many pus cells 2. What is your provisional diagnosis? b. Enumerate the etiological agents . What are long term complications inthis case WN7A ‘8.30 year male came to OPD for infertility check-up Marital ife~4yrs. No history any complaints Semen analysis: Volume - 25 mi Colour = Grey white Liquefaction time ~ 35 min Microscopy ‘otal sperm count ~ 60 milion / ml Sperm motiity Rapid progressive ~60% Non progressive ~30% Immolite 10% Sperm morphology - 80% normal morphology Puscells - 1t02/HPF a} What is your interpretation? bb) Enumerate the causes for infertility. «) Draw a neat labelled diagram of normal spermatozoa,7B ‘4.30 year male came to OPO for infertility checkup. Marital Ife ~ 4yrs On examination has dilated veins aver scretum. No other complaints. ‘Semen analysis: Volume - 1.5 mi Colour - grey white Liquefaction time = 30 min Microscopy ~ Total sperm count -8 milion / ml Sperm motility ~ Rapid progressive - 60% + Non progressive ~30% Immolite 10% Sperm morphology - 80% normal morphology Puscells - 1to2/HPF 2) What is your interpretation? '] Enumerate the causes for infertility ) Drawa neat labelled diagram of normal spermatozoa.8A ‘456 year male presented with fever severe headache and projectile ‘vomiting. Physical examination showed stiffness of neck on forward bending. wv (CSF ~ analysis: Gross appearance ~ cloudy Protein ~ 180 mg/dl Sugar~25 mg/dl Cytology 680 neutrophils / ml a) What is your probable diagnosis? ) Enumerate the etiological agents ) Write normal CSF parameters infectious : ‘ puiceegtlis onrs od @ oleae | H fopbeuia Gheptococcees net sseea mecniieg c6t paraustles | tidy | pet mua @ tore fo to Ifo me tho colovlen ie ir vl press 3 Appear aust t clear, ase total protedu + 50- $0 raghle ee Feats 0-4 bpphos}d undSugar 25 mg/dl Cytology ~ 680 neutrophils / mi a) What is your probable diagnosis? ') Enumerate the etiological agents } Write normal CSF parameters 8B AS6 year male presented with fever, severe headache and projectile ‘vomiting. Physical examination showed stiffness of neck on forward bending. CSF ~ analysis, Gross appearance ~ Slightly turbid Protein ~ 60 mg/l Sugar ~ 80 mg/dl Cytology 45 lymphocytes / ml a) What is your probable diagnosis? ») Enumerate the etiological agents «) Write normal CSF parameters8c ‘A'S6 year male presented with fever, severe headache and projectile ‘Vomiting. Physical examination showed stiffness of neck on forward bending. (CSF — analysis: Gross appearance ~ turbid, shows fibrin coagulum Protein ~ 120 mg/dl ‘Sugar ~ 35 me/dl ‘Cytology ~ 800 lymphocytes / mi a) What is your probable diagnosis? b) Enumerate the routes of spread. } Write normal CSF parametersIdenti jentify the stain used in this image and comment on it 63) A) d CY) pap cuear tp gcrecu Hee * ceruice Couee flan ¥ pile plain used - papanicelane fection te le Tricho mou alts yeu ~ pals Astect yuval, fe hacteace! cowie infectiows iw vasa 3 also scree @ ryegee! 7 — oy, dub beenee10A ‘A28 year old female presented with complaints of anxiety, palpitations, weight loss and irregular menstrual periods. On examination she showed swelling in front of neck, protrusion of eyes and tachycardia Parameter Result Total serum T3200 ng/d Total serum TA 100ug/d Serum TSH 0008 ulU/mL ‘© What isthe diagnosis? Comment on the Image.10B ‘A.32 year old obese female presented with complaints of fa stipation, intolerance to cold and infertility. On ‘examination, she showed facial puffiness, swelling infront of neck, dey skin, thinning of hair and decreased heart ra Her Thyroid profile is given below Parameter Result Total serumT3 120 ng/dl. Total serumT4 — 3 g/dl ‘Serum TSH 20 plu/m What is the diagnosis? [Name the single best test fr initial assessment of thyroid function 6 sith Ve +f Yrotd T (fer) 1 = thos T byte 5 we 4 ~ bu 5 "loo We) Hast RA verdugt +A) @MUS SER cid coy < MBBS Charts.pdf 10B Aye tine ae peta of onion, se sowed fil pines eck dey Her Thyra pris Parameter Result Total serumT3 120 ng/d TotalserumTs 3 ya/dl. Serum TSH 20 l/r ‘Whats the diagnosis? Name the single best st fo int asesment of thy function, 10€ As yas wen pean a pial Poles swelling nthe midline ofthe neck for 8 months, She so complains o regular periods and nervousness. On ‘xanination the tyra gland diffsely enlarged, rn i Mer ym profile sven els Parameter Result + Total serun T4 2ue/dt + Serum TSH 40 ylu/mt ‘+ Serum An-microvomal antibotis Positive Interpret and give your provisional diagnosis BoTy LY T3y 4 Ra ody! TA) @ xy ; Nora! semeys Analygy Cousy op Sabahuit, HowncetPe Pe What ithe diagnosis? Which type of hypersensitivity is sen n this condition? : ete + a = ) @E ath He \ \ ( pe T Hype oo Coudstion 6 PAP__ Suecar tp @creeu caieed otal iar B er ee. panicolace © plain used - P Pe Z ete. the tafectiont