Clinical

Rounds
DR PRIYANKA
VIGNESH
RULES
› Each question carries 10 marks
› Correct diagnosis carries 5 marks
› Answering additional question 5marks
› Negative marks present
› 15 seconds
› No pass
 Case 1
35 yr old I.V drug abuser presented to clinic with
history of history of blurred vision ,difficulty in
swallowing and speaking followed by which pt
noticed difficulty in lifting objects…..
 Case 2

Scenario 1 Scenario 2

HbsAg -ve -ve

Anti Hbs +ve +ve
AntiHbc +ve -ve
HbeAg - ve -ve
AntiHbe +ve -ve
› Whom due you want to treat immediately ???
 Case 3
› 24 yr woman who is a pet lover came to hospital
with complaints of painful swelling in the axilla……
› O/E
› Causative organism ????.....
 Case 4
› 30 yr man following unprotected sex with a sex
worker has a single tender ulcer with a ragged
edge over sulcus of penis which bleeds on contact
and has tender lymphadenopathy…..
› What organism???
 Case 5
› A 40 yr old man came to hospital with complaints of
fever with fever chills and rigor for 2- 3 weeks with
loss of wt.and loss of appetite with mild left
quadrant pain now he came to hosp bcoz of
epitaxis….He tells all this symptom occurred after
insect bite….His wife tells tat he has tanned over
the past month…..
O/E
Severe Pallor
S/E
Hepatospleenomegaly
› Treatment ????
 Audience Quiz
› 40 yrs old businessman after a conference had 5 day history of
fever, cough, diarrhea
O/E
Pt .tachypneic
Febrile
Vitals
PR 65beats /min
BP 115/70 mm Hg
SpO2 93%
S/E
B/L crackles
Investigations
› Lymphopenia
› Cr 2.5 mg/dl
› T.bilirubin 2.0
› Na levels 130 meq
› K levels 5.0
› IOC????