tailieunhanh - Ebook Case history and data interpretation in medical practice: Part 2

(BQ) Part 2 book Case history and data interpretation in medical practice" has contents: Case history and data interpretation, data interpretation of cardiac catheter, family tree, family tree, pictures of multiple diseases. | I Case History and Data Interpretation (For answers: See page 317-484) “It is impossible for anyone to find the correct function of any part unless he is perfectly acquainted with the action of the whole instrument” — Galen “It is much more important to know what sort of patient has a disease than what sort of disease a patient has” — Sir William Osler Case History and Data Interpretation 3 Case No. 001 A man of 63 years presented with the complaints of weakness, dizziness, lethargy, palpitation, breathlessness on mild exertion and weight loss for six months. On examination, appearance – pigmented, anemia – moderate, jaundice – nil, edema – mild, pitting. BP – 90/60 mm Hg, pulse – 110/min. No other physical findings. Investigations • Urine • Full blood count • PBF • • • • • • • • Reticulocyte count Bilirubin SGPT Alk. phosphatase Serum creatinine S. iron TIBC S. ferritin - Protein (+). - Hb – gm/dl, WBC – 4,000/cmm, poly – 55%, lympho – 45%, platelets – 1,90,000/cmm, ESR – 52 mm in 1st hr. - Microcytic, hypochromic, few normocytic and normochromic. - (normal to 2%). - 28 μmol/L (normal 2 to 17). - 39 IU/L (normal 10 to 40). - 110 IU/L (normal 25 to 100). - mg/dl (normal to ). - 45 μmol/L (normal 4 to 30). - 88 μmol/L (normal 45 to 72). - 550 μgm/L (normal 20 to 300). Questions a. What is the likely diagnosis? b. Mention 1 investigation to confirm your diagnosis. c. Suggest 1 single therapeutic advice to the patient. Case No. 002 A 27-year-old female with eight months pregnancy is referred for jaundice. She is admitted in the hospital with suspected pre-eclampsia. On examination, the patient is ill looking, anemia – moderate, jaundice – moderate, edema – mild and pitting. BP – 150/105 mm Hg. Investigations • Urine • Full blood count - Protein (++). - Hb – gm/dl, WBC – 15,000/cmm, 4 • • • • • Case History and Data Interpretation in Medical Practice Bilirubin SGPT Alk. phosphatase Serum creatinine S. .