A 7 years old boy presented to the out patient

clinic carried by his father due to fever with

polyarthritis.

On examination, the arthritis was

asymmetrical, migratory, affecting large

joints.

Heart examination revealed distant

heart sounds. The parents gave

history of sore throat to the child 2

weeks ago.

What is the diagnosis?

What is the cause of distant heart

sounds and how to treat the case with

this presentation?

Enumerate prophylactic measures of

this disease?

A 3 years old boy presented to the

causality room by marked pallor,

lassitude, cold extremities, palpitation

and exertional dyspnoea.

His mother gave history of a febrile

illness to the child 2 days before, for

which she gave him Novalgen

(metamizole sodium) and sulfa

containing medications. The mother

gave the history for similar condition

in her family.

What is the diagnosis ?

What is the treatment and precautions?

A 52 years old lady presented to her

dentist complaining from bleeding

gum, sometimes when brushing her

teeth and in occasions spontaneously.

There was bilateral Lower Limb

oedema .There was hand tremors and

the patient was confused during her

visit. The dentist noticed yellowish

discoloration of her sclera.

What is the possible diagnosis?

Enumerate the investigations should

you request for this patient?

A 12 years old girl presented to the

casualty room by marked abdominal pain,

repeated vomiting, hyperventilation.

On examination, the patient was

dehydrated with sunken eye balls and

confused. Her mother mentioned that

she has polyurea, and polydypsia.

a- What the possible diagnosis?

b- What is the cause of abdominal pain

and hyperventilation?

c- How to treat the case?

A 14 years old girl presented to her family doctor by remittent fever associated with palpitation, dyspnea, night sweats, malaise, pale toxic look.

On examination, there was tender splenomegaly, fingers and toes clubbing.

The patient gave history of taking long acting Penecillin on which she was non compliant.

1) What is the possible diagnosis?

2) What is investigations you could request?

3) What is the curative treatment of the case?

A 6 years old boy presented to the casuality room by silent chest, Cyanosis, tachycardia. His mother gave history of chronic wheezy chest, shortness of breath , cough; for these triad he is on medication one of which is inhaler.

1) What is the possible diagnosis?

2) What is the medication that the patient should be compliant on?

Asthma vedio

A 55 years old lady presented to her doctor by weight loss, palpitation, tremors, nervousness, diarrhoea.

On examination her doctor noticed neck swelling and staring look.

1) What is the possible diagnosis?

2) What is the proposed figures of her investigations?

3) What is the possible treatment?

Thank you

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