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A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35-40 PH: normal Rectosigmoidoscopy: pathology what is your treatment No.1
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A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Dec 29, 2015

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Brett Barnett
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Page 1: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35-40PH: normal Rectosigmoidoscopy: pathologywhat is your treatment

•No.1

Page 2: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Amibiasis

•Metronidazole

Page 3: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

A 15 years old boy with malaise, weakness, anorexia, fever, weightless and hepatosplenomegaly from 2 month ago.Lab; WBC= 3200 Hb= 9.8 Plth= 98000B.M biopsy:what are 3 most common cause of death

No.2

Page 4: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

•Bleeding

•Infection

•Splenic rapture

Page 5: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

No.3

• A 33 years old women referred to emergency ward due fever, headache, vomiting and confusion from 2 days ago.

• More important ph.exam in this patients

• 1-Fondoscopy

• 2-Meningeal sign

• 3-lat sign

Page 6: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

No.4

• A 36 years shepherd old man come to emergency due to bite by wolf. What is your approach:

• Rabies vaccine & Ig

• SoapWashing

• Tetanus vaccine

• PCN

Page 7: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

N0.5

• In a man with fever from 20 days ago list three important D.D based on each finding

• WBC= 3800(Typhoid,brucellosis,

• Huge splenomegaly(Leshmaniosis,Leukemia

• ESR= 107(TB ,Lymphoma,CVD)

• Sever Sweating(TB,Typhoid,brucellosis)

Page 8: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Horner

Page 9: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

.Post-contrast coronal T1 WMRI Post-contrast sagittal T1 W MRI

66 Y/O male with bilateral decrease vision

Pitutary adenoma

Page 10: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

44Y/O female with Hx of increasing H/A NO FND

(Aneurysm )

Page 11: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:
Page 12: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:
Page 13: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

A case 73 y/o with decrease LOC what is diagnosis?

13

Subdural hematoma

Page 14: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

A case 60 y/o with vertigo, ataxia inability to walking & sitting what is diagnosis?

Cerebellar hemorrhage

Page 15: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Acantosis nig

Page 16: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

•35Y OLD FEMALE, WITH TACHYCARDIA AND TEROMO: THYROID FUNCTION TEST IS:

TSH: 3 μIU/mL

T4:15mcg/d

PLEASE 3 DIFERENTIAL DIAGNOSIS?

Page 17: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

3 DIFERENTIAL DIAGNOSIS OF THIS SCAN?

Page 18: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

WHAT IS THIS?

Page 19: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

WHAT LEISIONS DO YOU SEE?WHAT IS THE DIAGNOSIS?

Page 20: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Patient with 6 month history of diarrhea.Please describe this pathology and diagnosis?

case1

Page 21: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

A 64 years old man with 6 month history of epigastric discomfort. What is your diagnosis?

case2

Page 22: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Patient with chronic HCV infection.what is this hand’s lesions?

case3

Page 23: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

What is the different of malignant and none malignant ulcer?

case4

Page 24: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

What is the differential diagnosis of this liver mass ?

What is the best therapeutic option for this lesion?

case5

Page 25: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

WBC cast

Page 26: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Epithelia cell

Page 27: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Phosphat

Page 28: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

RBC cast

Page 29: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

Glomerosclerosis

Page 30: A 27 years old man with malaise, anorexia, fever, abdominal pain, diarrhea, tensemus, from 2 weeks ago. S/E WBC= 7-8 RBC=35- 40 PH: normal Rectosigmoidoscopy:

AIN