Charts part 2. 05-11-2013.

CLINICAL CASES. CHARTS PART .2

Case.No.1

» 2 yrs. Old child presented with splenomegaly and mild yellowish discoloration of sclera since 5 days. »The following investigations were

done.

» URINE:

» Bilirubin : Present» Urobilinogen : Present

STOOL:

» Stercobilinogen : Present

LIVER FUNCTION TESTS

Total bilirubin : 4 mg/dlDirect : 0.2 mg/dlIndirect : 3.8 mg/dlAST : 28 IU/LALT : 34 IU/LALKP : 90 IU/LTotal protein : 7.0 g/dlAlbumin : 4.5 g/dlA:G : 2:1

» Answer the following questions: 1. What is the type of jaundice?2. What other investigations you would like to do in this case?

Case.No.2A 30 yr. Old male presented with a history of fever, malaise, anorexia and yellowish discoloration of sclera since 5 days. The following investigations were done.

URINE: » Bilirubin : Present» Urobilinogen : Present » Bile salts : Present STOOL: » Stercobilinogen : Present

LIVER FUNCTION TESTS

» Total bilirubin : 8 mg/dl» Direct : 6 mg/dl» Indirect : 2 mg/dl» AST : 800 IU/L» ALT : 900 IU/L» ALKP : 130 IU/L» Total protein : 7.0 g/dl» Albumin : 4.5 g/dl» A:G : 2:1

Answer the following questions: 1. What is the type of jaundice?2. What other investigations you would like to do?

Case.no.3.

» A 60 yr. old male presented with a history of fever, severe abdominal pain, and intense itching since 10 days.

» The following investigations were done. » URINE: » Bilirubin : Present» Urobilinogen: Absent» Bile salts : Present » STOOL:

» Stercobilinogen: Absent

LIVER FUNCTION TESTS » Total bilirubin : 20mg/dl» Direct : 18 mg/dl» Indirect : 2mg/dl» AST : 40 IU/L» ALT : 46 IU/L» ALKP : 400 IU/L» Total protein : 7.0 g/dl» Albumin : 4.5 g/dl» A:G : 2:1

Answer the following questions:

1. What is the type of jaundice?2. What are the possible causes?

CASE NO.3.

» A 42 year old male with diffuse swelling of the left lower limb since 10 years.

» Peripheral smear:

» Answer the following questions:

» Identify abnormalities?» What is your diagnosis?» Mention other Haemoparasites.

Case.no.5.

» A 30 years old male, ileac resection done 2 years back, presented with anemia

» Answer the following questions:

» Identify abnormalities? » What is your diagnosis?» What will be the blood picture in this case?» List the other investigations to be done in this case?

Case.no.6.

» A male aged 50 yrs. presented with progressive anemia and pathological fracture of vertebra.

» Investigations:» HB : 8.2gm%» Total leukocytes count : 10,000cells/ cumm» ESR : 110 mm/ hr

» Answer the following questions: » Identify abnormalities?» What is your diagnosis?» What are the urinary and radiological findings you

would expect?» How do you confirm the diagnosis?

Case.no.7.

» A 20 yr. old male presented with a history of bleeding gums.

» Investigations:» HB : 8gm%» Total leukocytes count : 92,000cells/cumm» Platelet count : 40,000/ cumm

» Peripheral smear:

» Answer the following question:

» Identify abnormalities?» What is your diagnosis?

Case.no.8.

» A 3 yr. old child presented with generalized lymphadenopathy and bleeding symptoms.

» Investigations:» HB : 6 gm%» Total leukocytes count : 1.2 lakhs/cumm» Platelet count : 40,000 cells/ cumm

» Peripheral smear:

» Answer the following questions:

» Identify abnormalities?» What is your diagnosis?

Case.no.9.

» A female patient aged 60 yrs. presented with generalized lymphadenopathy.

» Investigations:» HB : 9gm%» Total leukocytes count : 80,000cells/cumm» Platelet count : 1.2 lakhs/ cumm

» Peripheral smear:

» Answer the following questions:

» Identify abnormalities?» What is your diagnosis?» What are the causes of Lymphocytosis

Case.no.10.

» A 40 year female presents with anorexia, weakness & weight loss, O/E-huge hepatosplenomegaly noticed

» Investigations:» HB : 9 gm%» Total leukocytes count : 2,00,000 cells /cumm» Platelet count : 2.2 lakhs / cumm

» Peripheral smear:

» Answer the following questions:»  Identify abnormalities? » What is your diagnosis?» Which chromosomal defect is identified? » What are the other investigations you would like to

do?

Case.no.11

» A 30 year old female patient presented with a mobile lump in the right breast of 6 months duration. Fine needle aspiration from the breast lump was performed.

» Cytological smear:

» Answer the following question:

» Identify abnormalities?» What is your diagnosis?

Case.no.12.

» A 48 year old female presented with an ulcerated, large, immobile lump measuring 6x5 cm in the right upper lateral quadrant of the breast.

» FNAC done from the lump. 

» Answer the following questions:

» Identify abnormalities?» What is your diagnosis?

Case.no.13.

» A female aged 40 years presented with a history of post-coital bleeding.

» Pap smear

» Answer the following questions:

» Identify abnormalities? » What is your diagnosis?» What are the other uses of pap stain?