MBBS Study Guide - Palmar Erythema, Blumberg Sign, Heart Sounds

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sandyss

11 Jan 2022

School

Adesh University

Department

Public Health

Course

MBBS

Professor

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Document Summary

Chief complaint: my eyes are yellow for two days. History of present illness: mrs. salco is a 36 year old unemployed attorney who presents with yellow discoloration of her eyes which she noticed two days ago while washing her face. Mrs. salco further admits to feeling "sick and tired" for the past 2 -3 weeks. She has lost her appetite and feels weak. During this time she has been frequently nauseated and ate very little food. Last night she developed a fever and "shook all over with a chill. " This morning she awoke after a restless night with pain and a sensation of fullness in the right upper abdomen. She thinks she lost 20 lbs. during the last 3 months. She denies having joint pain or skin rash. Mrs. salco is a chronic alcoholic who has been hospitalized on several occasions for alcohol related problems, including a psychiatric admission. She states she does not use iv drugs.

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Case Study

Identification/chief complaint: A 5 month-old male is brought to the doctors because of frequent nausea,vomiting, night sweats, tremors, and lethargy.

History of present illness: The patiet was exclusive breast fed during the first 4 months and was well. The onset of symptoms occured with the occasional addition of fruit juices to the child's diet.

Physical exam: Lazy-looking, slighly jaundiced, mild growth retardation, hepatomegaly.

Labs: Marked hypoglycemia,fructosemia

Treatment: Return to breast feeding as a sole food. Avoid fruit juices, fruits and sweets.

1. What are the "red flags" in the case?

2.What is the diagnosis?

3. What genes are affected? What is the role of these genes in normal individuals?

4. What "error" has occured to result in this condition?

5. How has this error affected the function of the gene?

Read the medical report, and answer the following questions: Mr. Feingold had epigastric pain, nausea and diarrhea. Explain the meaning of each of these terms. Mr. Feingold took Mylanta and Pepcid for his discomfort. Identify the category of each drug and describe each. Mr. Feingold had an "occult blood test" that showed blood in the feces. Explain how this test is done. Mr. Feingold had a colonoscopy. Describe the test, the preparation that is needed, and what parts of the gastrointestinal system the physician can visualize. Mr. Feingold had a biopsy. Explain what this is and how it is done. Medical Report: Consultation: Evaluation of recurrent epigastric pain, nausea and diarrhea. History of Present Illness: Mr. Feingold is a 60-year-old white male who has had severe and recurrent epigastric pain, nausea, and occasional diarrhea for the past 2 years. His symptoms have become more severe in the past six months, resulting in 2 visits to the emergency room. A 20-pound weight loss has occurred over the past six months. He has treated his symptoms with Mylanta and Pepcid, but has not sought medical intervention until the past six months. He has had no reported illnesses throughout his life, with the exception of a left leg fracture at age 20 due to a skiing accident. Results of Physical Examination Abdomen soft and distended. Patient complains of mild pain and tenderness in lower abdomen. An occult blood test is positive for blood in the feces. Colonoscopy reveals growths in the colon. Biopsies reveal Stage III colon cancer. Recommendations: Surgery to remove the tumors, resection of affected colon, and colonoscopy to be followed by chemotherapy for 6 to 8 months.

You received a blood sample from a 45 year old male, Levy, who until recently have been healthy. Except for a splenectomy 10 years ago that was a result from a car accident, Levy has had no other hospitalization. He had no history of travel or drug and alcohol abuse. Ten days prior to the current presentation, Levy and his wife attended a Greek festival where they both tried a variety of food. Levy went to see his physician with complaints of malaise, fever, and chills, especially at night. He had weight loss because of loss of appetite. The physician decided to admit Levy to the hospital for observation and further investigation. During the night, the patient worsened, showing signs of bacteremic episodes. Blood cultures were drawn. Points to Consider

ïµWhat are the predisposing risk factors

ïµWhat are the correlation between the clinical presentation such as presence of erythema migrans, buboes, and other port of entry with the zoonotic agent

ïµWhat characteristic features associated with each zoonotic agent including methods for recovery and identification

ïµClinical and laboratory diagnosis of the infecting agent

Note:

Subject is clinical microbiology

MBBS Study Guide - Palmar Erythema, Blumberg Sign, Heart Sounds

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