clinical cases part 1.05-11-2013
TRANSCRIPT
Period of abstinence: 3 days Amount : 3 ml Appearance: Grey white Liquefaction : 15 minutes
pH : 8.0
Sperm count : 10 millions/ml Motility : >60% of sperms are actively motile.
Morphology: >65% of sperms are of normal morphology.
2. A 5 year old child was brought to the hospital
with a history of fever on and off, with evening rise of temperature since 1 month. The CSF analysis showed the following features.
Physical examination: Volume : 2ml Colour/Appearance : Turbid Chemical examination: Protein : 60 mg/dl Glucose : 45 mg/dl Chloride : 70mEq/L
Microscopy: Total cell count : 1200 cells/ cumm Differential count : Lymphocytes: 90%,
Neutrophils: 10% Answer the following question: What is the diagnosis? Mention other investigations you would do?
3. 3 year old child was brought to the hospital
with a history of fever, vomiting, convulsions and altered sensorium of 2 days duration. The CSF analysis showed the following features.
Physical examination: Volume : 2ml Colour/Appearance : Turbid Chemical examination: Protein : 300 mg/dl Glucose : 10mg/dl Chloride : 118mEq/L
Microscopy: Total cell count : 1200 cells/ cumm Differential count : Neutrophils: 90%,
Lymphocytes: 10% Answer the following question: What is the diagnosis? Mention other investigations you would do?
4 A female aged 40 years was
admitted to the hospital with history of recurrent fever, loin pain since one week. Urine examination showed the following features
Physical examination: Quantity : 2000ml/day Colour : Yellow Appearance : Turbid Specific gravity : 1.030 Chemical examination: Ph : 6.8 Albumin : ++ Blood : Present (+) Sugar : Absent Ketone bodies : Absent
Microscopy: Pus cells : 30-40/hpf Epithelial cells : 4-6/hpf RBCs : 2-4/hpf Casts and crystals : Pus cell casts seen. Answer the following question: What is your diagnosis? What other investigations would you like to
do?
5 A 8 yr old child presented with history of
generalized edema of 12 days duration. Urine examination showed the following
features.
Physical examination:Quantity : 1400ml/dayColour : YellowAppearance : TurbidSpecific gravity : 1.036 Chemical examination:Ph : 7.2Albumin : ++++Blood : AbsentSugar : AbsentKetone bodies : Absent
Microscopy: Pus cells : 0-1/hpf Epithelial cells : 0-1/hpf RBCs : Absent Casts and crystals : Absent Answer the following question: What is your diagnosis? Define the condition and enumerate the causes? Mention any other investigations you would like
to do? How is the specific gravity corrected for altered
protein levels?
Answer the following question: Identify abnormalities? What is your observation? List the conditions in which it is
increased?
7. A 45 year old male presented with weakness
and giddiness of 1 month duration. Investigations: HB : 6.8gm% Peripheral smear:
Answer the following question: Identify abnormalities? What is your diagnosis? Mention the causes for this blood
picture? List other investigations you would like
to do? What change would you expect in the
bone marrow?
8
A 3 year old child with splenomegaly and mild jaundice.
Investigations: HB : 8gm% Peripheral smear:
Answer the following question: Identify abnormalities? What is your diagnosis? List the investigations you would like to
do?
9 . A 4 year old child presented with repeated
respiratory tract infection, mild growth retardation, splenomegaly & significant pallor.
Investigations: HB : 6gm% Peripheral smear:
Answer the following question: Identify the abnormality? What is your diagnosis? List the investigations you would like to
do? Name the complications?
10 . A 30 year old female presented with a
history of generalized weakness and fatigue since 3 weeks.
Investigations: HB : 4gm% Peripheral smear:
Answer the following question: Identify abnormalities? What is your diagnosis? Mention the causes for this blood
picture? List other investigations you would like
to do? What change would you expect in the
bone marrow?
Answer the following question: Identify abnormalities? What is your diagnosis? Mention the other Haemoparastites.
CASE NO.12.
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.14 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: