case 11 from Tanta tropical centre

general aspect: 24 years old female is noticed to have rapidly developing diffuse abdominal distention within 20 days.on examination no jaundice ,no ll edema, no organomegally,just pallor and dullness allover the abdomen.

by investigations :

HB:10.2

prothrombin activity:92%

liver functions:billirubin D:0.2

IND:0.8

SGPT :22

SGOT :26

albumin:3.6gm

ascitic fluid :total protein 5 (normally no ascitic fluid or protein)and no RBCS, cells:50

U.S:hepatosplenomegally ,cirrhotic liver,patent portal vein

E.S.R:32,68

WHAT IS YOUR DIAGNOSIS

case 10

general aspect:49 years old male with periumbilical abdominal pain ,fever and diarhoea for 5 days

no rash no ronchi no splenomegaly yet

leuckocytic count is 12600

CRP is 96 mg/L

against widal in this case is :choose

leuckocytosis

duration of symptoms

diarhoea

all of the above

after 1 weaks he developed severe epigastric tenderness and mild generalized abdominal

distention

U.S showed thrombosis of the left branch of portal vein

how to manage this case.......

case 9

thanks Dr semsema for your useful participation

] semsema يقول...
أول مشاركة لي في المدونة ويارب تفيدكم

male patient aged 45 ,came to hospital complaining of feeling drowsy during doing exercise in the morning and some dysnea last night,nausea and mild chest pain which releaved spontaneously he had D.M 5 years ago and it is controlled by treatment

how to deal with this case??

case 8

thanks dr_roda for your successful participation

dr_roda يقول...
male patient aged50 years old came to emergency room with his family he was conscious and can wake but he was very annoying as he suffers from severe epigastric pain refered to his left shoulder from two hours and it is the first time.his history revealed only that he is smoker from 30 years ago and he never complained before.his blood pleasure was120/80and his pulse rate was 72b/min.by examination of abdomen nothing except epigastric tendernes. by heart examintion heart sounds just audible but no murmurs.what is your dignosis and how to manage??دى حاله جيت الطوارىء انا كشفت عليه وبعدين طلبت مساعده دكتور امتياز لانى شكيت فى حاجه وبعدين هو فحصها وتناقشنا وعايزه اشوف رايكم وان شاء الله هعرفكم طلعت ايه