Hey guys, and welcome back to another installment of Diagnose This, the game where we write up some cases and you give us some answers and we all have a fantastic time together strengthening the bonds created in learning. Or something like that.
Anyways, to last week’s case; the young boy with the fever. The main condition that should be considered in this case is Glandular Fever, also known as mono or infectious mononucleosis, caused by the Epstein-Barr virus (although usually patients of this age are asymptomatic). Recommended treatment for this patient includes rehydration with IV fluids and treatment with steroids to reduce the inflammation (the stridor is a sign of airway obstruction, most likely due to enlarged tonsils.) Amoxycillin should be avoided as it can cause a morbilliform rash in children with Glandular Fever. Finally, the exudate on the tonsils is indicative of only three conditions: bacterial tonsillitis, Glandular Fever, and diptheria. As the patient has had their immunisations you can assume that the cause is not diptheria, and with the aforementioned symptoms it is clear that the patient has GF.
Now onto the next case!
A 68 year old female presents with jaundice and pale, floating stools for the past few months. Upon imaging a pancreatic mass is seen, with dilated bile ducts and shadows noticed in the liver. The preliminary diagnosis of Stage IV pancreatic cancer is reached. What type of tumor is usually seen in pancreatic cancer, what management would you recommend for this particular patient, and what is the 5 year survival rate for patients like this one?
See you next week friends!
An example of a 1938 Awareness Campaign by the American Society for the Control of Cancer!
Image credit: By Uncredited WPA artist. New York : Federal Art Project, between 1936 and 1938. – Via Library of Congress website http://lcweb2.loc.gov/cgi-bin/query/D?ils:18:./temp/~pp_2JSV::@@@mdb=fsaall,brum,detr,swann,look,gottscho,pan,horyd,genthe,var,cai,cd,hh,yan,lomax,ils,prok,brhc,nclc,matpc,iucpub,tgmi,lamb,hec,krb), Public Domain, https://commons.wikimedia.org/w/index.php?curid=8050264