Diagnose This #22

Howdy friends, and welcome back to Diagnose This! So sorry for the late post, had a touch of gastro over the week that needed my full attention and dedication to beat into submission.

Now then, here we are on the final post about the man with the abdo pain and somewhat seedy history overseas. The final piece of the puzzle was delivered last week, with the test results showing an acute Hepatitis B infection. This could be due to a number of things, with the most likely causes being the overseas exposure to untreated foods and waters as well as the risky sexual practices. Management at this stage mainly involves supportive measures for symptom management, as 95% of patients who present with an acute case of HBV infection will seroconvert and produce antibodies on their own accord. If this were to become a chronic case of HBV infection the addition of interferon/monoclonal antibody therapy should be considered. Also, due to his risky sexual practices, the management should include follow up blood-tests for other infections, such as HIV, HCV, etc… Finally, the best way to avoid this is to GET VACCINATED, especially if you are travelling to an endemic region. This should be coupled with the avoidance of risky foods and unsafe sexual practices.

 

Guys. We did it!!!!!!! I think that was a pretty massive success from all of the messages we have been receiving. Keep this up and it could become a semi-regular thing of ours.

Now, for our next post we figured that something to help with those “buzzword” exam questions would be ideal. So here are 8 questions with either spot diagnoses, common concepts, or buzzword-associated answers. Here we go!

  1. A tall, lanky male presents to the ED complaining of sudden onset chest pain and dyspnoea. What is your DDx?
  2. A SE Asian refugee comes to the clinic complaining of haemoptysis and weight loss. What is your DDx?
  3. An IVDU comes to the ED complaining of fever, rigors, sweats, arthralgia, and weight loss over the past few days. What signs would you expect to find in the hands?
  4. In regards to the above patient, where would you expect the underlying pathology to lie?
  5. A blood sample has a positive Direct Coomb’s Test result. What is the general DDx in this patient?
  6. What features are involved in Charcot’s Triad?
  7. An ECG is described as having a “buzzsaw” appearance. What is the diagnosis?
  8. What murmur is associated with aortic stenosis?

 

Let us know how you go, and remember to not use Dr. Google to help with those answers!

Any queries or concerns please message the page 😀

 

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